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Knowledge of Medicare and Medicaid billing procedures, required. MissionCare at Bennington - Regional Business Office Manager- VT & MA region The primary purpose of this position is to oversee the Accounts Receivable and collections functions of the iCare managed facilities and provide guidance, direction and leadership to all on-site facility business office staff.
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POSITION SUMMARY: The Medical Billing Specialist (MBS) is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes.
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Comply with all regulatory guidance including but not limited to HIPAA, Medicare rules and billing and coding guidance. We are taking the physical therapy industry by storm with our innovative career development options, including providing career pathways to private practice ownership.
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Upholds Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information. The Billing Clerk I is responsible for reviewing daily charges and adjustments entered for accuracy, filing third-party claims, self-pay patient billing, and answering billing questions from patients and staff.
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As a Medical Billing Specialist, you will be responsible for generating and submitting Medicare, Medicaid and third-party claims. Job DescriptionJob DescriptionJob Title: Medical Billing Specialist Company: Twin Cities Physicians Location: Golden Valley, MN Compensation: $23- $24 an hour Schedule: Full-Time (Mon. - Fri.)Twin Cities physicians is growing and is looking for a new addition to our fabulous billing department.
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Experience in processes related to submitting medical claims, including but not limited to Medicare submission, knowledgeable in EOB (explanation of benefits), remittance advice and adherence to timely filing limits.
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Maintains subject matter expertise pertaining to all external billing practices including but not limited to third party adjudications, prior authorization, and patient financial assistance programs in order to coach pharmacy technicians and other support staff.
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Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements Proficient with QA/ OASIS requirements within Medicare guidelines to support clinical manager as necessary.
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Basic knowledge of billing guidelines and resources for Medicare and Private insurances. The Insurance Specialist is responsible for interpreting and verifying coverage for our patients; maintaining correct insurance information on patient accounts; as well as re-billing denials.
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These functions are revenue cycle management, billing and accounts receivable, census processing, payroll, accounts payable, and patient/resident trusts. Oversee accounts receivable collections for past due patient accounts; facilitates timely filing of Medicare, Medicaid, and insurance claims.
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All paperwork to be turned in over 24 hour period to assure Medicare Billing. Initiates the plan of care for SOC (Start of Care) using Medicare OASIS Form. Completed ROC (resumption of Care) using Medicare OASIS Form Completes RECERT (Recertification of Care) using Medicare OASIS Form Completes DC (Discharge) using Medicare OASIS Form Performs initial evaluation on patient visit, evaluates patient homebound status and re evaluates the patient’s nursing needs on succeeding visits.
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Knowledge of Medicare, Medicaid and general health billing experience required. Responsible for complete and accurate billing and data collection for all clinic patients. Responsible for billing clinic visits, hospital visits, surgeries and procedures utilizing appropriate documentation.
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Acts as an advisor and consultant in the establishment of operational policies of the practice to include: Purchasing and capital allocations; Managed care plan participation; Budget and practice expenses; Medicare/Medicaid participation; Billing and collection of professional fees; Personnel management and related policies; Risk management and quality assurance; and Coding compliance.
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Knowledge of patient registration, charge entry, billing, and medical policies. Working knowledge of Medicare, Medicaid, Commercial Insurance Payors, Workers Compensation, and Managed Healthcare.
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For Community Health & Research Center, at least 3-5 years previous experience including experience with medical insurance processing, Medicare, Medicaid, CCI edits, Medicare Functional Therapy Reporting and Therapy Cap requirements, local payer coding and billing guidelines as they pertain to physical, occupational, or speech therapy preferred or equivalent combination of education, experience and/or training approved by Human Resources.
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