Top 1 senior coder Jobs in nevada

Sr Insurance and Claims Specialist
Renown Health —Reno, NV
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy

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Billing Specialist (PART-TIME)
Medical Revenue Solutions —Henderson, NV
Must be able to talk, listen and speak clearly on the telephone. Accurately posts all insurance payments by line item. Ensures charges are posted daily.
$16 - $18 an hour
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Inpatient Coder (Remote)
University Medical Center of Southern Nevada —Las Vegas, NV
Formal education in a related field may be substituted for experience on a year to year basis. Mobility to work in a typical office setting and use standard…
$27.50 - $42.63 an hour

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Sr Insurance and Claims Specialist

Renown Health -
Reno, NV

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Job Details

Full-time

Qualifications

Computer operation
Microsoft Excel
Microsoft Outlook
Word embeddings
English
Microsoft Teams

Full Job Description

Position Purpose

The Senior Insurance and Claims Specialist is responsible for compliant billing, account follow up and system operations to ensure timely and accurate claim submission and prevention of denials per regulatory and payor requirements, as well as improved payment turnaround.

Nature and Scope

The Senior Insurance and Claim Specialist is responsible for:

Optimization of system that will ensure accurate claim submission and follow-up resulting in timely reimbursement per payor and regulatory guidelines.

Complete detailed appeal of denial or payment variance to payor, incorporating contract terms, clinical or regulatory justification for reconsideration or additional reimbursement.

Recommend system changes for clean claim submission to aid in the prevention of denials.

Work with the Renown Contracting Department or payor representatives to resolve billing issues due to payor or regulatory changes affecting the billing of healthcare claims.

Assisting with testing and troubleshooting of system for payor or regulatory changes.

Maintaining expertise for all payor, HIPAA and other regulatory changes affecting the billing of healthcare claims.

Working hand in hand with Operations Analysts and Information Technology to maintain and improve business system changes based on payor or regulatory changes.

Acts as a resource for staff on all areas relating to edit and denial/rejection resolution.

Identify trends in payor non-compliance and inform management if not able to resolve with payor.

Demonstrates a thorough knowledge of all department functions, processes, and procedures.

This position does not provide patient care

Disclaimer

The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications
Requirements - Required and/or Preferred

Name

Description

Education:

Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Associates Degree Preferred.

Experience:

Two years healthcare billing office experience with extensive knowledge of healthcare billing, government and third party payor requirements.

License(s):

None

Certification(s):

Coding Certification Preferred for Professional Billing.

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, 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.

Location: Renown Health · 100620 Hospital Billing Services
Schedule: Full Time - Eligible for Benefits, Day, 8am-4:30pm

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