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RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing Specialist | Revenue Cycle AR Collections Specialist | Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist | ABA Billing Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist.
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The Behavioral Health AR Manager is responsible for oversight of the following: Billing and Collections, Patient Insurance, Data Processing, and Integrity of Patients. Proficiency in insurance claims processing as well as CPT and ICD-9 coding skills required.
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POSITION OVERVIEWThe Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
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POSITION SUMMARY: Under the direction of the Manager of Revenue Cycle and the Director of Revenue Cycle the Supervisor of Commercial Billing and Reimbursement is responsible for planning, directing, coordinating operation and activities of the commercial payors billing and insurance follow up for SwedishAmerican Health System and related entities’ hospital and professional services.
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Maintains updated knowledge of all billing, coding, insurance, and compliance guidelines, including but not limited to HiPAA, CPT, ICD-10, HCHPCS, medical terminology, etc. Performs audits of the validation team to assure all validation is consistent with coding guidelines and Lifespan’s billing, coding, and compliance policies.
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Collects diagnosis information and CPT/HCPCS codes from physician’s offices at the time of scheduling to aid in insurance verification and pre-authorization/certification process. Performs all aspects of the insurance verification process for Medicare, Medicaid, and commercial insurance payers to ensure compliance and appropriate assignment for the coordination of benefits.
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Experience and Competencies: 2+ years of billing experience (medical/insurance billing preferred) Knowledge of Medical Terminology, CPT, ICD-10 and HCPCS Codes. Work with Billing Supervisor and VP of Revenue Cycle Management to communicate issues with service collection including but not limited to lack of insurance authorization, inconsistent insurance verification, issues with claims processing and credentialing barriers.
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Required Experience Required: Must have knowledge of insurance, HMO procedures & medical terminology Experience with ICD-10 CM & CPT coding systems Ability to maintain composure & balance multiple priorities in a fast-paced environment.
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You will assess the risk for various commercial insurance lines of business that can include Property, General Liability, Workers Compensation, Auto/Fleet, Products Liability, Inland Marine and Builders Risk. Tools or Items You Must Provide:·Windows-based PC with an image/document scanner·Digital camera·High speed internet access·Measuring device such as: laser, 100 ft.
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Become familiar with the auto provisions of our commercial insurance policies,endorsements, and forms and apply coverage analysis skills. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims professional to join our team.
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Meet with people involved with commercial auto claims, sometimes outside of the officeenvironment. Desired Skills & ExperienceBachelor’s degree or direct equivalent experienceGarage/dealership industry experience preferredAbility to read, interpret and react to documents such as contracts, insurance policies, procedure manuals, and legal documents.
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Loss Control Consultant Commercial Insurance – Independent Contractor- Tampa, FL. Tampa, FL, USA Req #26222 Thursday, August 29, 2024 The CompanyCommercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings.
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Experience must include working with a variety of health insurance companies, Medicare/Medicaid, as well as medical billing and collections. Certified Professional Biller (CPB) or Certified Billing and Coding Specialist (CBCS) or Associate college degree in medical billing/coding or Possess a minimum of 1 years of experience within the past 3 years, in private sector (non-DOD or VA.
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Commercial Insurance Inspector- (Flatbush / Kings County (Brooklyn) NY.) Brooklyn, NY, USA ● Flatbush, Brooklyn, NY, USA ● Kings County, Brooklyn, NY, USA Req #26699 Wednesday, August 28, 2024 The CompanyCommercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings.
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Must live in TX, AR, FL or WI Primary Purpose The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting, and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters.
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billing cpt commercial insurance jobs Title: collection specialist
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