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Back BILLING & DENIALS SPECIALIST I Category: Office Support Services Location: Wausau, WI Job Schedule: FULLTIME Job Number: 47143 Apply To Job Compassion. The Billing and Denial Specialist I is responsible for following up claims with no response from payers, working and managing insurance denials, managing, writing, and carrying out the appeal process for all payers.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Duties include preparing and processing claims, clearing billing edits, claim validation and submittal, and receivable follow up (e.g. collections, payment review, denials management), and where applicable transfer of charges, record maintenance, ensuring accurate registration, and maintaining applicable documentation.
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Identify improper coding and billing trends that result in coding denials, and assist in implementation of workflows and streamlined processes to minimize these denials. Assign appropriate ICD-10, CPT, and HCPCS codes to medical record documentation by applying physician specialty coding rules, third party payor guidelines, APC billing rules and Medicare Local Medical Review Policies.
Full-timeExpandApply NowActive JobUpdated 7 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 5 days ago - UpvoteDownvoteShare Job
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This position is responsible for reviewing, auditing and reporting on charge capture at the department level, completing charge reconciliation, analyzing and resolving claims’ denials and unbilled claims' issues, performing audits on department patient accounts, supporting Revenue Integrity initiatives on behalf of the department, and ensuring billing compliance.
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Sovah Health is looking for the ideal candidate who will coordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider.
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Contributes to the identification and reduction of the Company’s coding compliance risks, billing inaccuracies, and/or denials by coordinating independent reviews and assessments of the organization's professional coding and billing transactions, processes, and internal controls for coding completeness and accuracy.
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The Medical Billing Specialist will be responsible for follow up on all outstanding accounts receivable (AR); this includes both commercial and government insurance payers, self-pay accounts, and resolution of denials.
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Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. Works directly with the Billing Supervisor to resolve issues and denials through research and assigned projects.
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The Revenue Cycle Manager is responsible for the implementation, execution, and completion of all day-to-day Revenue Cycle functions, while ensuring workflows remain aligned with strategy, commitments, and goals of PPMW. The Revenue Cycle Manager will lead or direct the work of Reimbursement Specialists and Insurance Benefit Verification specialists to improve billing processes, minimize denials, and ensure timely and correct posting and follow up.
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This position requires clear and concise written and oral communication with payors, providers, and billing staff to ensure resolution of denials. Title: RCM Specialty Follow Up Specialist – Workers CompDepartment: Central Business OfficeLocation: Security Park – B27 | On-siteThe RCM Specialty Follow Up Specialist for Workers Comp ensures accurate and timely submission of insurance claims, obtaining missing information, researching denials and documentation, following up on claims, and maintaining compliance with department standards, HIPAA, and governing agency policies and procedures.
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Qualifications: 5 years of Revenue Cycle experience focused in Inpatient Hospital Billing Experience with Claim Edits Experience with Appeals & Denials, including full-lifecycle experience working from start to resolution (creating appeals letters, etc.
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The role of the Medical Billing Specialist is primarily to investigate medical insurance claim denials, and to follow up as appropriate to collect outstanding accounts receivable balances.
$21 - $23 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Medical Coding Supervisor is responsible for providing training and education to coding teams, reviews documentations and assigns appropriate diagnosis codes, manages appeal letters for DRG denials, performs pre-billing coding validations, drafts and implements coding guidelines, and serves as an expert within the HIM department.
$57,880 - $88,400ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Coordinates with clinical operations, revenue cycle departments to ensure accounts audited reflect proper documentation, charge capture, coding, billing and payment. Coordinates and executes pre- and post-payment audits of medical records and associated clinical documentation to ensure proper charge capture and billing in accordance with standard state, federal, and internal reimbursement policies, principles, and mandates.
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