WAHM Forums
The WAHM community forum was created to be a place for work at home moms to share their ideas and stories. In the forum you can find information about work at home jobs, starting home businesses, avoiding scams, and surviving the WAHM lifestyle. In support of the WAHM community, WAHM.com also features instructional articles, easy recipes, as well as job and business listings tailored specifically to work at home opportunities.
View Full Version : Performant Financial Corp - Medical Review Specialist III (US)
cwoods333
07-02-2011, 06:06 PM
Performant Financial Corporation, parent to a number of companys, is a leading specialized technology and services company delivering high value-added, technology based, knowledge process outsourcing solutions primarily to entities within Government and Healthcare Services verticals. Performant’s services generally comprise core aspects of the organization’s operations and thus are “mission critical” in nature.
Performant’s Healthcare vertical provides revenue optimization management activities, including audit and recovery of improper healthcare payments.
Position Responsibilities:
Conduct coding audits/reviews and report findings.
Assist in identifying vulnerabilities and performing coding review. Additionally, the coder/auditor will be knowledgeable of all contract goals, objectives and requirements.
Contact healthcare providers on overpaid claims and maintain collection records and account status updates.
Enter and update all contact and activity information into computer system when necessary.
Research and route internal/external communications to the appropriate person or department, including referrals received from Medicare contractors and documents, calls, and faxes sent to Medicare contractors by mistake.
Conduct critical due diligence follow-ups of unread media.
Answers questions from providers and resolves issues via phone and written correspondence.
Report and validate debts ineligible for referral by category to management.
Maintain a current knowledge of all Medicare rules, regulations, policies and procedures.
Job Requirements
Requirements and Qualifications:
Certification as a RHIA, RHIT or CCS
3+ years experience coding/auditing for an acute care inpatient facility (specifically DRG)
Possess thorough knowledge of CMS rules, regulations and coding clinics.
Excellent verbal and written communication skills.
Skilled in data entry and knowledge of computers.
Courteous, professional, and respectful attitude.
Strong understanding of customer service policies and processes.
Basic understanding of accounts payable and receivable.
Claims processing and/or billing experience.
Knowledgeable of the uses of ICD-9 (DRG validation), HCPCS/CPT codes.
Proficient in the use of HCFA/UB forms.
Flexibility to handle any non-standard situations that may arise.
Must be able to multi task.
Previous medical claims processing and/or medical customer service.
Thorough working knowledge of CPT/HCPSs/ICD-9 coding.
APPLY FOR THIS JOB
Contact Person:
Tracy LaBedelle
Email Address:
careers@performantcorp.com
Phone:
325-224-6053
Fax:
325-224-6225
Apply URL:
Performant Financial Corporation (http://www.performantcorp.com)
Good Luck!!!
Carlene
Performant’s Healthcare vertical provides revenue optimization management activities, including audit and recovery of improper healthcare payments.
Position Responsibilities:
Conduct coding audits/reviews and report findings.
Assist in identifying vulnerabilities and performing coding review. Additionally, the coder/auditor will be knowledgeable of all contract goals, objectives and requirements.
Contact healthcare providers on overpaid claims and maintain collection records and account status updates.
Enter and update all contact and activity information into computer system when necessary.
Research and route internal/external communications to the appropriate person or department, including referrals received from Medicare contractors and documents, calls, and faxes sent to Medicare contractors by mistake.
Conduct critical due diligence follow-ups of unread media.
Answers questions from providers and resolves issues via phone and written correspondence.
Report and validate debts ineligible for referral by category to management.
Maintain a current knowledge of all Medicare rules, regulations, policies and procedures.
Job Requirements
Requirements and Qualifications:
Certification as a RHIA, RHIT or CCS
3+ years experience coding/auditing for an acute care inpatient facility (specifically DRG)
Possess thorough knowledge of CMS rules, regulations and coding clinics.
Excellent verbal and written communication skills.
Skilled in data entry and knowledge of computers.
Courteous, professional, and respectful attitude.
Strong understanding of customer service policies and processes.
Basic understanding of accounts payable and receivable.
Claims processing and/or billing experience.
Knowledgeable of the uses of ICD-9 (DRG validation), HCPCS/CPT codes.
Proficient in the use of HCFA/UB forms.
Flexibility to handle any non-standard situations that may arise.
Must be able to multi task.
Previous medical claims processing and/or medical customer service.
Thorough working knowledge of CPT/HCPSs/ICD-9 coding.
APPLY FOR THIS JOB
Contact Person:
Tracy LaBedelle
Email Address:
careers@performantcorp.com
Phone:
325-224-6053
Fax:
325-224-6225
Apply URL:
Performant Financial Corporation (http://www.performantcorp.com)
Good Luck!!!
Carlene
