Contacts payers for medical claims status, followup denials, or partial payments Obtains payer requirements for timely adjudication of claims Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company Helps facilitate interoffice communication on error and denial trends Researches credit balances and initiates refu

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Essential functions Provides appropriate CPT and ICD 10 codes for professional services and office procedures, focusing on Evaluation and Management encounters and pain management procedures. Provides assistance to providers with coding updates and/or changes and education. Assists billing office staff in a timely manner with coding related denials, questions, and educati

Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG criteria. Participate in telephonic discussions with emergency department physicians relative to documentation and admission status. Enter

Position Inforce Intern Location 2950 SW McClure Rd Topeka, KS Job Id 1958 # of Openings 1 Job Posting Title Life Inforce Intern Department Life Operations Reporting to Life Inforce Manager Location Topeka, KS Overview Are you a self starter who thrives in taking the reins? Step into the dynamic role of Life Inforce Intern, where you'll dive into the heart of our team and

Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG criteria. Participate in telephonic discussions with emergency department physicians relative to documentation and admission status. Enter

Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG criteria. Participate in telephonic discussions with emergency department physicians relative to documentation and admission status. Enter

At WSU Tech, we are dedicated to promoting quality higher education and leadership in workforce training that supports economic development for a global economy. Our experienced faculty and staff are committed to helping students achieve their goals by providing hands on experience, state of the art facilities, and individualized support and guidance. We operate in a valu

Health Information Specialist Department 3670080070 Veterinary Health Center Job no 517120 Employment type Staff Full Time (Unclassified Term) Location Manhattan, Kansas Worksite On site requirement Categories Veterinary Medicine Pay Grade 07A About This Role The Veterinary Health Center (VHC) within the College of Veterinary Medicine is seeking Health Information Special