Sentences with phrase «audit claims presented»

In addition, the board does not adequately audit claims presented for payment.»

Not exact matches

Additionally, Rubicon now claims that its 2014 audited net revenue was $ 2.163 million, which does not reflect what was presented in either pitch deck.

Following claims that a number of the teachers in the country employed by the Ghana Education Service presented fake certificates, The Audit Department and the Controller and Accountant General's Department, were validating the documents before payments are made.

Medical Billing Manager BRONX MEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts recePresent • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts recepresent procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receivables

COVER LETTER: Respectfully Yours, Donna N. Roye - Morton Responsible for accurately performing a retrospective, concurrent and special claims reviews / audits on asbestos claims presented for payment before the various DCPF trusts.

Director of Business — Duties & Responsibilities Recruit and train staff of 30 in hospital policies, procedures, best practices, and corporate branding Design and implement staff development, recognition, and disciplinary policies and procedures Oversee admissions, utilization review, PB X, imaging center, billing, collections, and wound center registrations Set and strictly adhere to departmental budgets and schedules Author and present financial reports concerning revenue, expenses, and outstanding collections Identify performance indicators and benchmarks for integration into reporting systems Conduct surveys regarding patient / staff satisfaction, benchmarks, accreditation, and employee benefits Maintain a 99 % patient satisfaction score through attentive and professional standards of care Negotiate contracts and claims with insurance carriers, Medicare, Medicaid, and other payer sources Increase revenue by 30 % through effective contract renegotiation with suppliers, carriers, and other parties Implement policies, procedures, and equipment to cut hospital costs while enhancing patient care Utilize strong management experience to drive operations in an efficient and professional manner Develop and implement billing controls, cash processing measures, lockboxes, and other financial processes Coordinate and oversee internal and external audits ensuring compliance with industry and legal standards Recruit physicians through successful marketing, networking, and other tactics Implement automated Chargemaster financial application (Craneware) and maintain patient accounts Responsible for HCAHPS and the yearly Quality Assurance Plan Appeal claims when appropriate resulting in $ 400,000 reimbursement from PPO insurance over the last year Build and strengthen professional relationship with community leaders, coworkers, and industry figures Consistently promoted for excellence in financial management, team leadership, and dedication to mission Develop working knowledge of hospital operations from patient admission to senior level strategic planning Represent company with poise, integrity, and positivity