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Provide thorough follow-up with injured employees and maintain regular contact with TPA and Primary Treating Physicians to coordinate prompt return to work modified duty program. Provide regular claim report data to management team and safety committee members, and follow-up on safety action items addressed in safety committee meetings.
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Conduct necessary follow-up actions on monthly claims, including re-billing, secondary billing, corrections, and addressing denials. The role of the medical billing clerk involves performing accounting and billing tasks to facilitate the processing of medical claims for laboratory services.
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Responsible for ensuring claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest follow-up, and compliant reporting are occurring consistently within the market.
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A Typical Day in the Position The Insurance Specialist is responsible for the timely submission and follow-up on all pending insurance claims. Other responsibilities include following up on unpaid claims, clarifying discrepancies, reviewing bills, and confirming eligibility.
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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. 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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Claims: Take calls from clients for new claims and submit to carriers, confirm claim is received/adjuster assigned, handle any questions or follow up calls as needed from insured or adjuster.
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Oversee and track dental benefit plan accounts receivable and follow up on claims regularly to ensure timely payment. Submit dental benefit claims (if this is the practice's policy in working with plans.
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Respond, investigate, report, and follow-up on concerns related to clinical care and serice provided across Sparrow Health System to improve quality of care and reduce potential and actual professional liability claims through early resolution.
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Provides follow up on any unpaid or denied claims; submits appeals within industry time frames for denials. Maintain an accurate, up-to-date reporting system providing information on insurance billings, processing timelines, verification, pre-certifications, reasons for denial and payment of filed claims on a daily basis.
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Make claims for technical purchase parts, and follow up the orders and shipments until the arrival at EBZ or on-site. According to the requirement of the project, coordinate and calibration with the designer and simulation engineer.
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This means our agents follow their applications through all the way from filling out the application, to getting application approved and delivered to client, then reviewing the policy with clients, and assisting their clients with further needs up to assisting their loved ones making the life insurance claims upon death.
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Follow-up with customers regarding the status of their open orders and relay shipping information; utilize CRM solutions to initiate and process customer cases, and create and maintain reports.
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Participate in workers compensation claims process with Management, HR, and carriers, including accident investigations, monitoring of claims, and proper reporting and follow-up.
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Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy. Make outbound phone calls to patients as follow up to unpaid, past due, denied or rejected billing claims and document according to current policy.
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Review assigned accounts within the billing platform Follow Up and Catch All WQs ensuring outstanding, pending, partially paid, and denied claims are paid in a timely manner. Demonstrate strong understanding and utilization of clearinghouse claims tool and clearinghouse rejection queues.
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follow up claims jobs
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