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Handle all census input and follow up on missing census information including prior authorization and Medicare/Medicaid eligibility. Monthly billing of Private Pay, Medicare, Medicaid and Managed Care for SNF and ALF facilities.
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Qualifies prospects on site and closes sale if possible, otherwise, refers to inside sales for follow-up. Medicare Sales Representative Jeffersonville, IN. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home.
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Initiate contact with Health Plan and follow-up on benefit coverage requests and prior authorizations; identify and escalate issues as they may arise throughout the process. Basic understanding of Medicare, Commercial and Medicaid health plans a plus.
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Under the direction of the Business Office Manager, the Collections Specialist is responsible for follow up on delinquent surgery center claims), working an expected number of claims per day.
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Job Summary: Performs all duties necessary in the review, follow-up and collection of third party insurance claims. Must be knowledgeable of guidelines and requirements for eligibility, coverage and benefits and claim submission practices for all government programs (Medicare, Medicaid, VA and Tricare/Champus.
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The responsibilities of this role include denied claims and A/R follow up with various payers including but not limited to the following: Commercial Insurances, Medicare, Medicaid, Uninsured Patients, Workers Compensation and First Aid, Occupation Medicine, and other reimbursement categories.
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The Workers Compensation Account Representative will assist and manage all aspects of patient processing and accounts receivable functions of the organization including billing, charge entry, collections, registration, eligibility, follow-up, payment posting, patient collections and credit balance resolution.
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May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) May produce reports and keep management informed of unpaid claims and claims pending follow-up.
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Provide follow-up to Admission Directors on benefits verification and pre-certification process. Maintain a working knowledge of Federal and State regulations and reimbursement (Managed Care, Medicare, and Medicaid.
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Follow up on unpaid claims until the payment is received or management makes a decision for the action needed for all claims resolutions. Continued growth at Maxor has created an opportunity for an A/R Follow-up representative.
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Assist in maintaining eClinical Works patient accounting and registration system tables for registration, patient accounting, eligibility, charge master’s maintenance, billing, claims editing, and account follow-up.
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Experienced with charge entry, payment entry, credits and AR follow-up. Medicare and/or Medicaid billing experience. Medicare and/or Medicaid billing experience. Payment posting, credits, working insurance and private ATBs and working denials.
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Assistant Business Office ManagerPosition Summary: The primary focus of this position is to complete private pay, Medicare, and Medicaid billing in a timely fashion with follow up calls monthly.
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Assist the Business Office Manager with billing and follow up of all Medicare, Medicaid, private pay, co-insurance, and managed care billing for the facility. Work very closely with the Central Billing Office for the region on all billing issues and follow up necessary.
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Responsibilities include accurate data entry, coding, medical necessity, and follow up of ambulance claims submissions. Applicants must have ambulance billing experience, including knowledge of Medicare, Medicaid and MCO compliance, coding, billing, posting, and excellent communication and computer skills.
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