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In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. Assoicates Degree preferredWORK EXPERIENCEMinimum five years' experience in commercial insurance follow-up LICENSES AND CERTIFICATIONS - REQUIREDN/ALICENSES AND CERTIFICATIONS - PREFERREDCRCP - Certified Revenue Cycle Professional (AAHAM.
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JOB SUMMARYThe Rehab Patient Access Representative facilitates the patient admission/registration flow, including such activities as patient identification; gathering demographic information; securing third party, financial and guarantor information, obtaining required signatures and documents; entering admission data into the hospital information system; and scheduling patients for follow-up appointments.
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Lead pre-event promotions to hit registration and attendance targets and post-event follow-up to maximize pipeline generation and influence. Develop a strategic vision and global roadmap for our portfolio of first, third-party, and internal events that align with our corporate awareness and demand generation goals and community learning objectives.
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This individual will oversee operations of the hotel sales department including but not limited to direct sales follow-up sales administration hiring of staff training managing and coaching.
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The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550+ million in active inventory and $70 million in denials through account follow up, appeals and resubmission actions.
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The CM will develop and implement discharge plans for those patients identified as needing post acute discharge services or post acute follow up in collaboration with the patient/legal representative, health care team/provider, insurer, and others, including community based organizations, as needed.
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Process a variety of Third Party Administrator (TPA) payments. Research/rectify third party denials/edits, requests for information and other related correspondence. Follow-up on outstanding account balances at 30-days from the date of service in accordance with client and organizational protocol with an emphasis on maximizing client satisfaction and provider profitability.
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Discusses company and third party reimbursement policies and guidelines with the patient/family and discuss treatment plans with the Patient Care Coordinator, physician, and patient/family.
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Complete pre-authorization request to third party payors. The utilization review rep duties will include monitoring provider documentation performance, manage daily utilization review, episodes with payors and research all “denials” with a forensic record review in a timely manner with a follow up plan of correction.
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Thorough understanding of medical billing with an understanding of claims analysis, collections, payment posting, revenue cycles, third party payers, Medicare and Medicaid regulations. Understand clinical information, and navigate through medical systems, billing and ongoing communication with multiple insurance carriers, follow-up, denials.
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The Billing and Collection Specialist is responsible for the billing and collection of all account receivables for BMC, FVH and BFS. The fiscal aspects are from the initial billing to primary payer, secondary payer billing and follow-up through final resolution of the accounts.
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Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up. Working knowledge in the insurance verification process and third party verification terminology.
$28.34 - $44.5 an hourExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Land Acquisition Manager will be responsible for assisting in the growth of our extended stay hotel portfolio and is accountable to locate land opportunities, both listed and non-listed; build and foster relationships with brokers, city officials and third party consultants; research zoning and land use code; putting together entitlement timelines and steps; highly organized and communicative to ensure that the land acquisition pipeline is one that aligns with Company expectations and goals.
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Cross-Functional Coordination - Work with DigitalBridge functional areas including acquisitions, asset management, accounting, finance, legal, business intelligence and third-party resources.
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This will allow the patients with no transportation to follow-up with SSD face-to-face interviews on the bi-weekly schedule. Knowledge of and skill in applying an extensive body of Business Office rules and procedures concerning benefits programs such as Medicare/Medicaid, SSA, County DDS Offices, and Tribal programs and other related agencies to advocate for and assist patients in securing Third Party resources.
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