EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeNVEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Contract Billing Specialist II Sierra Nevada CorpContract Billing Specialist IISparks, NVAs SNC''s corporate team, we provide the company and its business areas with strategic direction and business support spanning executive management, finance and accounting, operations, human resources, legal, IT, information security, facilities, marketing, and communications. IMPORTANT NOTICE: To conform to U.S. Government international trade regulations, applicant must be a U.S. Citizen, lawful permanent resident of the U.S., protected individual as defined by 8 U.S.C. 1324b(a)(3), or eligible to obtain the required authorizations from the U.S. Department of State or U.S. Department of Commerce.
Patient Billing Representative Five Star SolutionsPatient Billing RepresentativeReno, NevadaRemoteJoin us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries. Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
Patient Billing Representative Reno Orthopedic CenterPatient Billing RepresentativeReno, NVCommunicate with patients and insurance companies to obtain status updates, appeal claims, resolve outstanding patient balances and obtain information regarding billing or payment; Use an electronic medical records system to determine the tasks/appeals needing review; Answer phone calls that come into the call center to assist patients and resolve billing issues as assigned. One year of experience performing customer service duties; Communicating effectively and professionally with various levels of employees, outside entities and customers; Deescalating tense or sensitive conversations with customers/clients/etc.
Patient Billing Assistant Reno Orthopedic CenterPatient Billing AssistantReno, NVRetrieve and compile all front desk, ROSC, Billing, and outlying location batches and run Epic and Clover reports for all associated batches; Ensure all batches are accurate, balanced and any variances are accounted for and correct any discrepancies by voiding, posting, or reposting until all batches are balanced; Post all finalized numbers into Cash Sheet Balancing Logs; Access multiple insurance portals to locate missing explanation of benefits and/or checks and print them to deposit; Prepare and finalize daily deposit for multiple bank accounts; Prepare, review, and transmit claims using billing software, including electronic and paper claims processing by running daily claim Epic Report; Print and mail insurance claims from electronic health records system with attachments, notes, invoices, and referral physical therapy scripts; Review and properly distribute faxes to billing teams and various ROC departments daily; Open and sort all incoming mail; Scan ROSC / ROC documents for tracking; Scan all scopes including Black / White X-Ray’s and Blue X-rays; Complete weekly supply orders and special orders for the department. One year of experience performing administrative/office duties; Reviewing and inputting financial data; Communicating effectively and professionally with various levels of employees, outside entities and customers; Using computer applications including Microsoft Office; Reviewing work and checking for errors to ensure accuracy.
Senior Billing Specialist Relativity ODA LLCSenior Billing SpecialistNV$60,000–$90,000 / yearRequired Skills: Accounts Receivable (AR), Billing, Communication, Customer Service, Data Entry, Enterprise Resource Planning (ERP) Systems, Invoices, Microsoft Excel, Payment Processing. The Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models.
Application Specialist - Hospital Billing Renown HealthApplication Specialist - Hospital BillingReno, NVComputer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Access and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Position Purpose Under the direction of the assigned leader, this position supports the analysis, design, coding, testing and implementation of new and existing application systems used within Renown Health entities.
NewPFS Representative CBO Billing Follow-up Denials Mgt Banner HealthPFS Representative CBO Billing Follow-up Denials MgtNVRemote$18.02–$27.03 / hourAs assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Coordinator of Billing Compliance Renown HealthCoordinator of Billing ComplianceReno, NVNature and Scope: Under the general direction of the Corporate Compliance Officer, the Billing Compliance Coordinator is responsible for identifying and assessing areas of compliance risk; assisting with the development and implementation of compliance training and education programs; serving as a point of contact for Renown Health employees regarding potential compliance concerns and questions; researching federal and state regulations; monitoring and communicating regulatory changes that impact Renown Health entities; and supporting the Corporate Compliance Officer in timely detection, response, investigation, analysis and applicable corrective action pertaining to any compliance matter. Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook,PowerPoint, Excel and Word andhave the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
NewBilling & Accounting Coordinator - Trust Services Dunham & Associates Investment Counsel, Inc.Billing & Accounting Coordinator - Trust ServicesReno, NV$23–$28 / hourThis position is full time for 40 hours per week, and this individual will be eligible for our generous benefits package while assuming responsibility for the following: Job Summary: The Billing & Accounting Coordinator provides accounting and administrative support for Dunham Trust Company, with primary responsibility for overseeing the client billing process for the Trust and Guardian divisions. Dunham Trust Company (DTC) provides comprehensive trust and fiduciary services including custodial accounts, wealth management, and specialized investment administration.
Accounts Receivable Specialist- Remote University Health Services IncAccounts Receivable Specialist- RemoteRENO, NVRemoteOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites the reprocessing of claims and maximizes opportunities to enhance front end claim edits to facilitate first pass resolution.
NewCurrent Department Employees: Patient Access Representative - Part Time Tahoe Forest Health SystemCurrent Department Employees: Patient Access Representative - Part TimeTruckee, CaliforniaFollows up on all items including: pre-registration and pre-admission missing registration items, emergency room visit missing registration items, appointment missing registration items, admission missing registration items, discharged patient missing registration items, returned mail, claim edits, stop bills, and discharged-not-billed checks. Informs patients of and obtains signatures timely for all registration forms including but not limited to: Conditions of Admission, Guide to Billing and Financial Assistance, Patient Rights and Responsibilities, Notice of Privacy Practices, Acknowledgment of Patient Information on Advance Directives, Important Message from Medicare, and California Observation Notice.
Referral Specialist Renown HealthReferral SpecialistReno, NVThis position will be responsible for the completion of authorizations, including but not limited to, data entry of information received by phone, fax or electronically,verification of member eligibility, benefit coverage, coordination of benefitsinformation, communication of the members plan benefits and/or exclusions to with physician offices and collection of pertinent clinical documentation. License(s): Certification(s): Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, Excel and Wordand have the skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Medical Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Sparks, NVReevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Patient Services Specialist SimonMed ImagingPatient Services SpecialistReno, NevadaReliability, accountability, and problem-solving: You take ownership of your work, follow through on commitments, consistently arrive prepared and ready to support the team, contribute to a positive culture, and help resolve scheduling, billing, and patient flow issues while maintaining a positive patient experience. Strong communication and team-oriented approach: You communicate clearly, listen actively, support patients and teams with professionalism and empathy, and contribute to smooth, collaborative front desk operations.
Insurance and Claims Specialist Renown HealthInsurance and Claims SpecialistReno, NVLicense(s): Certification(s): Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Position Purpose The Insurance and Claims Specialist will review and correct claim errors ensuring accurate, timely claim submission and account follow-up to assigned payors and reimbursement on first claim submitted.
Professional Services Coder Renown HealthProfessional Services CoderReno, NVOther responsibilities include: Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers. Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC, or number of units) Uses CCI edit software to check bundling issues, modifier appropriateness, and LCDs/NCDs for medical necessity.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNV$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.