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Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Minimum Requirements: 3+ years' insurance claims or medical billing experienceDiploma/Certification in medical Insurance Billing and Coding, in lieu of the years of experienceEpic, GECB, or Allscripts experience preferredDiversity and Inclusion at SentaraOur vision is that everyone brings the strengths that come with diversity to work with them every day.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Accounts Receivable Specialist is responsible for follow-up and timely and effectively managing requests from patients, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront edits and denials.
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Minimum (1) one year of professional billing, claim denials, appeals, and/or revenue cycle work. Strong knowledge of Medicare, Medicaid, and Commercial payers coding/billing guidelines and compliance regulations, including medical policy restrictions (LCDs and NCDs.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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This will involve providing quality control checks on paper claims; processing tracers, denials and related correspondence; initiating appeals; and drafting, composing, and submitting appeal letters.
$26.85 - $35.41 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
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The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients.
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Carries out clinical documentation requests to business office to ensure timely appeals. Implements policies and procedures to facilitate billing and maximize case collections. Gives guidance and direction to billing/clerical staff regarding billing and office/clerical functions.
$41,780 - $64,340 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Programs cover multiple subject areas including billing disputes, fraud and abuse, pharmacy formulary review, development of average contract rate methodology and medical consulting. Appeal Officer / Health Care Attorney (Remote) Maximus Federal This position will support clinical consulting service programs across multiple state clients with long term relationships with Maximus - including the California Department of Managed Health Care and California Department of Health Care Services.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Create and submit appeals and corrected claims packets, and other disputes, as necessary. The position requires well-rounded knowledge of the medical billing process including pre-submission review, claim submission and follow-up.
$20 - $25 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Also known as: Medical Billing, Reimbursement Specialist, Pharmacy Advocate, Pharmacy Insurance Tech, Pharmacy Technician, Pharmacy Financial counselor)Shift: Full Time. Shift:First Shift (United States of America)Medication Access Coordinator - Medical BillingHome Infusion (Reimbursement Specialist)Position Highlights:Nebraska Medicine is now taking applications for a talented individual to join us as an Experienced Medication Access Coordinator in our Retail/Specialty Pharmacy department and will focus on medical billing.
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Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years. Scrub charges for submission and launch appeals via the Athena billing platform.
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Job Summary: Medical Billing Specialist, is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers. Maintain current documentation related to the patient's claims, denial and appeals.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Research, process and follow-up on claim denials and appeals in a timely manner. At least one (1-3) years of behavioral health and medical billing experience preferred. Verifies eligibility on AHCCCS and RBHA's online website, reconciles and updates EMR accordingly.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred. Complete and submit reconsideration requests or appeals to insurance companies.
ExpandApply NowActive JobUpdated 12 days ago
billing appeals jobs
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