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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 - UpvoteDownvoteShare Job
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Creates, engages in, and/or leads appropriate meeting forums to track revenue goals and preventative loss strategies relating to RCM activities (collections, denials, AWOs). Director Revenue Integrity-Professional Billing.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with experience in Medicaid, HMO/Insurance, Private Billing and Masshealth Application Process. Investigate, resolve and process claim denials and resubmits according to the Insurance/Medicaid guidelines.
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The Medical Billing / Collection Specialist is responsible for assisting patients by communicating with insurance payors via various methods (i.e. telephone, fax, internet) to determine eligible benefits and acquiring Pre-Certification(s) when deemed necessary by the insurance payor.
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Meet productivity goals/benchmarks as set and communicated by Billing Manager. Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes. Research and resolve denials and underpayments with insurance carriers.
Full-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Assists in the analysis of reviewing trends for edits that trigger due to billing, coding, charge entry in the different Epic work queues. Coordinates the development of ad hoc user reports to target denials, performs deep dive analysis to reduce controllable rejections and prepares reports for submission of payer projects.
$75,000 - $87,500Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Serves as a subject matter in billing, prior authorization, claims, appeals, denials & other revenue cycle management business processes and systems. This position will be responsible for the Billing & Revenue Cycle Management solutions and will work directly with business teams to determine and prioritize needs in a collaborative manner.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Medical billing experience, working with denials for Medicaid, Medicare and/or third-party payers. The Northeast Health District seeks a Medical Insurance Billing Specialist to assist with the billing process.
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2 year minimum experience in medical billing and/or claims accounts receivable. Research/rectify third party denials/edits, requests for information and other related correspondence. Learn different claim platforms within eviCore and also client claims platforms when necessary.
RemoteExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Assist the Billing Department with Medical billing for Medicaid, Sunshine/CMS, CDC+, Humana, & Florida Community Care & Report Collections to Billing Manager. If not resolved pass the issue to the billing manager for resolution.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Reviews and resolves payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Processes daily correspondence, claim status, handle denials, appeals and re-bills.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Hiring for Engineering, Finance and Accounting, Healthcare, Human Resources, IT, Legal, Life Sciences, Manufacturing and Logistics, Sales and Marketing and Administrative roles. Process a variety of Third Party Administrator (TPA) payments.
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Must have experience with billing Medicaid, Medicare, and Commercial Payers, as well as claims denials, eligibility, modifiers, and payment posting. Assist with billing activities such as reviewing sessions in claim maintenance, checking open balances and rejections/denials.
$27 - $33 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The expertise of an Precertification Specialist shall include working knowledge inthe area of authorization related activites including pre-authorization submissions, notifications, medical policy guidelines and denials.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The A/R Billing Clerk position is responsible for validating patient's insurance coverage, processing recurring rentals, claims coding, claims billing including price validation, assisting patient accounts with billing discrepancies, payment posting and working denials in CareTend management software.
Full-timeExpandApply NowActive JobUpdated 5 days ago
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