Adjustment Clerk jobs in Mcallen, TX
Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Recently Added Adjustment Clerk jobs
Risk Adjustment Educator - Edinburg, TX
- ASAS Health, LLC
-
Edinburg, TX
FULL_TIME
- We're committed to bringing passion and customer focus to the business. Job Description: Position Summary: Responsible for educating and advising providers and practice staff in Medicare coding guidelines, focusing on revenue enhancement opportunities. Work in collaboration with other PHP departments and Optum/United HealthCare Medicare Advantage(MA) or other health plans to develop plans and materials that support education and system changes to meet practice and IPA revenue goals. COMPETENCIES/Role-Specific Functions: COMMUNICATION Communicates well both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and ideas with others, has good listening skills. Collaborates to develop plans and present to practices the HCC education program that reflects IPA ethical standards and Medicare guidelines. Collaborate with Optum and PHP data analysts to develop meaningful practice-level reporting to assist in coding and code submission more effectively. Work with contracted Medicare Advantage plans, Optum and other third party vendors to drive or supplement educational forums and reports. PROBLEM SOLVING Breaks down problems into smaller components, understands underlying issues, can simplify and process complex issues, understands the difference between critical details and unimportant facts. Identify potential data flow obstacles within assigned practices and work with practice staff to develop action plans to assist practices in overcoming obstacles. Involve PHP Practice Transformation Coach to assist practices as needed. Identify and solve issues with other vendors (billing companies, clearinghouse, etc.) to remove obstacles that prevent maximum code extraction and submission. PRODUCTIVITY Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, handles information flow. Risk adjustment chart reviews. Educate physicians and office staff on coding techniques to accurately document and capture patient acuity to the highest degree of specificity while maintaining Medicare guidelines. SELF DEVELOPMENT Seeks out and accepts feedback, is a proactive learner, takes on tough assignments to improve skills, keeps knowledge and skills up-to-date, turns mistakes into learning opportunities. Maintains working knowledge of changing health industry environment related to the risk adjustment model and CMS expectations such as tolerance, fraud/abuse responses, etc. Remain current on CEUs to maintain CPC and other professional certifications. CUSTOMER FOCUS Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers, responds to customers. Be a primary resource for physicians and office staff to answer questions or access resources to support documentation and coding for risk adjustment. Interface with assigned practices on a regular basis to help develop and maintain engagement levels of practices. Build relationships with practices to help them understand the importance of documentation and coding in a manner that addresses overall patient care management and IPA revenue goals. JOB KNOWLEDGE Understands duties and responsibilities, has necessary job knowledge, has necessary technical skills, understands company mission/values, keeps job knowledge current, is in command of critical issues. Other duties as assigned. Qualifications (Education/Experience/Knowledge/Skills/Abilities): Bachelors’ degree in health related field required. Four years of related work experience may be considered in lieu of a degree. Certified Professional Coder (CPC) required. Certified Risk Adjustment Coder (CRC) required or commitment to get within 1 year of employment. Three to five years’ experience with medical records and/or medical coding, preferably risk adjustment coding. Knowledge of health care insurance claims practice and compliance. Knowledge of Medicare rules and guidelines. Knowledge of Claims Coding (CPT, HCPCs, ICD-10, HCFA 1500). Knowledge of risk adjustment categories and hierarchy preferred. Knowledge of MS Office Suite, Electronic Medical Records, Encoder, Coding Clinic, other software programs and internet based applications as needed to fulfill position duties. Skilled in synthesizing data and questions to communicate a cohesive educational training program. Skilled in responding to practice inquiries in a timely and accurate manner. Skilled in working collaboratively with various parties to communicate an accurate and meaningful reporting package for practices. Able to work effectively with physicians, practice staff, health plan/other external parties and PHP multidisciplinary team to streamline efforts to meet HCC Coding goals. Able to work with sensitive data and relay potential issues or concerns in a diplomatic manner. Able to multi-task and meet deadlines. Able to work with external parties to obtain resources as needed. Able to communicate findings in a clear, concise manner, both internally and externally, including presentations. Required Licensure or Certification for this position must be maintained by the employee as defined by the company policies and procedures. A valid unrestricted Colorado drivers’ license. Reliable and insured vehicle. Home office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures. Mobile Device for work purposes as defined by the company policies and procedures. Possible Travel 2-4 times a year (out of state) Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is frequently required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee is occasionally required to climb or balance. The employee must regularly lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! Alpine is growing, and we welcome new talent to our highly collaborative and diverse team. We are passionate about building a leading national organization that enables physicians to focus on the joy of practicing medicine, and supports the ongoing transition to value-based care for senior populations. Alpine brings this same level of passion to employee engagement, career development and progression. If this aligns with your career goals, then look no further. Grow with us!
