Jobs
>
Yonkers

    Claim Readiness Specialist - Westchester, United States - UROPARTNERS LLC

    UROPARTNERS LLC
    UROPARTNERS LLC Westchester, United States

    14 hours ago

    Default job background
    Description

    Job Description

    Job DescriptionDescription:

    The Claim Readiness Specialist is responsible for entering and importing charges and ensuring the appropriate billing codes on used for all charges. The Claim Readiness Specialist will ensure charges are entered accurately, efficiently, and timely into the practice management system. The Claim Readiness Specialist is also responsible for resolving all assigned claim edits and submission of claims to third party payers within the clearinghouse/practice management system in a timely and efficient manner. They work with Coding and Revenue Integrity Supervisor to escalate charge entry and bill submission issues to prevent incorrect billing. This role reports to the Revenue Integrity Supervisor.

    ESSENTIAL JOB FUNCTION/COMPETENCIES

    • Enters and import charges daily for all professionals ensuring accurate coding
    • Determines correct CPT codes for professional surgical procedures along with Evaluation and Management (E&M) clinical encounters. Also determines appropriate all ICD-10 diagnosis codes
    • Ensures all prior day's charges and edits have been accurately resolved and claim is ready to bill insurance in a timely manner.
    • Identifies root cause issues causing charge edits and communicates these issues to leadership for upstream education
    • Communicates with Coders, Business Office staff and Providers when necessary to resolve errors and clarify issues
    • Stays accountable to quality and productivity standards, and monitor compliance with policies and procedures
    • Identifies process opportunity trends and recommend ways to improve efficiencies
    • Ensures adherence to third party and governmental regulations relating to coding, billing, documentation, compliance, and reimbursement
    • Participates in special projects, personal development training, and cross training as instructed
    • Informs Supervisor, Coding and Revenue Integrity of trends, inconsistencies, discrepancies for immediate resolution
    • Works in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overall
    • Job may require other duties as assigned.
    Requirements:

    CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

    • Certified Professional Coder (CPC) preferred.

    KNOWLEDGE | SKILLS | ABILITIES

    • Demonstrates and uses a strong working knowledge of CPT coding and ICD10 coding as it relates to urology services.
    • Understands the utilization of modifiers and other billing and coding rules to include the AMA and other billing and coding organizations.
    • Knowledge of medical terminology and consistent application of medical documentation requirements.
    • Minimum 2 years hands on coding and/or billing experience within a physician's office and/or successful completion of secondary education in medical coding/billing or medical administration, or urology experience
    • Ability to follow policies and procedures for compliance, medical billing, and coding.
    • Ability to type and enter data with proficiency and accuracy
    • Proven ability to manage multiple projects at a time while paying strict attention to detail
    • Ability to successfully meet established timelines
    • Ability to operate essential office equipment, including multi-line phone, computer, fax machine, scanner, and photocopy machine.

    EDUCATION REQUIREMENTS

    • High school diploma or general education degree (GED); or equivalent combination of education and experience.

    EXPERIENCE REQUIREMENTS

    • Minimum of three years' revenue cycle experience within a physician practice
    • Experience in Urology or physician practice environment preferred
  • Horizon Innovations

    IT support specialist for system integration

    3 weeks ago

    Horizon Innovations Mount Vernon, United States

    About attocube systems AG: · What sets us apart? Our employees - 230 heads, 29 nationalities, and a diverse mix of backgrounds - from physicists and goldsmiths to engineers and business specialists, you can find it all in our team. We are a colorful crew with different interests ...

  • Sapphire Solutions

    Technical Sales Support

    3 weeks ago

    Sapphire Solutions Vernon, United States

    About the Company · We are a family-owned medium-sized trading company where flat hierarchies and familial relationships still hold a high value. Our company's core competence lies in the availability of technical components from all well-known manufacturers. With over 30 years o ...

  • Triage

    Travel Nurse

    2 weeks ago

    Triage Yonkers, United States

    Triage is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in New York, NY. Shift: Inquire Start Date: 07/23/2024 Duration: 13 weeks Pay: $ / Week Travel Telemetry RN | New York, NY · Travel Nursing: Telemetry New York, NY · Location: New York ...

