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Continuously works with rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Insurance providers. The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities and collections for assigned payers.
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Processes claims: investigates insurance claims; properly resolves by follow-up & disposition. Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy.
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Correspondence and appeal denials done in a timely manner with pro-active follow-up on appeals in process. Follow up on delayed and denied claims. We are a comprehensive medical center offering primary care, pain management, mental health and services at our ambulatory surgical center looking for a full-time medical biller/collector to add to our friendly team.
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The Collections Associate II is responsible for processing insurance claims and billing. 6 months experience with Medicare claims, and Medicare and private insurance verification. Bills supplemental insurances including all Medicaid states on paper and online.
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Follow up and complete/correct all incoming correspondence including denials or requests for additional information. General Summary of Duties: Collection of outstanding patient accounts receivable through follow up with insurance companies and patients, review, and correction of information accounts, billing or re-billing of claims, or filing of appeals.
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FSA and HSA plan with Employer Contribution. Advanced Diabetes Supply® was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best.
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The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs.
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The Billing Specialist will work closely with the Revenue Cycle Team to assure accurate and timely submissions of claims, follow-up with payors, and appealing denials. Make collection and follow up calls to payors according to aging status for outstanding claims and invoices.
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Perform timely follow up on insurance claim denials, exceptions or exclusions including unpaid or improperly paid claims within all contractual filing deadlines. IV. Position Summary: Submit insurance claims, work denials, post insurance payments, file appeals when appropriate and keep up to date on knowledge of current insurance reimbursement rates and issues.
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Directs and manages daily operations of the Commercial & Managed Care Denials Team, Infusion and dialysis claims follow-up and correction. In addition, you can submit your resume to METCareers@nychhc.org with the Job Title and Job ID # of the job posting that you applied to in the subject line of the email.
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Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and presenting data to appropriate parties. 2 + years of relevant healthcare AR and denials experience required.
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The utilization review rep duties will include monitoring provider documentation performance, manage daily utilization review, episodes with payors and research all “denials” with a forensic record review in a timely manner with a follow up plan of correction.
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Supervises the staff with all care management processes, including LOS, throughput, patient flow and denials and appeals follow up. NJ State Professional Registered Nurse License or NJ Licensed Social Worker or NJ Licensed Clinical Social Worker.
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Use reporting system to follow up on inappropriately paid accounts by contacting payers, processing payer correspondence, rebilling, working denials and conducting appeals to obtain the highest possible reimbursement and ensure patient satisfaction.
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Oversee the department’s billing and collection operation encompassing medical coding, charge submission, review of denials, bad debt, accounts receivable follow up, reimbursement management, staff and provider education.
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