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Manage physician billing and follow-up manager(s) on a day-to-day basis relating to billing, follow-up, credits and denials management operations. Work with internal department that directly affect the physician billing and follow-up operations, such as Registration, Financial Clearance, Patient Financial Services and Faculty Practice Plan, to ensure an efficient Revenue Cycle.
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Review and follow up on in and out of network claims. Appeal denials / incorrect payments. Extensive experience in out-of-network surgical billing/collections, all commercial carriers, Medicare/Medicaid and WC, NF.
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TTF places candidates in the Patient Financial Services field with the following titles: Hospital Collector, Managed Care, Billing Representative, Medical Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collection Representative, Medical Collector, Medical Reimbursement Specialist, Patient Financial Representative, Reimbursement Representative, Reimbursement Specialist, Claims Processing and Claims Processor.
$18 - $21 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This role will conduct telephonic and electronic follow-up and closing functions for open work orders on designated account(s) in order to meet the contractual obligations of the client.
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Serve as the liaison between our vendor partner and multiple clients by meeting regularly with clients' Credentialing personnel to provide updates on provider enrollment, follow-up on required documentation requests, and other issues related to the Credentialing process.
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Key Functions:Work claims and claim denials to ensure maximum reimbursement for services provided via insurance portals and/or phone callsPrepare appeals and follow up on claimsCollections and payment postingAnalyze and correct any billing errors such as HCPC, diagnosis, modifiers, etc.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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BILLING -Process remits (primarily electronically) -Assist the team through the healthcare revenue cycle; coding, billing, claims -Manage electronic and physical documentation and files -Check eligibility and follow-up on needed/missing information -Help support the team as needed with other duties and daily administrative tasks.
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As an Epic PB Insurance Follow-Up Representative, you will be a crucial member of our healthcare revenue cycle team, specializing in professional billing. JOB RESPONSIBILITIES:Insurance Follow-Up:Investigate and resolve insurance claim denials, rejections, and underpayments promptly.
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The Appeals & Grievances Coordinator is responsible for the processing, tracking and follow up of all grievances, medical necessity and administrative denials and appeals. Maintains up to date Appeal Logs and Appeal Files that are in compliance with CMS, AHCA and all other federal, and state regulatory agencies.
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Filing claims, claims follow up, account audits, insurance questions and posting payments? Ensure timely collection from insurers, including daily attention to resolving insurance claim issues such as requests for additional information and denials.
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Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities. Cross cover other areas in the office as assigned by management including Accounts Receivable/Denials, Customer Service or Authorizations.
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Admission and verification as well as insurance follow-up functions for both inpatient and outpatient claims within a hospital. Reviews insurance payments and denials and recommends billing corrections.
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DENIALS - Follow up on claims denials; contact appropriate party to research, coordinate and justify needed information; make appropriate corrections, obtain approvals and resubmit claims denials for payments; appeal denials through the payer required appeals process.
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Essential Functions Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
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Job DescriptionJob DescriptionThe Reimbursement Specialist is responsible for complete, timely, and accurate follow-up and collections on submitted claims to clients, commercial/government payers, and patients, to optimize overall reimbursement.
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