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Knowledge of reimbursement principles including pharmacy and medical benefit/buy & bill benefit design, coding, billing, prior authorization, and appeals processes. They will also foster compliant communications across multiple JJIM departments including Patient Access, Pharmacy Access, Medical, Market Access and Field Sales.
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Knowledge of CPT and ICD10 utilized in medical billing, or medical billing experience a plus, English usage, grammar and spelling; basic math. We have an exciting opportunity to join our team as a Billing Representative I.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Desired: Experience in physician/clinical billing or a minimum of 2 years of experience in billing/follow-up or insurance claims specialist roles; familiarity with medical terminology is beneficial.
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Under general direction of the General Manager, the Billing Coordinator assists with billing functions and insurance verification. Timely review EOB's and send/call in appeals to insurance companies for denied claims.
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5 years of experience working in medical billing or revenue cycle management, with a focus on Medicaid billing and reimbursement. High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Medical Billing and Coding, or related field preferred.
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Working under the guidance of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of outstanding account balances across various payors, including commercial, government, and managed care entities as assigned.
$25 - $28 an hourFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Accounts Receivable handles all secondary, tertiary, and patient billing and collection, and all payment appeals, as directed by management. URS Medical in collaboration with Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile.
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Cardio Options is seeking an experienced Medical Billing Specialist. The ideal candidate will have experience with insurance claims denials, appeals, expertise with deductibles, copays, eligibility verification and EOB processing.
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Works with insurance companies and/or provider relations representatives to file appeals, adjustments and ensure proper claims processing. Some prior experience in skilled nursing, home health, or outpatient therapy coding or billing is preferred.
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The Billing Support Clerk I assists in obtaining and submitting medical records and/or other forms and correspondence as needed for payors and healthcare providers. Myriad discovers and commercializes molecular diagnostic tests that: determine the risk of developing disease, accurately diagnose disease, assess the risk of disease progression, and guide treatment decisions across six major medical specialties where molecular diagnostics can significantly improve patient care and lower healthcare costs.
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Medical claims processing, appeals, billing, or coding experience. Join our appeals team to performs non-medical reviews and processes redetermination letters. CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers in 33 states, supporting the needs of more than 20 million Medicare beneficiaries nationwide.
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The Patient Access Specialist will support the healthcare providers in addressing questions regarding coding and billing and navigating complex reimbursement issues. Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan.
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DME, Prosthetic, Orthotic, Medical Supply and Home Health HCPCS coding & billing experience very helpful. 3 Years of Workers’ Compensation Bill Review Analyst experience, reviewing and auditing EOR’s, preparing appeals and addressing DME provider inquiries.
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Prior experience with Epic Resolute Professional Billing preferred. Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation.
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Research payer denials related to referral, pre-authorization, medical necessity, case management, non-covered services, and billing resulting in denials and delays in payment. Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as UW Health policies and procedures.
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