<p>We are looking for an experienced RN Medical Coder with a strong background in coding and reimbursement methodologies to join our team. This long-term contract role offers the opportunity to work remotely and contribute to the development of coding for benefit plans within the healthcare insurance industry. As part of this position, you will collaborate with certified coders and business analysts to ensure accuracy and compliance in coding practices.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and identify appropriate codes for language used in benefit plans.</p><p>• Review and validate coding decisions made by peers to ensure accuracy.</p><p>• Facilitate discussions to align on coding documentation and standards.</p><p>• Assess audit results and implement necessary adjustments to maintain compliance.</p><p>• Actively participate in project meetings to provide insights and updates.</p><p>• Collaborate with team members, including certified coders and business analysts, to achieve project goals.</p><p>• Ensure coding practices align with industry standards and regulatory requirements.</p><p>• Contribute to the creation of coding documentation for benefit plans.</p><p>• Utilize Microsoft Office tools to support project tasks and communication.</p><p>• Stay updated on healthcare coding methodologies and best practices.</p>
We are looking for a skilled Revenue Cycle Management Specialist to oversee and enhance revenue operations within a healthcare setting in Minneapolis, Minnesota. This Contract to permanent position requires a proactive leader who can ensure smooth billing, coding, collections, and patient financial services while maintaining compliance with regulatory standards. The ideal candidate will have a strong background in revenue cycle processes and a commitment to driving efficiency and accuracy in all aspects of financial management.<br><br>Responsibilities:<br>• Lead and manage the revenue cycle team, including billing, coding, collections, and patient financial services.<br>• Develop and implement policies and procedures to ensure compliance with healthcare regulations and payer requirements.<br>• Analyze and monitor key performance indicators (KPIs) such as denial rates, cash collections, and accounts receivable days.<br>• Investigate and resolve issues impacting revenue cycle performance, including claim denials and underpayments.<br>• Ensure accurate charge capture, coding, and timely submission of medical claims.<br>• Collaborate with finance and operations teams to forecast revenue and manage cash flow effectively.<br>• Prepare and present detailed reports on revenue cycle performance to leadership teams.<br>• Conduct audits and quality assurance checks to ensure compliance with federal, state, and payer regulations.<br>• Implement strategies to minimize errors and mitigate financial risks.<br>• Stay updated on industry standards and adapt processes to align with evolving regulations.
<p>We are looking for an experienced Billing Representative to join a remote team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a short-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><ul><li>Prepare, review, submit, and resubmit professional and facility claims to Medicare, Medicare Advantage (Managed Care), Medicaid, Medicaid Managed Care, and other commercial and third-party payers in accordance with payer-specific billing guidelines.</li><li>Analyze claim denials, rejections, and underpayments; identify errors; implement corrective actions; and route issues to appropriate internal departments to ensure timely and accurate resolution.</li><li>Perform root cause analysis of claim rejections and denials, track trends by payer, service line, and billed services, and provide feedback to support process improvement.</li><li>Collaborate with clinical, coding, registration, and other internal and external departments to validate demographic, insurance, authorization, and coding accuracy, including updates related to CPT, HCPCS, and ICD-10 changes.</li><li>Accurately document claim research, resolution actions, and follow-up steps within billing and account management systems.</li><li>Maintain strict compliance with hospital policies, federal and state regulations, payer requirements, and HIPAA privacy standards at all times.</li><li>Meet or exceed established productivity and performance metrics by effectively managing assigned work queues and daily workloads.</li><li>Meet or exceed quality standards by ensuring claims are submitted clean, accurate, and complete.</li><li>Respond promptly and professionally to billing-related inquiries and email requests to support timely account resolution.</li><li>Perform additional revenue cycle and billing-related duties as assigned.</li></ul>
<p><strong>Position Summary</strong></p><p>The Collections/Cash Applications Administrator is responsible for managing the accurate and timely application of payments, resolving payment discrepancies, and overseeing collection activities to ensure optimal cash flow. This role plays a critical part in maintaining the financial health of the organization by ensuring patient accounts and insurance payments are processed efficiently and in compliance with healthcare regulations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Cash Applications:</strong></li><li>Accurately post patient and insurance payments to the appropriate accounts in the billing system.</li><li>Reconcile daily deposits and electronic remittance advice (ERA) with bank statements.</li><li>Research and resolve unapplied or misapplied payments promptly.</li><li><strong>Collections:</strong></li><li>Monitor aging reports and follow up on outstanding balances with patients and insurance carriers.</li><li>Initiate collection calls, send statements, and manage payment plans in accordance with company policies.</li><li>Escalate delinquent accounts for further action or third-party collections when necessary.</li><li><strong>Dispute Resolution:</strong></li><li>Investigate and resolve payment discrepancies, denials, and underpayments.</li><li>Collaborate with billing and coding teams to correct claim errors and resubmit as needed.</li><li><strong>Compliance & Reporting:</strong></li><li>Ensure adherence to HIPAA and healthcare compliance standards.</li><li>Prepare and maintain accurate reports on cash posting, collections activity, and account status for management review.</li><li><strong>Customer Service:</strong></li><li>Provide professional and empathetic communication with patients regarding account balances and payment options.</li><li>Respond to inquiries from insurance companies and internal departments promptly.</li></ul><p><br></p>
We are looking for a meticulous and organized Medical Records Clerk to join our team on a contract basis in Bloomington, Minnesota. In this role, you will play a vital part in maintaining the accuracy, security, and accessibility of patient health information, adhering to healthcare regulations and organizational standards. This position is ideal for individuals who thrive in detail-oriented environments and excel at managing confidential information with care.<br><br>Responsibilities:<br>• Organize, update, and maintain electronic and paper-based medical records in compliance with regulatory standards.<br>• Accurately file and retrieve patient documents, including lab results and medical reports.<br>• Perform data entry tasks to input patient information, diagnoses, and treatment codes into electronic health record systems.<br>• Audit medical records to identify and correct discrepancies, ensuring accuracy and completeness.<br>• Protect patient confidentiality by adhering to privacy regulations and authorization protocols.<br>• Respond to requests for medical records from patients, healthcare providers, and authorized third parties.<br>• Collaborate with clinical staff to verify and maintain consistency in medical documentation.<br>• Assist with the release of information processes while ensuring compliance with organizational policies.<br>• Manage incoming and outgoing correspondence related to medical documentation and record requests.<br>• Keep accurate logs and tracking systems to monitor the status of medical record requests and releases.
