As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

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

This position is responsible for greeting, collecting and processing all non scheduled patients to gather the necessary demographic information required in accordance with all regulations and hospital policies to provide care for the patients, procure reimbursement verification from third parties and maintain records appropriately. Job Duties Displays excellent customer s

This position provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies. Discuss with patient various forms and obtain signatures fro

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Accountabilities Intervie

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Accountabilities Intervie

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Accountabilities Intervie

The purpose of this job is to handle time consuming clerical responsibilities for physicians during office based patient encounters. Scribes accompany a physician and directly observe patient encounters. They accurately document the events and decision making in a manner that results in appropriate medical charting. Scribes also complete clerical activities necessary to a

Join our dynamic team as a Sterile Technician w/Front Office Coordinator responsibilities! In this role, you'll be at the forefront of our practice, managing all front office operations with a focus on prioritizing the needs of our patients, parents, and guardians. This is a full time position, Monday to Friday from 8 00 am to 5 00 pm. Qualifications High school diploma o

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Accountabilities Intervie

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. (ED PRN, 1st /2nd shift,

This expert level senior inpatient coder is responsible for leading coding teams, coder training, work que management, performing prebill and second level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. The coding analyst will use their knowledge of coding an

Researches the substance of complex appeal or retrospective review requests including pre pay and post payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within mandated timeframes and in compliance with applicable regulations or standards. Perf

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Receives and interviews p

Internal Reference Number 30109606 Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we're stronger than ever. Our A.M. Best