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Available Opportunities: Medicare, Medicaid, “Other” Insurance, and Patient Follow-Up The A/R Follow-Up Specialist is responsible for the management of accounts through written or verbal direction from patients, aged trial balance reports and rejection reports for the accurate and timely filing of claims for maximum reimbursement.
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Coordinating third-party follow-up, as needed, to help reduce accounts receivable. Coordinates the daily activities of Billing and Third Party Follow-up assigned areas by: Overseeing the processing of hospital charges for services rendered to payers.
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This position accepts Care Coordination cases and Serious Occurrence Follow-up cases. This position performs outreach to the general public, providers, community agencies, groups and organizations regarding Medicaid functions, policies, and services in the rural and urban communities covered by the Northern Nevada District Office.
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Conduct new Member Medicaid Long Term Support Services (LTSS) follow up calls and completion of the members ongoing SDOH assessments. Highly organized; capacity to work independently and able to manage multiple priorities appropriately; strong ability to do follow-up.
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Follow Up and Denial reps should maintain a daily average of 50 claims (minimum) per day on Managed Care, Medicare & Medicaid, and all other payers. Performs insurance follow up on unpaid claims utilizing payer website and/or AVR. Assigned claims should be completed thoroughly to include the action taken to have corrected claim reprocessed or appealed.
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Processes claims: investigates insurance claims; properly resolves by follow-up & disposition. Bills supplemental insurances including all Medicaid states on paper and online. Keeps email inbox requests up to date at all times; checks for new messages on an hourly basis.
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The employee must occasionally lift and/or move up to 15 pounds. The Collections Associate II is responsible for processing insurance claims and billing. 6 months experience with Medicare claims, and Medicare and private insurance verification.
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Supervise the billing department operations; perform duties such as charge entry, payment posting, reimbursement management, insurance verification, claim submissions, and accounts receivable follow-up.
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Must be proficient in EPIC and Medicaid billing and follow-up. Responsible for following up on Medicaid patient#s bills and answering questions regarding accounts after bills are sent.
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The Vendor Collections Management Analyst is responsible for performing account reviews, follow-up and resolution of bad debt accounts. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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The Senior Managed Care Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for managed care.
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Patient Account Representative Position Summary Responsible for the billing, follow-up and collection of Medical Center receivables in order to maintain positive cash flow and reduce accounts receivable and A/R days, in compliance with all applicable regulations.
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Oversees and participates in daily operations of patient billing and claim submission and follow-up with payers in accordance with Medicare, Medicaid, governmental and/or third-party payer billing guidelines.
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HealthDrive is seeking a dedicated Medical Reimbursement Specialist in our corporate office in Framingham, MA. The Medical Reimbursement Specialist is responsible for daily follow-up on large volumes of unpaid/partially paid or denied claims for Optometry, Podiatry, Audiology, and Dental services from insurance plans in 17+ states.
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Responsibilities The Cardiologist serves as a health-care provider who specializes in diagnosis, management, and follow-up of patients with any suspected or known heart diseases. Active and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Minimum of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment preferred.
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