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Must have a working knowledge of healthcare accounts receivable management concepts, including in-depth knowledge of the state reimbursement and regulatory environment to ensure compliance with state regulations regarding patient and insurance billing issues.
$86,444 - $127,504 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Follow up on aging accounts receivable; check status on claims and appeals. · Must have experience and knowledge of medical billing. · Answer incoming billing calls, check voicemails daily and respond accordingly and timely.
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We are seeking a diligent and detail-oriented Accounts Receivable Follow Up Representative to join our team. Identify and correct medical billing errors, understanding under or overpayments and credit balance processes.
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Preferred qualifications include 1+ years of experience in insurance collections, familiarity with denied claims and appeals processes, and basic knowledge of Worker's Comp and PIP. Initiate appeals when necessary and ensure accuracy in requesting information and providing supporting documentation.
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Proficiency in navigating individual payor websites, medical terminology, CPT codes, modifiers, and diagnosis codes is preferred. Utilize workflow systems, client host systems, and other available tools to collect payments and resolve accounts efficiently.
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In this role, you will be responsible for managing specific assignments related to collections, account follow-up, billing, and allowance posting. Demonstrate knowledge of timely filing deadlines for designated payers and perform research on payer-specific billing guidelines as needed.
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Basic proficiency in MS Office, particularly Excel, and experience with practice management systems such as EPIC PB, Centricity, Allscripts, or Cerner. Analyze, identify, and resolve issues causing payment delays from payers, proactively reducing denials.
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Adhere to HIPAA standards in the use, protection, and disclosure of patients' protected health information. Conduct follow-up with payers via various communication channels (phone, email, fax, websites) to ensure timely resolution of outstanding claims.
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The ideal candidate will exhibit professionalism, exceptional communication skills, and a commitment to maintaining high-quality standards. 1+ years' experience in insurance collections or related field preferred.
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Work independently from assigned work queues while maintaining confidentiality and a professional attitude. Adhere to established policies and procedures for the client/team, ensuring compliance at all times.
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Communicate any identified issues or trends to management for further action. Join us in making a positive impact on patient care and financial outcomes. Meet and maintain daily productivity and quality standards as per departmental policies.
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Assist with special A/R projects as assigned, demonstrating strong analytical skills and effective communication of results. Ability to work both independently and in a team environment, with strong organizational and communication skills.
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Detail-oriented with strong organizational skills. Act cooperatively and courteously with patients, visitors, co-workers, management, and clients at all times. If you are looking for a challenging yet rewarding opportunity in the healthcare industry and possess the required skills and qualifications, we encourage you to apply.
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Bachelor's degree preferred, or equivalent work experience. Strong communication skills, both oral and written. Salary: $ 20.00 21.00 Per Hour. Employment Type: Full-Time.
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Bachelor's degree preferred, or equivalent work experience. Strong communication skills, both oral and written. Salary: $ 20.00 21.00 Per Hour. Employment Type: Full-Time.
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medical billing accounts receivable appeals jobs
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