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Project Manager, Sr (Homeless Initiatives)

Millennium Health

Project Manager, Sr (Homeless Initiatives)

San Diego, CA
Paid
  • Responsibilities

    CODING SPECIALIST - SAN DIEGO 

     

    WHO WE ARE - Millennium Health is a leading health solutions company that delivers accurate, timely, clinically actionable information to inform the right treatment decisions for each patient.  Millennium Health offers a comprehensive suite of services including Millennium PGT and Millennium UDT, which can be used to better tailor patient care. More information can be found at www.millenniumhealth.com. 

     

    Responsible for collecting, updating and managing ICD-10 coding errors on accounts for reimbursement. Responsible for submitting claims and following up with Insurance and clients.

     

    The following are intended to be examples of the accountabilities for which the person in this position is responsible. This position description is not intended to be complete or all-inclusive and does not preclude management from assigning other or related functions for which the individual has demonstrated competency through performance.

     

    • Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate and ICD-10 CM diagnosis.
    • Assures accuracy of the final diagnosis code(s) as stated by the ordering physician/client.
    • Prepare and submits clean claims to various insurance companies either electronically or by paper.
    • Conduct research to resolve ICD-10 coding denials / issues.
    • Provide expert knowledge to the billing team in regards to coding and reimbursement issues.
    • Answers questions from staff client and insurance companies.
    • Reviews problematic client and makes recommendations to the leadership team as needed.
    • Work closely with closely to obtain missing information.
    • Participate in educational activities
    • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
    • Ability to operate a computer and basic office equipment.
    • Ability to read, understand and follow oral and written instruction.
    • Must be well organized and detail- oriented.
    • Maintain CPC by completing continuing education classes as mandated by AAPC.

     

    Remains aware of evolving needs and opportunities, showing flexibility in doing whatever is appropriate to support the Company’s success. Pursues educational opportunities to maintain advanced and up-to-date knowledge in the field. Performs all other related duties as required and assigned and understands that the items in this description are not all-inclusive.

     

    • Meet individual production goals as determined by Billing Management
    • Ability to stay with in timely filing guidelines.
    • Participation in special projects as assigned by management.

    Required Skills

    • Excel, create and maintain spreadsheets.
    • Word.
    • Proficient in 10 key.
    • Exceptional Customer Service.
    • Ability to communicate clear and concise information.
    • Typing speed of 40 wpm

    Required Experience

    • Insurance basics, PPO, HMO, POS, Capitation, Workers Comp, MVA
    • Government programs such as Medicare, Medicare HMO, Medicaid, Medicaid HMO, Tricare, Veterans Affairs, Blue Cross Blue Shield Federal
    • Certificate or degree in Health Care Management Field strongly recommended.
    • Minimum 3-5 years CPC/ billing experience desired
    • Telcor Billing system experience

     

     

    Millennium Health offers a competitive, comprehensive benefits package.

     

    Millennium Health is an Equal Opportunity/Affirmative Action employer and E-Verify participant.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status

     

    https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm

  • Qualifications
    • Excel, create and maintain spreadsheets.
    • Word.
    • Proficient in 10 key.
    • Exceptional Customer Service.
    • Ability to communicate clear and concise information.
    • Typing speed of 40 wpm
  • Industry
    Biotechnology