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This position requires experience consistently contacting medical insurance providers to follow-up on claims, submitting appeals and experience with EOB. Experience with medical billing and coding is acceptable.
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Responsible for the accurate and timely submission of claims, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections.
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The Appeals Specialist is responsible for the resolution of all appeals relating to technical issues identified during the billing of claims and the follow-up on the clinical appeals performed by the facilities.
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Three + years leadership experience managing follow up and billing teams, Medicare, Medicaid collections and billing experience, strong revenue cycle management (high volume), recent supervisor/manager experience, Epic, reporting, presentation skills, personable personality is needed.
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Research payments to make sure insurance payments are posted correctly to accounts, follow up with insurance companies to check on the status of claims, or denials. Review/research documentation to code claims for both rural health clinics and send the claims to the insurance carrier in timely manner following proper coding guidelines.
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Collaborating with ancillary departments and third-party payers on efforts related to follow-up, denials, and appeals. Coordinates duplicate billings, coordination of benefits, medical records or clinical resumes as needed to expedite payment of insurance claims.
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Identifies unanswered questions and residual risks in the Clinical Evidence and designs Post Market Clinical Follow Up activities in collaboration with Clinical Research to address these questions.
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The Accounts Receivable Specialist is responsible for follow-up and timely and effectively managing requests from patients, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront edits and denials.
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Revenue cycle experience with transactions - retrospectively utilizing EMR as research tool, eligibility, reliability buckets - higher level insurance follow-up outside of calling payers (e.g. Look at claims coverage information and transaction history; Financial info within EMR system.
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Millennium Medical is seeking a highly competent, organized, experienced Medical Billing and Surgery Collections Specialist who will persistently follow up with insurance carriers and/or payers for correct claims processing and payments to reduce AR and maintain charge entry.
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Follow-up on Return to Provider (RTP) claims or rejected claims by the clearinghouse. These duties include, processing monthly skilled nursing facility claims for Medicare, Medicaid, Private payers and third-party insurances, posting insurance payments, working denials, and ensuring current A/R for assigned facilities is accurate.
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Proactively address rejections, denials, and returned claims, conducting comprehensive follow-up procedures to secure payments from Medicare/Medicaid and insurance providers.
$19 - $23 an hourExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Review injury/illness and non-injury incident investigation reports and follow-up as necessary. Responsible for Fleet Insurance cards, all insurance claims, renewal of registration and licenses.
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Provide claims handling and follow-up on general liability, auto, and workers' compensation claims. Understand the insurance policies, claims processing procedures, and reporting requirements.
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Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims.
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insurance claims follow up jobs
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