The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

(including but not limited to) Works closely with TxO Application Manager and Medical Librarian to effectively and efficiently support content and record management environments. Manages the lifecycle of Texas Oncology policies/guidelines/forms to ensure accuracy including template usage; reference documents; timely review and approval; attestations; etc. Communicates cle

The cancer registrar ensures that complete and accurate data are collected and maintained for all patients diagnosed with and/or treated for cancer within the institution. All policies and procedures are set forth by the American College of Surgeons (ACOS), Texas Department of Health, and Cook Childrens Medical Center Cancer Committee. Responsibilities include but are not

Analyzes and investigates Behavioral Health medical records received from providers being audited. Medical records are matched up to pended claims and sent to the pre pay coding department for clinical review. Provides explanations and interpretations within area of expertise. Positions in this function are responsible for investigating, preventing payment and resolving a

Monitors delinquent accounts and performs collection duties . Reviews reports, researches and resolves issues . Reviews payment postings for accuracy and to ensure account balances are current . Works with co workers to resolve insurance payment and billing errors . Monitors and updates delinquent accounts status . Recommends accounts for collection or write off . Contact

Monitors delinquent accounts and performs collection duties . Reviews reports, researches and resolves issues . Reviews payment postings for accuracy and to ensure account balances are current . Works with co workers to resolve insurance payment and billing errors . Monitors and updates delinquent accounts status . Recommends accounts for collection or write off . Contact

Monitors delinquent accounts and performs collection duties Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer Reviews payment postings for accuracy and to ensure account balances are current Works with co workers to resolve payment and billing errors Monitors and updat

Monitors delinquent accounts and performs collection duties . Reviews reports, researches and resolves issues . Reviews payment postings for accuracy and to ensure account balances are current . Works with co workers to resolve insurance payment and billing errors . Monitors and updates delinquent accounts status . Recommends accounts for collection or write off . Contact

The Patient Access Specialist provides access to services provided at the hospital and/or clinic. This position is primarily responsible to facilitate the patient registration flow by gathering patient demographic and third party information with a high degree of accuracy. This position requires a high level of customer service skills to establish and enhance positive rel

Monitors delinquent accounts and performs collection duties . Reviews reports, researches and resolves issues . Reviews payment postings for accuracy and to ensure account balances are current . Works with co workers to resolve insurance payment and billing errors . Monitors and updates delinquent accounts status . Recommends accounts for collection or write off . Contact

Monitors delinquent accounts and performs collection duties . Reviews reports, researches and resolves issues . Reviews payment postings for accuracy and to ensure account balances are current . Works with co workers to resolve insurance payment and billing errors . Monitors and updates delinquent accounts status . Recommends accounts for collection or write off . Contact

The Quality Assurance Assistant is responsible for coordinating safety and quality functions and assisting the Administration Manager in making sure that the warehouse is in compliance with safety, and quality policies and principles. The position performs work involving the implementation of identified safety and training programs and a variety of associated operations.

The essential duties and responsibilities (including but not limited to) Reviews, verifies and records accurate ICD and CPT codes in accordance with coding and reimbursement guidelines. Works with Manager of Quality Assurance (QA Manager) and charge entry staff to ensure correct charge and/or quantity amounts. Run Admix Report every daily (am) and send to sites. Run Missi

Monitors delinquent accounts and performs collection duties . Reviews reports, researches and resolves issues . Reviews payment postings for accuracy and to ensure account balances are current . Works with co workers to resolve insurance payment and billing errors . Monitors and updates delinquent accounts status . Recommends accounts for collection or write off . Contact

Responsible for coordination and facilitation of the Credentialing/Recredentialing process for Cook Children's Healthcare System, which includes communication with insurance organizations, managed care organizations, healthcare delivery systems, Regulatory Organizations and Providers. Handles information from a variety of sources in a highly confidential manner. These sou