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Contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations. Aggressive follow up with insurance carriers on claims with accepted negotiation agreements.
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Minimum of two years of experience working in a medical setting, to include medical insurance and/or accounts receivable follow-up. Baylor College of Medicine's Patient Business Services Team is seeking a candidate who has a strong understanding of AR follow-up to assist the AR follow up team with payment reimbursement.
$40,862 - $46,984 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The Tuition Classification Officer manages the tuition classification process for all students, which includes, but is not limited to, reviewing circumstances relating to tuition classification, evaluating supporting evidence of Colorado domicile, executing residency decisions, and sending follow-up communication to students while strictly adhering to the Family Educational Rights and Privacy Act (FERPA), as well as process and chair the tuition classification appeals.
$40,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Follow up on denied and/or no response claims from payers. Initiate appeals to payers following the payer guidelines. Assure coding is compliant and up to date. Assists with the monthly patient statement process, to include reviewing statements before mailing and field any inbound and/or outbound patient inquiries.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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The Senior Billing Specialist will assist attorneys in preparation of bills to clients and performs follow up action on past due client accounts. Manages past due accounts and performs necessary follow up action.
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Follow up on RTP claims, among other billing responsibilities. Have knowledge of Medicare billing procedures for hospice providers, including: NOE filing, submission of claims, correction of claims, appeals, and other Medicare billing processes for hospice providers.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact. Assist member with filing and resolving complaints and appeals.
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The pharmacist will be responsible for initial and follow-up patient assessments and consultations and for proper documentation in accordance with the pharmacy’s policies and procedures and URAC and ACHC standards.
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Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol. Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Ability to write and follow up on appeals for denials. Insurance Knowledge Computer skills Strong knowledge of third party insurance required Ability to follow through and troubleshoot Attention to detail Customer Service skills Organizational skills Ability to work well within a team.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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The Accounts Receivable Specialist is responsible for follow-up and timely and effectively managing requests from patients, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront edits and denials.
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Develops and monitor EPIC reports and work queues to ensure timely response to denied cases and appeals and provides follow-up on cases until resolution has been achieved. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope.
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The Billing Representative is responsible for the validation of charge data received from the clinic settings, creation and submission of complete and accurate claims, follow-up on claims status, payment accuracy, appeals and correspondence.
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The Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required.
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They will follow up on all insurance claims and submit appeals as needed. ~Bill all claims and follow up on all payments. ~Submit appeals as needed. We are looking for a candidate with previous medical office billing experience using medical software and electronic systems such as Availity, Trizetto, NexTech, Palmetto and Tricare.
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