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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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Communicate all denials to the billing supervisor. Skills:Payment posting, Medical, Payment poster, Data entry, Medical billing, Medicaid, Collection calls, Revenue cycle, outpatient, wound care, physical therapy, Accounts receivable, Cash postings, Collections customer service, 50 wpm, Medical insurance, Insurance follow up, Icd-10, Medical terminology, Claim, Medical claimAdditional Experience: Proficient in use of Microsoft Word, Excel, Access and Outlook.
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Denials Management: Investigate and resolve claim denials by insurance companies, writing appeals, follow up with insurance reps, and resubmit claims when necessary. Proficiency in medical billing software and electronic health records (EHR) systems.
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Document the billing system and explain bills, departmental coverage, age, rejections/denials, and remedies as an expedient procedure. This includes scheduling, registration, coding, billing, and other essential revenue functions.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Responsible for the billing and collection processes under the direct and indirect supervision of the TBD, the Billing Specialist completes ambulance billing and coding, answers inquiries from insurance companies and patients, and explains all actions pertaining to the billing/accounting/collections processes.
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2+ years of medical revenue cycle management experience; this can include experience in billing, denials management, auditing, consulting, edit configuration, edit building, and negotiations.
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The Payment Recovery Specialist will also be responsible for conducting root-cause analysis of denials, be responsible for working denials that are escalated to them for review and resolution, work with billing or other departments to develop and maintain all denials management training and guidelines.
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As a part of day-to-day activities, the revenue integrity specialist will serve as the operational and clinical liaison between Pharmacy, Finance, Revenue Integrity, Compliance, and clinical specialties to support and optimize medication billing compliance and financial performance in our hospital and professional based billing systems.
$53 - $71Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Billing Specialist must possess strong attention to detail, have effective communication skills, and a strong background in resolving insurance denials and collecting accounts receivable.
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3 years Billing collections, or denials management experience and medical terminology. Routinely communicates trends and other data findings to PFS Manager for consistent and effective feedback to the Ministries and the PSJH Contracting team to assist in developing and implementing processes to maximize collections on denied accounts, as well as improve processes within the ministry to prevent denials from happening.
$25.72Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Deep medical billing and revenue cycle management industry knowledge. We're seeking a Data Insights Analyst who can blend technical prowess with expertise in revenue cycle management, market dynamics, Zelis products, and medical coding.
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Assesses all self-pay patients for potential public assistance through registration/billing systems Provides self-pay/under-insured patients with financial counseling information. Assists Patient Financial Services with denial management issues and will appeal denials based on medical necessity as needed.
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The Specialty Account Coordinator is responsible multiple facets of patient account coordination including insurance/benefit verification, denials management, and collections. This position requires a thorough understanding of claims procedures and insurance company regulations, as well as ophthalmology coding and billing.
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Follows up on claim resolution from initial billing through final resolution including identifying and correcting billing errors/rejections and denials (denial management investigations & appeals.
$20 - $24 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Research and handle claims payment appeals and denials. As part of Accounts Receivable/Billing team, responsible for medical insurance billing, reporting and accounts receivable reconciliation functions, denial management, verifying and updating client insurance benefit information, tracking required client financial documentation, obtaining and tracking authorizations, consulting clients via phone to obtain information, explain benefits and explain and collect balances, coordinating insurance information with clinical sites.
Full-timeExpandApply NowActive JobUpdated 8 days ago
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