14 jobs found in richardson

Position Summary The Financial Clearance Analyst (FCA) is responsible for conducting financial analytics into the patient's overall financial responsibility and insurance requirements as it relates to the upcoming scheduled service within the Steward Healthcare System. Comprehensive analysis will be based on the verification of the patient's coverage, the determination of authorization and referral requirements of the payer, and the calculation of the estimated patient responsibility to include: annual deductible remaining, co-insurance calculations and co-pay requirements, if applicable. The efforts of the FCA is to assure the patient will have a clear understanding of their estimated responsibility prior to service being rendered. Authorization of service is to be fully obtained, minimizing potential issues with the payer denying the service and ultimately maximizing Steward Health Care's revenue realization. These efforts will result in increased net revenues, reduction of bad...

Position Summary Conducts inpatient coding quality audits to validate code assignment is supported by clinical documentation in the medical record. Highly proficient in the proper assignment of ICD-10-CM and PCS codes. Key Responsibilities Performs coding audits of a wide variety of complex inpatient records to validate the ICD-10-CM, PCS codes, MS-DRG and/or APR DRG assignments. Provides written, detailed rationale and supporting evidence for recommendations on audit findings. Delivers educational feedback to coding staff regarding audit findings. Provides guidance to coding staff and management in identifying and resolving coding issues. Identifies documentation improvement opportunities that impact coding accuracy. Initiates physician queries for clarification of documentation in the medical record to achieve accurate code assignment. Collaborates with the clinical documentation improvement team for conflicts between code assignments. Reviews and researches...

Position Summary The Financial Clearance Analyst (FCA) is responsible for conducting financial analytics into the patient's overall financial responsibility and insurance requirements as it relates to the upcoming scheduled service within the Steward Healthcare System. Comprehensive analysis will be based on the verification of the patient's coverage, the determination of authorization and referral requirements of the payer, and the calculation of the estimated patient responsibility to include: annual deductible remaining, co-insurance calculations and co-pay requirements, if applicable. The efforts of the FCA is to assure the patient will have a clear understanding of their estimated responsibility prior to service being rendered. Authorization of service is to be fully obtained, minimizing potential issues with the payer denying the service and ultimately maximizing Steward Health Care's revenue realization. These efforts will result in increased net revenues, reduction of bad...

POSITION SUMMARY: This position assists in resolving billing edits that are holding patient claims from billing by reviewing medical records and other applicable documentation. Maintains the integrity of facility STAR Charge Description Master (CDM), HSM and all Revenue Integrity Processes. Maintains the integrity of all Ancillary Department systems related to billing and revenue. Researches and handles all processes regarding the charge master not limited to adding new charges, modifying and inactivating charges from the CDM. Ensures all applicable coding and billing guidelines are met. Position will work with Ancillary Department staff to research alternative processes regards to charge related improvements and billing compliance issues. Position will coordinate all retrospective, concurrent, patient complaint and external billing audits. Provide monthly audit results. Develops and coordinates educational in-services to the Business Office staff and Ancillary staff related to...

Position Summary As a Revenue Cycle Associate you will provide information and assistance to customers about billing and claims with a goal of a positive patient experience with every encounter. A successful Revenue Cycle Associate becomes the patient's advocate and works to facilitate resolution of past due patient accounts by working with insurance companies, government agencies and patients in the payment for services that have been provided. Key Responsibilities Demonstrate the ability to properly research account issues, resulting in account resolution Establish and maintain relationships with individual payer provider relations representative(s) to resolve collection issues with patient accounts Prioritize and work assigned accounts to obtain prompt payment from payer Demonstrate accounts receivable claims problem solving Demonstrate the ability to escalate problem accounts to management as required by circumstances Identify and prevent risk and receivable related...

Minimum Clearance Required to Start: Not Applicable/None Job Description: Do you look at challenges from different perspectives and suddenly see a solution? If you are inspired by developing new ideas and looking at challenges from fresh viewpoints, then you have the talents to be the person we're looking for. We encourage our employees to engage in creative problem-solving. We value your creative mind and give you the freedom to explore ideas. Let your creativity flourish! Check us out. POSITION OVERVIEW: Performs systems analysis and identifies application solutions for a variety of computer applications and operational issues. Works cooperatively to determine end user goals, objectives, business needs, and requirements. Applies a growing knowledge of application development techniques and tools to design, develop, test and implement application solutions for internal and external clients. Reviews and corrects program errors, prepares operating instructions, and...

Position Summary As a Revenue Cycle Associate you will provide information and assistance to customers about billing and claims with a goal of a positive patient experience with every encounter. A successful Revenue Cycle Associate becomes the patient's advocate and works to facilitate resolution of past due patient accounts by working with insurance companies, government agencies and patients in the payment for services that have been provided. Key Responsibilities Demonstrate the ability to properly research account issues, resulting in account resolution Establish and maintain relationships with individual payer provider relations representative(s) to resolve collection issues with patient accounts Prioritize and work assigned accounts to obtain prompt payment from payer Demonstrate accounts receivable claims problem solving Demonstrate the ability to escalate problem accounts to management as required by circumstances Identify and prevent risk and receivable related...