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Minimum of five (5) years Pre-Certification, Medical Front Office, or Medical Billing experience. Partners with the Accounts Receivable team on any denials for no Pre-Cert or referral related to cases for which the Pre-Cert team is responsible.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Demonstrates basic knowledge in interpreting and understanding billing slips and the Athena workflow dashboard. Daily contact with third party payers for authorization, approvals, denials and appeals.
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Objective: The Medical Billing Specialist will be expected to pre-certify, discuss costs with patients, work with the field sales team, and bill the claims accurately and quickly. The individual will also process denials and appeals to assure collections.
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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.
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Track and resolve billing discrepancies based on denials or partial payments. Under general supervision, the Revenue Cycle Billing Manager I oversees insurance benefit verification, dental insurance plan maintenance and dental claims billing tasks assigned to the revenue cycle department.
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Education & Experience:Bachelor’s degree preferred or equivalent 3+ years of experience; Knowledge in billing & CPT Codes; Experience in front desk operations, insurance verification/eligibility, denials and billing practices; Responsibilities include fast-paced medical clinic setting.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Insurance Biller I works to support the mission and vision of Neighborhood Healthcare (NHC) by processing and supporting the medical billing process for patients and other funding sources. Reviews and processes aging claims and denials, including claim tracers, corrected claim submissions, appeals, and consistent revenue flow.
$21 - $26 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Communicate issues, info and support needs to Insurance Director, VP of Insurance and Billing Manager. The Accounts Receivable is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability, and includes the ability to interpret and rectify denials.
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Under the supervision of the Billing Manager, the Billing Specialist is responsible for collecting and posting payments, correcting and submitting claims, scrubbing and completing billing batches on a daily basis, responding to billing inquiries from patients, and maintaining effective communication about billing-related matters with clinic staff, billing manager, and the clinic.
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Qualifications One or more years’ experience in a related position working in a medical office, hospital, outpatient surgery center or related field with core duties related to medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements, or related training/certificates/diplomas In lieu of on-the-job experience.
$24 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Minimum 1 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-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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We are seeking a Manager, Clinical Denial Management and Transplant Billing to: Manage the financial control, supervision and support of the billing and collection for hospital and professional transplant services, management of clinical denials as they relate to admissions, procedures, high-end radiology, and radiation oncology, and government audits specific to medical necessity issues.
$105,300 - $157,800 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Ensure compliance with documentation, billing/fee structure and pre-admitting staff to maximize reimbursement and minimize denials for all services at the clinic/site. Assumes responsibility to understand all aspects of billing and ensures all staff understand this key competency.
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Perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities. Completes insurance processing; including account creation, insurance verification, notification, and authorization functions, follow ups on denials and no response claims.
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Regular auditing of coding reviews of CPT, ICD-10, and modifier utilization and Billing reviews of denials, payer coverage policies, internal billing processes is performed to drive improved reimbursement.
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