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This position is also responsible for confirming patient identity and uses Epic and on-line resources to ensure Medicare medical necessity. SummaryAs a first point of access for Lee Memorial Health System customers this position completes and assists with insurance verification, authorization, and financial screening to secure maximum reimbursement for the Health System.
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Related regulatory and legal requirements: Medicare Secondary Payer Questions; medical necessity; Medical Reviews and Appeals. Medicare, Medicaid, and other payer web portals, Craneware, Microsoft Office applications, and Experian claim source clearinghouse portal.
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Background in ICD9 and CPT coding and all insurance plan types (HMO, PPO, Managed Care, Medicare, Medicaid, and commercial insurances). Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance program and more.
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The Revenue Operations Specialist will be responsible for review and resolution of outstanding insurance balances on Commercial, Medicare and Medicaid accounts. Review and resolve outstanding insurance balances for Commercial, Medicare and Medicaid accounts.
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Updating patient information in computer when necessary Scheduling new patients, collecting insurance information, filling out proper forms to set up new patient files and preparing file labels Verifying medical insurance for all appointments (at least one day prior to service) and walk-in patients Maintaining inventory of new patient forms and office supplies required for front desk activities Monitoring patient wait time and ensuring physicians' on-time schedule.
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Develops and maintains working knowledge of current Medicare, Medicaid, insurance regulations, and FDA/DOT and JCAHO guidelines. Knowledge of Durable Medical Equipment (DME) or Home Medical Equipment (HME.
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Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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We offer: Competitive pay rates Free, quality, private housing Medical, Dental, Vision 401(k) and Flex Spending Life Insurance Accident and Short-term Disability Coverage Free Continuing Education Refer a friend and earn extra cash.
$1,711 - $1,886ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding. Job SummaryThe Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient Emergency Room discharged patient records.
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Candidate Qualifications: Must be a graduate of an accredited nursing school Possess a valid Licensed Practical Nurse (LPN) license in the state of New York Proficient in organizing and overseeing nursing unit activities Exceptional problem-solving and decision-making skills Demonstrated leadership capabilities Previous experience in homecare/skilled nursing facility is desirable but not mandatory Benefits: Comprehensive Medical, Dental, and Vision coverage.
$35 an hourPart-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.
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Under the Centers for Medicare and Medicaid Services (CMS) Federal Vaccination Mandate, all health care workers must be fully vaccinated against COVID-19 or have an approved medical or religious exemption from receiving the COVID-19 vaccination.
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Full medical, dental, vision, life, and even pet insurance to provide you with the coverage you need whenever you need it. - Home Health contracts with SHC require previous experience with OASIS/Medicare Certified Visits.
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ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services.
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Maintains knowledge of: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral, and a list of current accepted insurance plans.
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