Dane Street is seeking experienced Board-Certified Orthopedic Surgeons to join our growing team of expert clinical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical cases and provide objective, evidence-based medical opinions. This is a telework opportunity that allows you to customize your schedule while working as a 1099 independent contractor. Your primary responsibilities will include reviewing medical records, preparing clear and concise clinical summaries, participating in peer-to-peer discussions when appropriate, and responding to specific questions from our clients related to orthopedic care. Join a team that values your clinical judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments. Your expertise plays a vital role in supporting high-quality, defensible medical determinations.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Denial Prevention Analyst position is responsible for pre-registering scheduled patients. The role includes: - Conducting pre-service patient interviews. - Ensuring a complete and accurate billing record for the scheduled service. - Collecting estimated patient financial liabilities. - Increasing net revenue by reducing bad debt and potential write-offs. - Interacting with providers, payers, patients, and hospital-based personnel. - Performing duties accurately and timely while providing exceptional customer service. Qualifications - Proficient in typing. - General knowledge of medical terminology. - Ability to communicate effectively and professionally in English, both verbally and in writing. Bilingual a plus. - Critical thinking and problem-solving skills. - High school graduate or equivalent. - One year of previous scheduling experience in the medical field is preferred. Requirements - Responsible for interviewing patients via phone through inbound/outbound efforts while completing the pre-registration process. - Comply with regulatory requirements during the pre-registration process, including but not limited to completing the Medicare Secondary Payer Questionnaire. - Educate patients on their estimated out of pocket financial responsibility and collect liabilities within the guidelines set forth by the organization. - Escalate high dollar out of pocket accounts at risk for non-patient payment prior to services being rendered. - Resolve patient demographic and insurance discrepancies as identified through various system tools. - Thoroughly and accurately document the outcome of the patient interview while delivering excellent customer service. - Observe privacy, safety, and security procedures, using equipment and materials properly. - Work within a remote call center environment free from distractions and background noise. - Exhibit exceptional customer service as a critical factor in all duties performed. Benefits - Competitive salary and benefits package. - Opportunities for professional development and advancement. - Supportive work environment with a collaborative team. - Comprehensive healthcare coverage. - Retirement savings plan. - Paid time off and flexible scheduling options. - Student loan repayment program.

Role Description This position is responsible for accurately coding accounts from at least one main outpatient work type (Observation, Same Day Surgery, and/or ER) as well as assisting with the coding of other outpatient work types as needed. All accounts should be completed within three (3) days following discharge. Qualifications - Completion of college level course work in Medical Terminology and Anatomy and Physiology. - A minimum of two (2) years coding experience in an acute care hospital. - CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder). - Preferred: CCS credentials (Certified Coding Specialist -- Hospital based). - Preferred: RHIT or RHIA credentials. - Minimum education level of Associates Degree. Requirements - Will work remotely from home; must reside in the state of Texas. - Must be able to work in a virtual setting. - Primarily sedentary work reviewing records and keying information using a computer monitor and keyboard. - Quiet surrounding with adequate lighting. Benefits - Uses critical thinking skills to determine evidence based solutions. - Systematically gathers and reviews pertinent information to prevent errors (PDCA -- Plan, Do, Check, Act). - Pursues individual or team learning and growth opportunities to continually build skills. - Understands and abides by all safety regulations. Company Description - Maintains patient confidentiality. - Rounds regularly with patients, direct reports and/or customers. - Uses telephone and elevator etiquette. - Acts as an employee ambassador. - Committed to know hospital service lines and shows pride in our organization. - Uses AIDET when dealing with internal or external customers.

Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. This telework opportunity allows you to customize your schedule as a 1099 independent contractor. Your main task will be to evaluate medical records, provide clinical summaries, engage in peer communications, and answer specific questions posed by our clients. We are on the lookout for talented professionals in the following area: - Interventional and Diagnostic Radiology Be a part of a team that values your skills and dedication to improving patient care. Your expertise is vital to helping us deliver high-quality healthcare assessments.