- 16 Days Ago
Nurse Practitioner NP, Part-Time, HRA
- Hueman Risk Adjustment Solutions
-
Laredo, TX
PART_TIME
- Hueman is hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Laredo, TX. This position offers certified Nurse Practitioner...
- Just Posted
Nurse Practitioner NP, Part-Time, HRA
- Hueman Risk Adjustment Solutions
-
Mission, TX
PART_TIME
- Hueman is hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Mission, TX. This position offers certified Nurse Practitione...
- 9 Days Ago
Nurse Practitioner NP, Part-Time, HRA
- Hueman Risk Adjustment Solutions
-
Rio Grande, TX
PART_TIME
- Hueman is hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Rio Grande City, TX. This position offers certified Nurse Pra...
- 1 Month Ago
Import Clerk
- DLP Services
-
Laredo, TX
FULL_TIME
- DLP Staffing is currently accepting applications for the position of:POSITION TITLE: Import Clerk Location: Laredo, TXFLSA: Non-Exempt Hire Pay: $11 to $13 an hour (DOE) Classification: Full-TimeJOB D...
- 14 Days Ago
Shipping Clerk
- Pure Hothouse Foods LLC
-
Edinburg, TX
FULL_TIME
- Pure Hothouse Foods, marketed under the Pure Flavor® brand, is a family of greenhouse vegetable growers who share a commitment to bringing A Life of Pure Flavor™ to communities everywhere. Our passion...
- 15 Days Ago
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0 Adjustment Clerk jobs found in Mcallen, TX area
Senior Medical Science Liaison-Women's Healthcare Nevada Utah
- Bayer
-
- At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
- 4/24/2024 12:00:00 AM
Welding Lean Manufacturing Engineer
- Johnson Controls International
-
Apodaca, Nuevo León
- MANUFACTURING ENGINEER – Welding Lean Manufacturing Engineer This position is to be fulfilled by a focused and self-moti...
- 4/24/2024 12:00:00 AM
Senior Medical Science Liaison-Women's Healthcare Nevada Utah
- Bayer
-
- At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
- 4/24/2024 12:00:00 AM
Senior Medical Science Liaison-Women's Healthcare Northern California
- Bayer
-
- At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for a...
- 4/24/2024 12:00:00 AM
Senior Systems Administrator (Australia) - TS/SCI with Polygraph
- General Dynamics Information Technology
-
- General Dynamics Information Technology (GDIT) is seeking an IT Engineer with Microsoft Enterprise Systems Administrator...
- 4/24/2024 12:00:00 AM
Harnesses Lean Manufacturing Engineer
- Johnson Controls International
-
Apodaca, Nuevo León
- MANUFACTURING ENGINEER – Harness This position is to be fulfilled by a focused and self-motivated engineer to work in a ...
- 4/23/2024 12:00:00 AM
Sheet Metal Lean Manufacturing Engineer
- Johnson Controls International
-
Apodaca, Nuevo León
- MANUFACTURING ENGINEER – Sheet Metal Lean Manufacturing Engineer This position is to be fulfilled by a focused and self-...
- 4/23/2024 12:00:00 AM
Sheet Metal Lean Manufacturing Engineer
- Johnson Controls International
-
Apodaca, Nuevo León
- 4/22/2024 12:00:00 AM
About Mcallen, Texas
McAllen is the largest city in Hidalgo County, Texas, United States, and the 22nd-most populous city in Texas. It is located at the southern tip of the state in the Rio Grande Valley. The city limits extend south to the Rio Grande, across from the Mexican city of Reynosa, and McAllen is about 70 mi (110 km) west of the Gulf of Mexico. As of 2017, McAllen’s population was estimated to be 142,696. It is the fifth-most populous metropolitan area in the state of Texas, and the binational Reynosa–McAllen metropolitan area counts a population of nearly 1.52 million.
From its settlement in 1904, the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$28,376 to $35,235
Mcallen, Texas area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does an Adjustment Clerk do?
Adjustment Clerk in Columbus, GA
Council member Bernard Brush said the issue of low salaries for the clerks and service director has been on council's radar for several years.
December 25, 2019
Adjustment Clerk in Saint Cloud, MN
The title adjustment clerk is given solely for the reason that these individuals provide adjustment in lieu of advice.
February 19, 2020
Adjustment Clerk in Port Arthur, TX
An Adjustment Clerk performs a variety of research functions and meets established standards for production and quality.
February 16, 2020