Sentences with phrase «database of medical claims»

The researchers, from academic medical centers and private practice, looked at insurance claims data from a large nationwide employment - based database of medical claims.

Not exact matches

The researchers used electronic medical record databases and insurance claims to determine rates of diagnoses, prescription of psychotropic medications and formal psychotherapy sessions received by white, Asian, black, Hispanic, Native Hawaiian / other Pacific Islander, Native American / Alaskan Native and mixed - race patients.

Assign the tasks of entering numeric codes into the database to produce accurate medical claim and statements

• Greet patients as they arrive into facility and provide them with appropriate information • Answer telephone and guide callers regarding medical procedures • Schedule and reschedule patients» appointments • Cancel patients» appointments and provide them with new dates • Provide medical billing and coding duties • Take and record patients» vitals • Provide education to patients regarding medical procedures • Prepare patients for medical procedures • Obtain patients» information and record it in the database • Pull patients» records for doctors» review • Arrange for hospital admissions • Direct calls and messages to appropriate hospital or medical office staff • Call up patients and remind them of their appointments • Manage filing and record keeping activities • Order supplies and forms for the medical office • Manage inventory of office supplies • Submit insurance claims • Update patients» insurance information • Ensure completeness and accuracy of patients» insurance forms prior to submitting • Assist doctors by providing limited procedural support • Obtain and process new patients» referrals • Take and record patients» demographic location information • Initiate and maintain correspondence with patients and families • Liaise with insurance companies • Verify clients» insurance information

• Assess all insurance claims against patient services rendered and make a to do list • Assist patients in filling our insurance claim forms and verify form data • Ask questions to assist in determining out any ambiguous information • Verify completeness of information on medical insurance forms • Post insurance billing information data into predefined database systems • Make list of insurance companies to contact for billing purposes • Determine how to approach each insurance company on the list, based on its reputation • Contact insurance companies to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information to prove denial is inappropriate • Provide information to collection agencies regarding delinquent or past due accounts • Prepare and submit secondary claims for patients with more than one insurance coverage • Maintain understanding of managed care authorizations and limit coverage to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments to be able to handle data entry and claim check duties appropriately • Gather and maintain patient data including medical histories, insurance identification and diagnosis

Unit Assistant SOUTH CAROLINA HEALTHCARE CENTRE, Charlotte, NC (May 2011 — November 2013) • Managed the database while ensuring data confidentiality • Issued admittance and discharge slips • Forwarded insurance claims on behalf of patients to various companies • Briefed the patients about medical procedures, admission and discharge protocols • Supervised the nursing staff and coordinated their shifts • Fielded inbound visitor calls and handled correspondence

• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied claims and providing alternatives to denials

Talented in determining the eligibility of medical claims by performing in - depth reviews of claim requests, adjudicating medical claims and taking appropriate actions to resolve discrepancies, utilizing up to date processes and procedures to update claims in the database and responding to claimants by staying within company standards to ensure absolute conformity and reduced risk for ambiguity.

Computer programs help medical offices process billing and insurance claim forms, store databases of patient medical records and contact information, and run an efficient appointment scheduling system.