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View salary and benefits informationDetermines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. May require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. Gains more...
Responsible for requesting payment and collecting overdue balances from patients. Contacts patients by phone or mail to request payment and to review their account details. Responds to patient questions and sets up alternative pay plans if necessary. Maintains patient account records and resolves third party payer issues. Typically requires a high school diploma. Typically reports to a supervisor or manager. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience, or may need 0 years of expe more...
Supervises day to day activities of a hospital's business office such as admitting and registration, patient billing and collection, third-party payer relations, and/or preparation of insurance claims. Effectively educates patients, families, insurance and medical personnel concerning department policies and procedures. Ensure a high degree of patient satisfaction through efficient processing of transactions. Requires a high school diploma or its equivalent. Typically reports to a manager. Supervises a small group of para-professional staff in an organization characterized by highly transactio more...
Directs the day to day activities of a hospital's business office. Responsible for admitting and registration, patient billing and collection, third-party payer relations, and preparation of insurance claims. Administers policies and procedures and ensures all office activities comply with hospital standards and government regulations. Ensures that patient financial matters are handled in an efficient manner. Requires a bachelor's degree. Typically reports to top management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific o more...
Oversees day to day activities of one or more functions within a hospital's business office. Responsible for admitting and registration, patient billing and collection, third-party payer relations, and/or preparation of insurance claims. Ensures activities comply with hospital standards and government regulations. May also be responsible for the patient admitting function. Generates budgets, financial statements, and various reports. Requires a bachelor's degree. Typically reports to the head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True firs more...
The Healthcare EHR System Training Specialist determines training objectives and creates lesson plans and other materials needed for training. Conducts technical training programs for end users of EHR (electronic health record) software applications. Being a Healthcare EHR System Training Specialist designs and delivers new hire training and ongoing user training during system changes and upgrades. Configures the training environment to ensure end-users can practice using EHR software both inside and outside of the classroom. In addition, Healthcare EHR System Training Specialist may be respon more...
Provides data analysis and builds risk models to support risk programs and activities. Prepares reports needed to comply with clinical, environmental, and privacy compliance regulations. Identifies loss trends by analyzing incident reports, claim and insurance data. Utilizes advanced data analysis tools and techniques. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience. more...
Provides data analysis and builds risk models to support risk programs and activities. Prepares reports needed to comply with clinical, environmental, and privacy compliance regulations. Identifies loss trends by analyzing incident reports, claim and insurance data. Utilizes advanced data analysis tools and techniques. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4 -7 years of related experience. more...
Oversees all activities of a hospital's business office including admitting and registration, patient billing and collection, third-party payer relations, and preparation of insurance claims. Directs and establishes policies and procedures for the business office and ensures all office activities comply with hospital standards and government regulations. Monitors the efficiency of the department and suggests and implements changes to improve overall performance. Ensures that patient transactions are handled in an accurate and efficient manner. May require an advanced degree. Typically reports more...
The Admissions/Registration Clerk interviews patients to obtain required medical and financial information and completes registration forms. Registers and admits patients to hospital. Being an Admissions/Registration Clerk may be expected to perform other admissions related clerical work. Verifies patient insurance and ensures registration forms are properly signed. In addition, Admissions/Registration Clerk typically requires a high school diploma or its equivalent. Typically reports to supervisor and/or manager. Being an Admissions/Registration Clerk possesses a moderate understanding of gen more...
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