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Verifying daily Census Verify all billing and financial data for new admissions Medicare A & B Billing, Claims Corrections and Follow-up Managed Care , Claims Corrections and Follow-up Private Pay Billing and Collections.
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At least three (3) years' experience in financial counseling, patient financial services or insurance follow up in a healthcare or health insurance environment in any aspect of the revenue cycle process required.
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1 year experience with claim edits, SSI billing system and follow-up related to Medicare. 1 year of experience in hospital billing and follow-up - Medicare and/or Medicaid.
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Works collaboratively with the Managers of PFS to maintain a thorough and up to date knowledge of payor reimbursement practices and procedures including Medicare & Medicaid regulations, as well as Managed Medicaid requirements.
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Manage the referral intake and follow up process, admissions process, and participate in non-hospital referral development. Establish/maintain positive trends for overall occupancy, Medicare census, new admissions activity, conversion rates, and account receivable targets.
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Facilitates communication within the interdisciplinary care team, the patient and their family, the skilled nursing facility, home health agency or hospice agency as needed to promote appropriate follow up care.
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Reviewing incoming reports (e.g. lab, x-ray , EKG) sign, date and follow up in a timely manner. Credentialed with Masshealth and Medicare. Reviewing incoming reports (e.g. lab, x-ray , EKG) sign, date and follow up in a timely manner.
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Knowledge of all payors insurance; self-pay after insurance, reimbursements, collections, appeals, claims follow-up and third party billing, required. File appeals for denied claims and follow-up as necessary through appeal resolution.
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The Admissions Director will act as the initial contact as necessary with discharge planners, family or responsible party to initiate tour of facility and follow up procedures. Knowledge of Medicare and 3rd party billing.
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Ensure timely follow-up for ongoing Medicare/Medicaid sanctions monitoring reports. Ensure timely follow-up for ongoing state license action monitoring reports. Perform follow-up for provider files on "watch" status, as required by departmental guidelines.
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Follow up on submitted claims (i.e., claim received, pending, processing, paid, etc.) The purpose of this position is to assist in managing the companys outstanding receivables, through routine communication with all payers (e.g. commercial insurance, Medicare, private pay patients, etc.
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Receive inbound calls and follow up with leads generated by marketing campaigns, referrals, or other sources. As an Inside Medicare Sales Representative, you will be receiving inbound calls and responsible for selling Medicare products and programs to potential and existing customers over the phone or online.
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Coordinate, follow-up on Medicare patients; ensure shipments don't go out without a confirmation. Call and confirm Medicare orders with customers through call system and via email.
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At least 2 years of relevant follow-up experience, either directly for a hospital or through a third-party billing firm servicing hospitals. Knowledge and hands-on experience with Medicare billing procedures.
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Dedication to establishing a dedicated work area separate from other living spaces, ensuring privacy and focus. Residency in a location with access to UnitedHealth Group-approved high-speed internet connection or an existing reliable high-speed internet service.
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