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JOB SUMMARY Responsible for follow up of accounts including all payers, as well as complete resolution of claims denials. JOB SUMMARY Responsible for follow up of accounts including all payers, as well as complete resolution of claims denials.
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Timely follow up on all insurance claim denials, exceptions, exclusions, or rejections. Primary duties include, but are not limited to, consistent follow up on unpaid claims utilizing aging reports, filing appeals, posting cash, and submitting clean claims via a clearing house.
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Responsible for the timely follow-up and collections of all billed Commercial insurance accounts by running appropriate reports, utilizing online tools, and making contact with payers over the phone.
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Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts, appeals, self-pay billing, Medicare and Medicaid billing, AR posting, along with excellent customer service skills.
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Follow-up with Field on updates to items that are past follow-up date, notifying them of denials that require their attention. Review and work denials in workflow system, pay portal, and/or clearinghouse portal daily.
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Possess the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials. The Account Representative is responsible for billing and Revenue Cycle follow up. Review denials and communications from MCX as needed.
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Communicate with patients and insurance companies regarding co-pays, deductibles, denials, and Cost of Benefit (COB) issues; Communicate with patients and insurance companies regarding co-pays, deductibles, denials, and Cost of Benefit (COB) issues.
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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 Medical Billing Specialist will be responsible for follow up on all outstanding accounts receivable (AR); this includes both commercial and government insurance payers, self-pay accounts, and resolution of denials.
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Retrospectively analyzes accounts with payment variances or denials to ensure proper contractual payments amounts and accurate SDK prorations in an effort to achieve department recovery goals. Patient Account Analysts are also responsible for determining if additional reimbursement is due and uses an optimal combination of rebilling, collections and required payment follow up activities to resolve outstanding balances of disputed contract accounts.
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Follow up on all denials prior to the payer's appeals deadline. Perform collection follow-up on assigned accounts on a regular basis. Follow us on LinkedIn. Like us on Facebook.
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The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions, reconsiderations, appeals, or re-working denials, to ensure payment is received timely.
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This position serves as a patient-advocate through the life cycle of the account by identifying payer trends proactively in relation to zero payments, billing and denials. The Insurance Follow-Up Specialist is a highly skilled, multi-tasking position that incorporates all key functions of the physician billing revenue cycle.
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These duties may include research and follow-up on specialty or payer-specific denials and appealing denials as needed, charge correction, authorization and referral-type denial appeals, research and edu cation of changes to payor programs, and supporting special projects as needed.
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Logs denials and works closely with billing to ensure proper follow up. Processes incoming mailPrints, scans, and organizes correspondence such as EOBs, letters, and denials. Knowledge of hospital or clinic billing and follow up and medical terminology.
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