Pree Claim Review & OASIS Reviewer at United Home Care
Harlingen, TX 78550, USA -
Full Time


Start Date

Immediate

Expiry Date

16 Nov, 25

Salary

31.0

Posted On

16 Aug, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Insurance

Description

How To Apply:

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Responsibilities
  • Review all agency OASIS standardized data set that measures quality and outcomes. It contains information regarding the patient such as the clinical condition, comorbidities, physical and mental state, functional status, living situation and health care needs for Medicare and and Managed Care patients , receiving skilled services.
  • Review Medicare Beneficiaries for Pre-claim review in order to submits a request for provisional affirmation of coverage for a medical service before submitting a final claim for payment. To ensure that the service meets Medicare’s coverage, payment, and coding rules before the final claim is submitted, potentially reducing claim denials and appeals.
  • Intake of Referrals, Taking,document, coordinating and communicating patient orders.
  • Teaching and Training new employees on Medical documentation and software use.
    Job Type: Full-time
    Pay: $25.00 - $31.00 per hour
    Expected hours: 40 per week

Benefits:

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off

Ability to Commute:

  • Harlingen, TX 78550 (Preferred)

Ability to Relocate:

  • Harlingen, TX 78550: Relocate before starting work (Preferred)

Work Location: In perso

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