- Bogota, Colombia
- Hybrid
- Senior
Lead QA for digital experiences within Publicis Groupe’s Intelligent Creativity business
Confirms insurance coverage and determines the necessity for pre-authorization, obtaining authorization for scheduled procedures. Determines financial responsibility for services to be provided and notifies patients and/or practitioners of any services not authorized by insurance. Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues. Prepares and completes claims for commercial insurance companies, third-party organizations, and government or self-payers. Researches, analyzes, and reconciles Medicare/Medicaid billing and reimbursement practices. Maintains detailed documentation in the patient account record of all billing activities and claims processed as part of the daily claims reconciliation process. Consults with appropriate parties to resolve unbilled claims and reviews recent accounts for proper billing practices and reimbursement. Ensures timely acceptance of patient transfer and placement, communicating patient updates to physicians with appropriate triage of urgency. Completes and documents patient assessments, treatments, medications, and reactions per department protocols and policy. Adheres to safety requirements while transporting patients and maintains thorough and accurate information in the Right CAD system for department statistics. Completes the QA process on chart reviews for patient safety and improved outcomes. Performs other duties as assigned.
$18.17 - $29.06