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An understanding of Managed Care, Medicaid, and Charity Care guidelines and regulations preferred. Confirms required insurance precertification, authorization and documentation is obtained for billing and medical record processing.
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Knowledge of Microsoft applications requiredFor Children’s Services: Prior experience in working with children and adolescents, preferably in a mental health setting requiredFor Adult Services: Prior experience working in a community behavioral health care setting requiredExperience with EMR systems preferredKnowledge of city and state agency and/or managed care functioning preferred.
$77,200 - $96,500 a yearExpandUpdated 5 days ago - UpvoteDownvoteShare Job
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Support of a professional management team including HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. World-class fully electronic practice management system including EMR (EMA by Modernizing Medicine, Reminder and recall, billing, e-registration, and online patient processing.
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Completes all requested forms, documentation and other reporting requirements in a timely manner and in accordance with Department of Children and Family (DCF), managed care, probate court, JCAHO and other standards with which program must comply, as evidenced by chart reviews and supervisor observation.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Three years or more experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines. Certificate or Associates degree in medical billing and coding.
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Experience with managed care procedures including PPO network operations, coding and compliance, provider billing/registration/authorization procedures, reimbursement methodologies, claims processing, and revenue management required.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Under supervision of Director or Managed Care Contracting, works directly with Payors to negotiate contractual provisions and rates on behalf of HFHS Hospitals, Medical Group, Behavioral Health Services and other business units.
Full-timeRemoteExpandUpdated 10 days ago - UpvoteDownvoteShare Job
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Advise district finance and program personnel regarding Medicaid fiscal requirements and policies or process that impact district Medicaid reimbursements (i.e., third party liability, Rehabilitative Behavioral Health Services (RBHS) cost reporting, timely claims submissions, managed care, rate setting, and contractual budget monitoring) and provide training (i.e., Finance Boot Camp, RBHS, Cost Reporting, Medicaid Principles, & etc.
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Requires knowledge of all aspects of hospital billing and profession claims, including Medicare, AHCCCS, commercial, managed care, work comp and self pay billing guidelines.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Strong knowledge of Medicare, Medicaid, Managed Care and Commercial Plans Strong reconciliation and analytical abilities as it relates to medical billing, collections and payment posting Intermediate Excel experience Basic knowledge of clinical terminology, ICD-10, and CPT codes Ability to read and understand different Explanation of Benefits.
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Knowledge of: state and federal government funding programs such as Medicare, Medi-Cal, CCS, and Workers' Compensation; commercial insurance payers such as indemnity, PPO, Managed Care, and HMO plans; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical and insurance terminology; HIPAA privacy and compliance practices.
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Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) Medicare/Medicaid participation; (5) Billing and collection of professional fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is responsible for resolving managed care denied and underpaid claims timely.
$65,000 - $68,900 a yearFull-timeExpandUpdated 5 days ago - UpvoteDownvoteShare Job
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Customer Service experience, both in person and telephone; Must be bondable; Ability to understand hospital bills, insurance plans, medical records, managed care contracts and the Chargemaster.
Full-timeExpandUpdated 8 days ago - UpvoteDownvoteShare Job
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We are looking for a motivated performer to join our Business Office team as a Collections Specialist, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.
Part-timeExpandApply NowActive JobUpdated 4 days ago
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