Participates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate. Job Duties Analyzes

Lancaster Behavioral Health Hospital (LBHH) is a 126 bed, inpatient psychiatric hospital and start up joint venture between Lancaster General Health/Penn Medicine and Universal Health Services. In addition to a general adult unit and dedicated adolescent unit, the facility offers services for treating those with co occurring disorders on the psychiatric medical unit, an i

Participates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate. Job Duties Analyzes

Prepares daily batches for posting and deposits. Maintains a complete understanding of the appropriate charge entry protocols and required software programs. Utilizes RCx Rules, IDX and all other network software systems in accordance with Patient Financial Services Run and maintain daily provider missing charges. Posts adjustments, contractual write offs, and rejections

Participates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate. Job Duties Analyzes

Prepares daily batches for posting and deposits. Maintains a complete understanding of the appropriate charge entry protocols and required software programs. Utilizes RCx Rules, IDX and all other network software systems in accordance with Patient Financial Services Run and maintain daily provider missing charges. Posts adjustments, contractual write offs, and rejections

Participates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate. Job Duties Analyzes

Participates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate. Job Duties Analyzes

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds. Through the merger of Thomas Jefferson University and Philadelphia University in 2017, o

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

Manages a team of individuals that are responsible for accurate and timely claims submission. Assists with monitoring work queues and identifying any issues within the epic system by having a thorough understanding of the edits that are worked by the Physician Billing team. Job Duties Monitors accurate and timely claims paper and electronic claim submission to maximize cl

Manages a team of individuals that are responsible for accurate and timely claims submission. Assists with monitoring work queues and identifying any issues within the epic system by having a thorough understanding of the edits that are worked by the Physician Billing team. Job Duties Monitors accurate and timely claims paper and electronic claim submission to maximize cl

Supports management in leading colleagues that are responsible for Account Receivable Follow up. Monitors work queues and identifies accounts that underpaid/unpaid or have line item denials for balance resolution. Works closely with the Supervisor/Manager to identify workflow or procedural processes to enhance collection of open Accounts Receivable. Monitors staff perform