• Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex (Medicare, high dollars, long LOS and high CMI) inpatient records. • Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines. • Queries the physician and takes initiative to collaborate with Clinical Documentation Specialist and other departments when documentation in the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance. • Demonstrates and maintains adequate productivity and quality metrics as outlined in job description. • Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.

Role Description Wir suchen ab sofort zuverlässige Unterstützung für die Verteilung von Informationsflyern unseres Gesundheitsprojekts ActiveTEP. Die Flyer sollen gezielt in Arztpraxen, Kliniken, Apotheken und Sanitätshäusern in Rheinland-Pfalz ausgelegt werden. - Persönliche Auslieferung und Auslage unserer Flyer in medizinischen Einrichtungen - Freundliche Ansprache vor Ort und kurze Erklärung des Materials - Dokumentation der verteilten Flyer (z. B. per Foto oder App) Qualifications - Wohnsitz möglichst zentral in Rheinland-Pfalz oder Saarland - Zuverlässigkeit und selbstständige Arbeitsweise - Freundliches Auftreten - Mobilität (Auto, Roller oder Fahrrad von Vorteil) - Grundkenntnisse im Umgang mit Microsoft Excel Benefits - Flexible Zeiteinteilung – du planst deine Touren selbst - Einfache und klare Aufgabenbeschreibung - Möglichkeit, regionale Einrichtungen zu unterstützen und aktiv zum Gesundheitsprojekt beizutragen

Hazel Health & Little Otter have joined forces to deliver comprehensive services to the children and families we serve, learn more here. By partnering with districts and health plans across the country, Hazel transforms schools into the most accessible front door to physical and mental healthcare. Today, Hazel's diverse team of licensed providers deliver therapy and medical services virtually (in school or at home) to over four million K-12 students — regardless of their insurance status or ability to pay. Hazel aims to remove all barriers to the mental and physical health care that children need to thrive: in school, at home, and in life. Helping students and their families feel better takes a team of smart, dedicated people. As an integral member of the Hazel team, you will - Make an Impact: Work with a team that is increasing equitable access to quality health care experiences for students and their families. - Enable Scale: Work with a team that is building and professionalizing a high growth high impact social enterprise. - Feel Valued: Work with a team that is being compensated competitively, developed professionally, and celebrated frequently for making a meaningful difference. Check us out at Hazel Health Careers. The Role: As a Medical Billing Specialist, you will support the Director of Revenue cycle management in various functions of the Hazel Revenue Operations team. You will concentrate on specific regions and payors supporting the revenue cycle team by reconciling accounts, follow-up up on rejected/outstanding claims, and collaborate with third-party partners on data and clarification requests. Attention to detail, strong organizational skills, and the ability to communicate effectively with payers and team members are crucial for success in this role at Hazel Health. Additionally, this role requires experience with eligibility and claims adjudication for multiple states’ Medicaid, Managed Medicaid, and commercial plans. What You’ll Do: - Monitor AR aging by region to identify overdue accounts and coordinate follow-ups. - Use spreadsheets to track and analyze regional data. - Reconcile AR regularly to resolve discrepancies and denials. - Address payer inquiries and resolve payment issues through the appeals process. - Identify and implement improvements in billing and AR processes. - Ensure billing/AR practices align with accounting principles and regulations. - Make follow-up calls to payors as needed. - Verify insurance benefits, medical necessity, and authorization guidelines, following established processes. - Interpret EOBs/ERAs and resolve related issues. - Document all information correctly in patient accounts. - Communicate with insurance providers to validate benefits and check authorization status. - Ensure compliance with HIPAA standards. - Perform other duties as assigned. What Excites Us: - Passionate for our mission to transform healthcare for all children - 2+ years of experience with medical insurance AR - Billing and Coding certification preferred - 1+ years experience in insurance verification with experience in Medicaid, Managed Medicaid, and commercial payers across multiple states. 3+ years or more experience with Google Suites (google sheets, google docs) - Experience navigating state Medicaid, Managed Medicaid, and commercial insurance portals - Highly detail-oriented and comfortable with insurance, claims, and other data sources - Associates Degree preferred If you’re excited about this role but your past experience doesn’t align with every qualification in the job description, we encourage you to apply anyway. Total compensation for this role is market competitive, with a base rate of $26.00/hour. If you’re excited about this role but your past experience doesn’t align with every qualification in the job description, we encourage you to apply anyway. We believe talent is everywhere, and so is opportunity. While we have physical offices in San Francisco and Dallas, we have embraced working remotely throughout the United States. While some roles may require proximity to our San Francisco or Dallas offices, remote roles can sit in any of the following states: AL, AZ, AR, CA, CO, CT, DC, DE, FL, GA, HI, IL, IN, IA, KY, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, OH, OR, PA, RI, SC, TN, TX, UT, VT, VA, WA, and WI. Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with Hazel. State locations and specifics are subject to change as our hiring requirements shift. We are committed to creating a diverse, inclusive and equitable workplace. Hazel Health values the minds, experiences and perspectives of people from all walks of life. We are proud to value diversity and be an equal opportunity employer. Hazel will consider qualified applicants with an arrest or conviction record for employment in accordance with state and local laws and "fair chance" ordinances. For all Hazel positions, a criminal background check is required following a contingent offer of employment. Learn more about working with us at Hazel Health Life.

• Monitor AR aging by region to identify overdue accounts and coordinate follow-ups • Use spreadsheets to track and analyze regional data • Reconcile AR regularly to resolve discrepancies and denials • Address payer inquiries and resolve payment issues through the appeals process • Identify and implement improvements in billing and AR processes • Ensure billing/AR practices align with accounting principles and regulations • Make follow-up calls to payors as needed • Verify insurance benefits, medical necessity, and authorization guidelines, following established processes • Interpret EOBs/ERAs and resolve related issues • Document all information correctly in patient accounts • Communicate with insurance providers to validate benefits and check authorization status • Ensure compliance with HIPAA standards • Perform other duties as assigned