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Minimum Requirements: 3+ years' insurance claims or medical billing experienceDiploma/Certification in medical Insurance Billing and Coding, in lieu of the years of experienceEpic, GECB, or Allscripts experience preferredDiversity and Inclusion at SentaraOur vision is that everyone brings the strengths that come with diversity to work with them every day.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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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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Responsibilities: Assist with the development of the Activities and Social Calendar that appeals to seniors with a wide range of personalities and interest. Outstanding personality with ability to motivate diverse personalities and talents Special event/group activity planning skills Excellent organizational and time management skills Computer Proficiency Excellent phone and written communication skills Benefits Health Care Plan (Medical, Dental & Vision) Retirement Plan (401k) PTO for full time positions Short & Long Term Disability Insurance Life Insurance Career Advancement Opportunities #LGV.
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Experience with ARIA/Varian Medical Systems preferred. This will involve providing quality control checks on paper claims; processing tracers, denials and related correspondence; initiating appeals; and drafting, composing, and submitting appeal letters.
$26.85 - $35.41 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Routes all PRC applications/notifications to Chief Medical Officer (CMO) for medical priority. Gathers information on sensitive PRC cases for eligibility, denials, appeals and submits to appropriate administrator.
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Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
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Programs cover multiple subject areas including billing disputes, fraud and abuse, pharmacy formulary review, development of average contract rate methodology and medical consulting. Appeal Officer / Health Care Attorney (Remote) Maximus Federal This position will support clinical consulting service programs across multiple state clients with long term relationships with Maximus - including the California Department of Managed Health Care and California Department of Health Care Services.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Lewis Brisbois’ Complex Business & Commercial Litigation Practice comprises attorneys who regularly handle state and federal litigation, including appeals and regulatory proceedings for local, national and international clients, as well as federal, state and local agencies.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Create and submit appeals and corrected claims packets, and other disputes, as necessary. The position requires well-rounded knowledge of the medical billing process including pre-submission review, claim submission and follow-up.
$20 - $25 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Also known as: Medical Billing, Reimbursement Specialist, Pharmacy Advocate, Pharmacy Insurance Tech, Pharmacy Technician, Pharmacy Financial counselor)Shift: Full Time. Shift:First Shift (United States of America)Medication Access Coordinator - Medical BillingHome Infusion (Reimbursement Specialist)Position Highlights:Nebraska Medicine is now taking applications for a talented individual to join us as an Experienced Medication Access Coordinator in our Retail/Specialty Pharmacy department and will focus on medical billing.
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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, status as a crime victim, disability, protected veteran status, or any other characteristic protected by law.
$120,000 - $150,000Full-timeRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Job Responsibilities:Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years. Scrub charges for submission and launch appeals via the Athena billing platform.
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If acting in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on appeals in accordance with our regulatory guidelines.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Unless expressly allowed by state or federal law or regulation must be in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base vessel or any embassy located in or outside of the US.Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Full-timeExpandApply NowActive JobUpdated 6 days ago
medical appeals jobs
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