  • Westhab, Inc.

    Senior Employment Specialist

    14 hours ago

    Westhab, Inc. Yonkers, United States

    Job Description · Job DescriptionJOB DESCRIPTION · JOB TITLE: SENIOR EMPLOYMENT SPECIALIST (Westchester County) · FLSA: EXEMPT · DIVISION: EMPLOYMENT SERVICES · REPORTS TO: PROGRAM MANAGER · SALARY: $50,000.00 to $57,000.00 · SUMMARY: · Under supervision of the Program Manager ...

  • Animal Specialty Center

    Veterinary Technician/Assistant Internship

    15 hours ago

    Animal Specialty Center Yonkers, United States InternshipSHIP

    Job Description · Job DescriptionSalary: · Animal Specialty Center is seeking Veterinary Technician Interns and Externs, from AVMA-accredited schools, to join our collaborative, diverse, and forward-thinking team. This role is best suited for Veterinary Technician students enrol ...

  • Westhab, Inc.

    Employment Specialist- Westchester,NY

    14 hours ago

    Westhab, Inc. Westchester County, United States

    Job Description · Job DescriptionJOB DESCRIPTION · JOB TITLE: EMPLOYMENT SPECIALIST (Westchester County) · FLSA: NON-EXEMPT · DIVISION: EMPLOYMENT SERVICES · REPORTS TO: PROGRAM MANAGER · SALARY: $45,000.00 to $50,000.00 · SUMMARY: · Under supervision of the Program Manager, th ...

  • Westhab, Inc.

    Program Manager- Westchester

    15 hours ago

    Westhab, Inc. Yonkers, United States

    Job Description · Job DescriptionJOB DESCRIPTION · JOB TITLE: PROGRAM MANAGER · FLSA: EXEMPT · DEPARTMENT: EMPLOYMENT SERVICES · LOCATION: WESTCHESTER COUNTY, NY · REPORTS TO: DIRECTOR OF EMPLOYMENT SERVICES · SALARY: $60,000.00 to $70,000.00 · SUMMARY: · Under the Supervision o ...

  • Sunlife Solar

    Energy Consultant

    1 week ago

    Sunlife Solar Yonkers, NY, United States Full time

    *Join SunLife Solar's Solar Movement * Ready to start your career in renewable energy? SunLife Solar seeks passionate individuals to join our team. If you thrive in a fun, fast-paced environment, you're in the right place*The Opportunity:* Sunlife Solar has a proven method for tr ...

  • Westhab

    Housing Specialist

    2 weeks ago

    Westhab Yonkers, United States

    JOB DESCRIPTION JOB TITLE: Housing Specialist DEPARTMENT: Housing & Rapid Re-Housing FLSA: Non-Exempt · REPORTS TO: Senior Housing Specialist · LOCATION: Yonkers, NY · SALARY: 40,000.00 to $45,000.00 · SUMMARY : The housing specialist will help individuals and families with l ...

  • UROPARTNERS LLC

    Claims Resolution Specialist III Hybrid

    2 weeks ago

    UROPARTNERS LLC Westchester, United States

    Job Description · Job DescriptionDescription:**This position is hybrid/remote if in the Chicago/Westchester area** · GENERAL SUMMARY · The Claim Resolution Specialist III focuses on following up and resolving claims submitted to third-party insurance payers. This includes claims ...

  • Westhab, Inc.

    Senior Workshop Facilitator

    15 hours ago

    Westhab, Inc. Yonkers, United States

    Job Description · Job DescriptionJOB DESCRIPTION · JOB TITLE: SENIOR WORKSHOP FACILITATOR (Westchester County) · FLSA: EXEMPT · DEPARTMENT: EMPLOYMENT SERVICES · REPORTS TO: PROGRAM MANAGER · SALARY: $50,000.00 to $57,000.00 · SUMMARY: · The Workshop Facilitator has the primary ...

