A staffing agency is seeking a Virtual Medical Biller in Utica. Candidates will be responsible for the following: Obtaining referrals and pre-authorizations as required for procedures. Checking eligibility and benefit verification. Reviewing patient bills for accuracy and completeness.
A health insurance company needs applicants for an opening for a Remote Medicare Corporate Medical Director. Individual must be able to fulfill the following responsibilities: Provide insight and feedback to Group Medicare clients and leadership regarding claims experience.
Required Skills: 2+ years recent experience in medical-oriented scheduling environment. Bilingual in any of the following languages: Spanish, Mandarin, Polish and/or Cantonese. Adept at handling large call volumes, preferably with use of VOIP call systems.
A healthcare company is in need of a Remote HEDIS Medical Records Review Nurse. Individual must be able to fulfill the following responsibilities: Contact provider offices to establish appointment times. Complete comprehensive and thorough medical record reviews.
Reviewing and evaluating participant medical records to identify diagnoses and procedures. Assuring that accurate, complete client care documentation is completed timely, in preparation for billing. Monitoring and informing manager of records that are not completed timely.
Reviewing medical records to determine accurate required abstracting elements. Assigning diagnostic and procedural codes to patient charts of moderate to high complexity. Responding to audits, conducting coding or providing consultation on projects. Qualifications for this position include:
Abstracting clinical information from a variety of medical records and assigning appropriate ICD 10 CM and/or CPT codes. Analyzing, entering and manipulating database and confirming appropriate DRG assignments. Providing Profee/Physician coding. Qualifications for this position include: