3 jobs found

Established in 1970, Orthopedic Associates of Hartford, P.C., is one of the areas largest orthopedic practices with office locations throughout greater Hartford. Our growing practice is currently seeking a Medical-Denial Management Specialist with Epic experience to join our Billing & Collections team in our Farmington, Connecticut business office. The Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing staff to ensure proper reimbursement and prevent future denials. Thís role requires strong analytical, communication, and problem-solving skills, along with a thorough understanding of insurance policies, medical terminology, and healthcare billing procedures. The successful candidate will be a team player who is dependable, organized, enthusiastic, and detail oriented. Important to this position is the ability to build relationships with our customers, both internal and external, to promote feedback and timely resolution of outstanding claims. Proficiency in many computer software programs is required as well as an understanding of insurance payment methodologies to insure accurate reimbursement. A positive "can-do" attitude is a must. Responsibilities include: Following policies and procedures, timely and accurate follow up on claims for the resolution of outstanding balances. Participates in the collection and documentation of claims processing rules. Generates both electronic and hard copy claims for submission. Obtains supporting documentation and other information required to insure acceptance of claim. Interacts and communicates effectively with interdepartmental units when necessary. Documents account information pertaining to claims submission and resolution. Enters demographic data into the billing & collections software. Assumes other duties and responsibilities as needed. PM22 Two years recent experience in medical collections and/or medical billing with result oriented debt collections skills. Familiarity with ICD-10 coding and Federal HIPAA regulations. Computer skills, including Epic, electronic billing, Microsoft Word, Outlook and Excel. Excellent written and verbal communication skills with a professional and courteous telephone manner. High School diploma. PIb0f2bbc6a9d4-3137

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Orthopedic Advanced Practice Provider (APP) Wellstar Health Systems - New Hospital in Columbia County, GA About Wellstar Health Systems: Wellstar Health Systems is a nationally recognized healthcare leader dedicated to providing high-quality, compassionate care across Georgia. We are proud to announce the opening of our brand-new hospital in Columbia County, offering advanced orthopedic services to meet the needs of our growing community. Position Overview: Wellstar Health Systems is seeking a motivated and experienced Orthopedic Advanced Practice Provider (Physician Assistant or Nurse Practitioner) to join our orthopedic team at our new Columbia County hospital. This position offers an exciting opportunity to contribute to a newly established, cutting-edge orthopedic program. Key Responsibilities: Provide comprehensive orthopedic care under the supervision of orthopedic surgeons, including patient evaluation, diagnosis, treatment planning, and follow-up care. Assist with pre-operative and post-operative patient management. Perform procedures as appropriate within scope of practice. Collaborate closely with surgeons, physical therapists, nursing staff, and other multidisciplinary team members to ensure optimal patient outcomes. Educate patients and families about orthopedic conditions and treatment plans. Participate in clinical documentation, quality improvement, and patient safety initiatives. Qualifications: Graduate of an accredited Physician Assistant (PA) or Nurse Practitioner (NP) program. Current PA or NP licensure in the state of Georgia (or eligible). Certification by NCCPA (for PAs) or ANCC/AANP (for NPs). Experience or interest in orthopedic care preferred. Strong clinical assessment and procedural skills. Excellent communication and interpersonal skills. Ability to work collaboratively in a fast-paced, multidisciplinary environment. Why Work at Wellstar? Join a brand-new hospital with state-of-the-art facilities and resources. Work alongside a team of dedicated orthopedic surgeons and healthcare professionals. Competitive salary and comprehensive benefits package. Opportunities for professional development and continuing education. Enjoy living and working in the vibrant Columbia County community, with great schools, parks, and access to Augusta and Atlanta. Location: Columbia County, Georgia - a thriving and family-friendly area with a strong sense of community and growing healthcare needs. Apply Now: If you are a passionate Orthopedic APP looking to grow your career in an innovative environment, please send your CV and cover letter to Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. By applying, you consent to your information being transmitted by JobG8 to the Employer, as data controller, through the Employer's data processor SonicJobs. See Wellstar Health System, Inc. Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at

The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic success of Howard University. Hiring staff "for fit" makes significant contributions to Howard University's overall mission. At Howard University, we prioritize well-being and professional growth. Here is what we offer: Health & Wellness: Comprehensive medical, dental, and vision insurance, plus mental health support Work-Life Balance: PTO, paid holidays, flexible work arrangements Financial Wellness: Competitive salary, 403(b) with company match Professional Development: Ongoing training, tuition reimbursement, and career advancement paths Additional Perks: Wellness programs, commuter benefits, and a vibrant company culture Join Howard University and thrive with us! Assign accurate and complete diagnosis and procedure codes for encounters across multiple specialties including, but not limited to, pediatrics, OBGYN, orthopedics, dermatology, internal medicine, psychiatry, and surgical services Review clinical documentation for completeness and clarity, query providers when appropriate Ensure compliance with coding and billing regulations including CMS, CPT/ICD coding guidelines, and payer-specific rules Participate in internal audits and implement coding corrections or education as needed Monitor coding denials, identify root causes, and recommend corrective actions Serve as a coding resource and provide guidance or training to peers and revenue cycle team members Collaborate with clinical departments to clarify documentation and improve coding accuracy Maintain productivity and accuracy standards as defined by department goals Assist in the development and revision of internal coding policies, workflows, and education materials Strong analytical and problem-solving skills Detail-oriented with a high level of accuracy Effective written and verbal communication Ability to work independently and meet deadlines Comfortable navigating multiple EMR and billing platforms Compliance Salary Range Disclosure QUALIFICATIONS: Required High school diploma or GED 5+ years of professional coding experience in a multispecialty ambulatory or physician practice setting Active CPC, CCS-P, or equivalent certification from AAPC or AHIMA Strong knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage Familiarity with EHR and PM systems, preferably Veradigm, Oracle Health EMR platforms Working knowledge of payer-specific billing guidelines and coding edits (CCI, MUEs, etc.) Preferred Associate's degree in health information management, Health Sciences, or related field Experience with audit response and clinical documentation improvement initiatives Expected Pay Range: $53,000 to $57,000