• Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location • Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts • Provides training and guidance to lower level colleagues and provide problem resolution as needed • Documents claims billed, paid, settled, and follow-up in appropriate system(s) • Identifies and escalates issues affecting accurate billing and follow-up activities • Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner • Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information • Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays • Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner • Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution • Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required • May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc. • Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created • Provides problem resolution to billing and follow-up issues as needed

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com. Job Summary: This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Essential Functions: - Completes release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity. - Date stamps all requests and highlights pertinent data to facilitate processing. - Validates requests and authorizations for release of medical information according to established procedures. - Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing. - Maintain equipment in excellent operating condition (inside and out). - Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. - May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client. - Maintains a neat, clean, and professional personal appearance and observes the dress code established. - Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area. - Maintains working knowledge of the existing state laws and fee structure - Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs - Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations. - Maintains confidentiality, security and standards of ethics with all information. - Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner. Qualifications: - High School Diploma (GED) required - A minimum of 2 years prior experience in a medical records department or like setting preferred - Must have strong computer software experience -- general working knowledge of Microsoft Word and Excel required - Excellent organizational skills are a must - Must be able to type 50 wpm - Must be able to use fax, copier, scanning machine - Must be willing to learn new equipment and processes quickly. - Must be self-motivated, a team player - Must have proven customer satisfaction skills - Must be able to multi-task Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Inova Health is looking for a dedicated Coding Validation Specialist 2 to join the team. Full-time Day Shift: Monday–Friday, general office hours, working remotely. This position is eligible for remote work for candidates residing in the following states – VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: - Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. - Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. - Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. - Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. - Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. Coding Validation Specialist 2 Job Responsibilities: - Codes and reviews assigned records within the defined quality standards of 95 percent for diagnosis, CPT, modifier and evaluation/management code assignments. - Ensures that the coding and review of assigned records within the defined productivity standards, based on service-line production standards, equate to eight – 10 charts per hour. - Actively participates in coding education sessions. - Reviews and analyzes all pertinent documentation in the medical record to support identification and assignment of appropriate code selection for the level of service provided by the physician or mid-level provider. - Reviews and revises, as necessary, required data elements initially identified by other staff (e.g. patient type, admitting diagnosis, referring physician for consult codes, or admit type with appropriate place of service). - Ensures correct CPT code selection for the level of service billed (i.e. POS to IP code mismatch, or invalid code for POS; changes consult code to E/M based on payer-specific criteria). - Verifies the accuracy, completeness, and quality of ICD-10-CM, CPT-4, and HCPC coding including modifiers, units, and other variables impacting workload accountability and billing. - Communicates with the responsible physician or mid-level provider accordingly to obtain additional supporting documentation, or clarification required for code assignments and processes, including following an escalation or secondary review as necessary. - Assigns and revises all codes, modifiers, and edits using 3M coding software. Minimum Requirements: - Education: High School diploma or GED - Experience: One years of coding experience required. - Certifications: One of the following credentials required: CPC-A, CPC, COC, CCS, CCS-P, CCA or RHIT. Preferred Qualifications: - 3-5 years Physician Bound coding experience - Strong multispecialty auditing experience We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Role Description The Department of Health Information Management at the University of Iowa Health Care is seeking a full-time Support Services Specialist. This position will be responsible for medical record activities with primary duties to include: - Releasing, scanning, importing, and faxing confidential patient medical record information. - Location: Coralville, IA, eligible for remote work within the State of Iowa. - Training will be held onsite at the Health Care Support Services Building (HSSB). - Remote eligibility will be evaluated upon satisfactory job training and meeting required performance standards. - Compliance with remote work program and related policies is required. - Self-disclosure of any conviction history and a criminal background check are mandatory. Qualifications - A bachelor’s degree in health information management, business administration, or equivalent combination of education and experience. - One year experience working with medical records and health information. - One year customer service experience. - Knowledge and understanding of medical terminology. - Knowledge and proficiency with computer applications (e.g., Microsoft Office Suite, Teams, Zoom). - Excellent verbal and written communication skills. - Knowledge of copier and fax machine utilization. Requirements - Three or more years working with medical records and health information (desirable). - Three or more years of customer service experience (desirable). - Knowledge of release of information state and federal laws and HIPAA Guidelines (desirable). - Experience processing release of information requests (desirable). - Knowledge of UI Health Care medical record and health information functions (desirable). - Knowledge and use of Epic Release of Information tracking system (desirable). - Knowledge and use of Epic Medical Records tracking system (desirable). - Knowledge of UI Health Care policies and procedures (desirable). - Certification as RHIT or RHIA through a nationally recognized credentialing body (desirable). Benefits - Generous benefits package, including paid vacation and sick leave. - Health, dental, life, and disability insurance options. - Generous employer contributions into retirement plans. Position and Application Details - Applicants must upload a Resume and Cover Letter marked as a “Relevant File” to the submission. - Job openings are posted for a minimum of 10 calendar days. - This job may be removed from posting and filled any time after the minimum posting period has ended. - Up to 5 professional references will be requested later in the recruitment process. - For additional questions, contact molly-becker@uiowa.edu . Contact Information - Organization: Healthcare - Contact Name: Molly Becker - Contact Email: molly-becker@uiowa.edu