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Review the Medicare, Managed Care, Medicare Advantage and Medicaid UB, CHAMPS, WebDenis. When you join us as the Business Office Manager at The Laurels of Chagrin Falls, you’ll manage the day to day office functions, provide assistance to guests and families with billing and insurance questions.
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Performs and coordinates collection efforts with Nursing Home Administrator and Corporate Billing Office. Consistent tracking and follow through on all Medicaid Pending cases including constant communication with CAO and as well as involved families and residents until final approval is received.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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Versed in third-party payer, Medicaid, and Medicare billing and payment procedures. The Billing and Credentialing Coordinator is responsible for coordinating the credentialing process for agency providers.
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Manages, coordinates, and directs all aspects of medical offices for the medical clinic including all business office operations I.T., patient scheduling, records, billing, communications, personnel administration, material control, including OSHA, CLIA and other regulatory criteria, and all other related activities to meet practice objectives.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Understand/explain policies regarding services, pricing, insurance billing, and payment of account.
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Reviews claims that have been adjudicated by Medicare, Medicaid, and Commercial carriers for appropriate billing. Makes the necessary recommendations regarding billing and edit creation to reduce denials.
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Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients.
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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
$15.46 - $23.19 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
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HCA Healthcare Co-Founder. Referral services for child, elder and pet care, home and auto repair, event planning and more. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Demonstrated understanding of the application of healthcare finance and academic medicine and demonstrated competence in health care payment models, value-based care models, Centers for Medicare and Medicaid Services, medical billing, accounting, health systems organizational models is also required.
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JOB DESCRIPTION Your job is more than a jobBiller Associate is responsible for billing activities for Medicare, Medicaid, and all third-party payors as assigned. Documents billing activity on the patient account; ensures hospital compliance with all state and federal billing regulations and reports any suspected compliance issues to the Billing Manager and/or Supervisor.
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Verifying all new patient referral's insurance information (managed care, Commercial, Medicare, Medicaid, and other) and benefits to identify patient responsibility, authorization and coverage for Home Health and instantly communicate this information to the Intake team.
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Must understand Medicare Part B, Medicaid supplies, DME billing and government regulations. We also have a handful of other retail entities in the markets where the fit is right: Little Dukes, Ace Hardware, Country Floral Gifts & Greenhouse, Caribou Coffee, Dunn Bros Coffee, and Erbert and Gerbert's.
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medicaid billing jobs
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