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The candidate will be responsible for the full revenue cycle including billing, payment posting, follow-up and financial reconciliation. Knowledge of CPT, ICD-10, and HCPCS codes, as well as appropriate modifier usage for billing and following up on open AR claims.
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Under general supervision and following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating patient registration on accounts, etc.
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LHH Recruitment Solutions is searching for a full-time Medical Billing Specialist on a Direct Hire basis for a client in Phoenix, AZ. Our client is seeking a Medical Billing Specialist to handle follow up and collections and obtain additional information for claims processing.
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Follow up on outstanding claims, denials, and appeals to maximize reimbursement for mental health services. Strong understanding of ICD-10 and CPT coding principles, with the ability to accurately assign codes for mental health diagnoses and treatments.
ExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Completes scheduling / pre-registration / registration / admission process and follow up within established timeframes meets or exceeds wait time goals. ICD-10, CPT, medical terminology Explains charges and payment options and programs; collects monies due at time of service.
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Maintain list of orthotics received, contact patients and make follow up appointments. Knowledge about health insurance, pre-authorization, insurance verification, medical terminology, CPT codes and ICD-9 codes preferred.
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The employee must occasionally lift up to 50 pounds and/or carry objects weighing up to 25 pounds. The Medical Front Desk Receptionist provides essential support and administrative services to the office, the doctors, and the patients in a fast-paced Doctor's office.
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Receives reinsurance checks; works with accounting to release money Works with COBRA on premiums payment, and eligibility Enters information in the system regarding status and follow up on public spreadsheet Sales and renewals to update issues Complies with policy period to file claims in timely fashion Runs weekly claims reports after the check run to research clients for 50% stop loss or trigger diagnosis.
$20.34 - $23 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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This person will be involved in a wide spectrum of tasks including patient customer service, scheduling, data entry, managing electronic health records, and patient education. The ability to uphold HIPAA compliance is mandatory.
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Review billing claims and denials and collect necessary information from the provider or patient. Collect deductibles, coinsurance, balances, copays and sell OTC items. Maintains business office inventory and equipment by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; scheduling equipment service and repairs.
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Previous experience with denials and follow up in primary care. Review, research and resolve coding denials for primary care providers; this includes denials related to the billed CPT, diagnosis, or modifier.
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Minimum two years medical/professional billing, insurance follow-up, and denials management experience – appeals. Use proper filtering techniques to ensure high dollar and oldest claims are worked as a priority to avoid untimely follow-up, in addition to grouping similar denials in order to work in an efficient and organized manner.
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Maintains accurate testing, referral and appointment logs with follow-up verification in the referral tracking database. Knowledge of ICD-9 and CPT coding and basic computer skills.
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Contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals, and negotiations. Follow-up on outstanding AR balances assigned by supervisor or manager.
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Duties may include but are not limited to core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, customer service, registration, scheduling, prior authorization, and billing records review.
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