  • Related Companies

    Recertification Specialist

    3 weeks ago

    Related Companies Yonkers, United States

    Responsibilities · Are you passionate about building strong connections with residents? Are you looking to find more than just a job - rather a career filled with purpose? Do you want to make an impactful difference by providing affordable housing to those that need it most? · If ...

  • Westhab, Inc.

    Recreational Specialist

    6 days ago

    Westhab, Inc. Yonkers, United States

    Job Description · Job DescriptionJOB DESCRIPTION · JOB TITLE: RECREATIONAL SPECIALIST · DIVISION: SERVICES · FLSA: EXEMPT · LOCATION: YONKERS, NY · REPORTS TO: PROGRAM DIRECTOR · SALARY: $38, $ 40,000.00 · SUMMARY: · The Recreation Specialist will work as a team member to cr ...

  • Westhab Inc.

    Housing Retention Case Manager

    6 days ago

    Westhab Inc. Yonkers, United States

    Job Description · Job DescriptionJOB DESCRIPTION · JOB TITLE: Housing Retention Case Manager - NYSSHP · DEPARTMENT: Rapid Re-Housing · FLSA: Non-Exempt · REPORTS TO: Senior Retention Case Manager · LOCATION: Yonkers, NY · SALARY: $40,000.-$45,000. · SUMMARY: · The housing retenti ...

  • Westhab, Inc.

    Recertification and Leasing Specialist

    15 hours ago

    Westhab, Inc. Yonkers, United States

    Job Description · Job DescriptionJOB TITLE: Recertification and Leasing Specialist · DEPARTMENT: Housing · FLSA: Exempt · REPORTS TO: General Manager · SALARY: $60,000 - $75,000 · SUMMARY: · The Recertification and Leasing Specialist is responsible for conducting initial, annua ...

  • Westhab Inc.

    Recreation Specialist

    15 hours ago

    Westhab Inc. Yonkers, United States

    Job Description · Job DescriptionJOB DESCRIPTION · JOB TITLE: RECREATIONAL SPECIALIST · DIVISION: SERVICES · FLSA: NON EXEMPT · LOCATION: YONKERS, NY · REPORTS TO: PROGRAM DIRECTOR · SALARY: $38, $ 40,000.00 · SUMMARY: · The Recreation Specialist will work as a team member to cre ...

  • Westhab Inc.

    Housing Specialist

    15 hours ago

    Westhab Inc. Yonkers, United States

    Job Description · Job DescriptionJOB DESCRIPTIONJOB TITLE: · Housing Specialist · DEPARTMENT: · Housing & RRH Services Department · FLSA: · Non-Exempt · REPORTS TO: Senior Housing Specialist/RRH Service Coordinator · LOCATION: Westchester County · SALARY: $40, $45,000.00 · SUMMA ...

  • Westhab, Inc.

    Housing Specialist

    15 hours ago

    Westhab, Inc. Yonkers, United States

    Job Description · Job DescriptionJOB DESCRIPTIONJOB TITLE: Housing SpecialistDEPARTMENT: Housing & Rapid Re-Housing FLSA: Non-ExemptREPORTS TO: Senior Housing Specialist · LOCATION: Yonkers, NY · SALARY: 40,000.00 to $45,000.00 · SUMMARY: The housing specialist will help individu ...

  • Affinity Dental Management

    Dental Hygienist

    14 hours ago

    Affinity Dental Management Yonkers, United States

    Job Description · Job DescriptionMake an Immediate Impact as a Temporary Dental Hygienist – Join Us for a Special Assignment · Affinity Dental Management, a renowned dentist-driven dental organization, is passionate about revolutionizing dental care across the northeast United St ...

  • Westhab

    Recreation Specialist

    1 week ago

    Westhab Yonkers, United States

    Job Description · Job Description · JOB DESCRIPTION · JOB TITLE: RECREATIONAL SPECIALIST · DIVISION: SERVICES · FLSA: NON EXEMPT · LOCATION: YONKERS, NY · REPORTS TO: PROGRAM DIRECTOR · SALARY: $38, $ 40,000.00 · SUMMARY: · The Recreation Specialist will work as a team ...