The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
In this position, you will:support medical professional corporation procedural and diagnostic coding of medical records for billing. Work with professional and non-professional staff for timely record review and ensuring accuracy of medical documentation and sequencing ensuring that codes meet required legal and insurance rules. Work with internal and external billing staff to ensure timely and complete billing of claims and encounters. Collaborate and correspond with insurance companies and health care professionals to resolve claim denials. Maintains medical records both electronically and hard copies, maintains productivity and chart metrics. Collaborate with management staff for process improvement, project work. Perform compliance audits regarding billing, procedural and diagnostic coding to ensure documentation is accurate and timely. Submit statistical data for analysis and research by other departments. You must be able to handle multiple priorities.
We truly value our staff and further acknowledge their contributions by offering: