Claim/Charge Edit Specialist

3 weeks ago


Atlanta, United States PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC Full time
Job DescriptionJob Description

Claim/Charge Edit Specialist is responsible for reviewing clinical documentation to ensure timely, accurate, and compliant charge capture and processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Claim/Charge Edit Specialist works closely with Physician Practices as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges. In addition, works payer acceptance/reject reports and collaborates with cross-campus counterpart(s) and Physician Practice to ensure clinical documentation in high risk areas is consistent and complete, while also producing accurate and timely claims in order to prevent denials and maximize reimbursement. The Claim/Charge Edit Specialist collaborates with cross-campus counterpart(s) to ensure consistency in processes in such a manner that each individual can act as a back-up for the other to ensure seamless charge capture in high risk areas when one individual is out.

Duties include:

- Charge entry

- Ensuring correctness of coding in the CDM and clinical documentation

- Providing ongoing education to charging departments, while also being responsible for working claim edits within the patient accounting system and claim scrubber edits prior to final submission.



  • Atlanta, United States RYZE Claim Solutions Full time

    Job DescriptionJob DescriptionOverviewWe are looking for a Claims Talent Acquisition Specialist with full-cycle recruiting experience, from talent sourcing and attracting candidates to interviewing and hiring great employees. Our organization is looking to hire adjusters, team leaders, examiners for personal and commercial property or casualty roles. You...


  • Atlanta, United States MRINetwork Jobs Full time

    Job DescriptionJob DescriptionPolikov Recruitment Solutions specializes in recruiting in the Commercial Property & Casualty Insurance industry.We are working on a Chief Claim Specialist role with an A+ rated Carrier that has been in business for over 30 years.The Chief Claim Specialist effectively manages a caseload of Excess/Umbrella/Complex/Major Case...

  • Billing Specialist

    2 weeks ago


    Atlanta, United States ORTHOATLANTA, LLC Full time

    Job DescriptionJob DescriptionDescription:The Medical Billing and Collections Specialist will be responsible for medical billing and collections of either governmental or non-governmental claims to third party payors. The Medical Billing and Collections Specialist will be capable of reviewing and troubleshooting claims within the billing system to correct...

  • Sr. Claim Specialist

    22 hours ago


    Atlanta, United States RSUI Group Full time

    RSUI is seeking a Sr. Claim Specialist to join our Property Claims team in Atlanta! The Sr. Claim Specialist provides specialized, autonomous claims handling expertise for our E&S Commercial Property line of business. As RSUI is a highly collaborative work environment with a specialized area of industry focus, in-person interaction, team meetings, and other...


  • Atlanta, United States CareerBuilder Full time

    RSUI is searching for a Chief Claim Specialist to join the Excess unit of our Atlanta Claims department! Working with strong technical expertise and limited supervision, the Chief Claim Specialist effectively manages a caseload of Excess/Umbrella/Complex/Major Case claims in areas including product, transportation, premises, environmental, chemical exposure,...


  • Atlanta, United States RSUI Group Full time

    RSUI is searching for a Chief Claim Specialist to join the Excess unit of our Atlanta Claims department! Working with strong technical expertise and limited supervision, the Chief Claim Specialist effectively manages a caseload of Excess/Umbrella/Complex/Major Case claims in areas including product, transportation, premises, environmental, chemical exposure,...


  • Atlanta, United States Capstone Search Group Full time

    Job DescriptionJob DescriptionAbout the RoleThe Insurance Agency Claims Specialist is responsible for claims handling for an Atlanta based insurance agency’s property and casualty portfolio. You support the sales and service teams along with the senior claims leader with the ultimate goal of increasing client satisfaction and retention. There is growth,...


  • Atlanta, United States Questor Consultants, Inc. Full time

    Job DescriptionJob DescriptionOur Client is an A rated Insurance Company looking for an experienced Commercial General Liability Claims Professional with knowledge of Property, Auto, and Workers Compensation. The ideal candidate will also have experience with TPA's, coverages, and litigation. College degree is preferred. Please call or respond for a more...


  • Atlanta, United States Berkshire Hathaway Specialty Insurance Full time

    Job DescriptionJob DescriptionWho are we? A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our...


  • Atlanta, United States Grady Health System Full time

    SUMMARY Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for...

  • Revenue Cycle Rep III

    Found in: Talent US C2 - 3 days ago


    Atlanta, United States Piedmont Full time

    Description: RESPONSIBLE FOR: The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep...


  • Atlanta, United States Metro One Loss Prevention Services Group Full time

    Job Description We are seeking a HR Specialist (People Specialist) to join our growing team. This role provides day to day support in a variety of HR related areas including compliance, on-boarding, benefits administration, workers’ compensation, and employee relations. This role will also be actively involved in high priority HR initiatives that support...


  • Atlanta, United States NorthPoint Search Group Inc Full time

    Our client, a growing company in the Perimeter area of Atlanta, is looking for a Marketing Specialist to join their team. Salary $40-$50 DOE.Responsibilities:Create newsletters and manage email campaignsDesign and edit marketing collateralCreate social media posts and Manage social media platformsAssist with trade showsRequirements2-3 years marketing...

  • Charge Nurse-Correll Endo Lab

    Found in: Talent US C2 - 2 weeks ago


    Atlanta, United States Grady Health System Full time

    taleo-core-ng.jobs.details.job_description SUMMARY The Charge Nurse plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit or during an assigned shift. Coordinates the activities of the unit and directs, organizes, and assigns work to the nursing staff. Assesses, monitors, and educates the nursing staff on...


  • Atlanta, United States Creative Financial Staffing Full time

    Accounting Specialist Overview of the Company and Accounting Specialist Role: Our client is a leading organization in Atlanta Inexpensive, amazing benefits Dental, health, vision, 401k Office equipment provided Moving quickly for the right candidate Overview of the Accounting Specialist Opportunity: Process high volume invoices for payments ...

  • Title Specialist

    Found in: beBee S US - 3 weeks ago


    Atlanta, United States IAA Inc Full time

    Here at IAA, our Title Specialists play a critical role in our vehicle life cycle process which includes processing and filing vehicle title documents, reviewing and following up on missing items, and identifying inventory reduction opportunities for our salvage auction facilities.In return for their excellent skills and abilities, Title Specialists are...

  • Title Specialist

    Found in: beBee jobs US - 3 weeks ago


    Atlanta, Georgia, United States IAA Inc Full time

    Here at IAA, our Title Specialists play a critical role in our vehicle life cycle process which includes processing and filing vehicle title documents, reviewing and following up on missing items, and identifying inventory reduction opportunities for our salvage auction facilities.In return for their excellent skills and abilities, Title Specialists are...


  • Atlanta, United States Cetechs Full time

    Job DescriptionJob DescriptionBudget Support Specialist Cetechs, a Small Business, is seeking a Budget Support Specialist to join our team ofprofessionals under the leadership of our Program Manager.Duties and ResponsibilitiesCollaborate on developing the planning process for extramural activities.Collect, edit, tabulate, analyze, interpret, and disseminate...


  • Atlanta, United States Cetechs Full time

    Job DescriptionJob DescriptionBudget Support Specialist Cetechs, a Small Business, is seeking a Budget Support Specialist to join our team ofprofessionals under the leadership of our Program Manager.Duties and ResponsibilitiesCollaborate on developing the planning process for extramural activities.Collect, edit, tabulate, analyze, interpret, and disseminate...


  • Atlanta, United States Alexton Incorporated Full time

    Job DescriptionJob DescriptionFull-time position for CDC Global Health. Supports communications development and logistical management issues on behalf of DGHP, including DGHP’s emergency response support activities. Develops, manages, coordinates logistics for and facilitates other real-time virtual DGHP All Hands/Town Hall and other meetings, seminars,...