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Working knowledge of Medicare/Medical billing/coding processes and understanding of Medical and Research billing and coding utilizing CPT, ICD-10 and HCPCS. Performs periodic aging reports and follows up to address payment processing delays.
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Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Acute Interventional Radiology services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Detailed knowledge of CPT-4, HCPCS, revenue codes and ICD-10 CM.Completion of regulatory/mandatory certifications and skills validation competencies preferred. The scope of responsibility will be resolution of all open claim payment variances (overpayments and underpayments) for 20 insurance payors loaded into Experian.
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CPT and ICD-10 coding. Checks CenCal website weekly to follow up on denials and correct claims in order to ensure payment. Under the supervision of the Billing Manager, the Billing Specialist is responsible for collecting and posting payments, correcting and submitting claims, scrubbing and completing billing batches on a daily basis, responding to billing inquiries from patients, and maintaining effective communication about billing-related matters with clinic staff, billing manager, and the clinic.
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Maintains fee schedule as well as CPT, ICD-10 CM, adjustment, payment, and payor files in the computer system. Proven knowledge of Rev, CPT, and ICD-10 CM coding (medical, dental, SUD, MH preferred.
$90,230.4 a yearExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, ICD-10 and CPT codes. Review medical insurance claims for resolution and to obtain appropriate payment thru outlined processes.
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Knowledgeable in all medical Commercial and Government insurance plans Knowledge of medical terminology, CPT codes, ICD-10 codes and procedures, technical job knowledge, and Third-Party payer requirements and reimbursement rules.
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Skills:Payment posting, Collection, Medical collections, Medical, Payment poster, Data entry, Customer service, Medical billing, Call center, medicaid, Collection calls, Revenue cycle, outpatient, Outbound calls, Accounts receivable, Cash postings, Collections customer service, 50 wpm, Medical insurance, Insurance follow up, Icd-10, Medical terminologyExperience Level:Intermediate Level About TEKsystems: We're partners in transformation.
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Required Qualifications:Minimum four years of experience data mining, trending and auditing claims with accuracy expectations metMust present with strong computer skills – specifically within Microsoft Access and ExcelMust have a thorough understanding of Hospital Revenue Cycle and an understanding and knowledge of medical terminology, claims billing, and inpatient and outpatient coding (e.g., MSDRG, ICD-10 diagnosis and procedure codes, CPT, HCPCS, etc.
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Working experience with denial management, appeals and ICD-10 is required. Assist with payment posting and refunds. Performs follow-up activities in a timely manner on all accounts to ensure prompt payment.
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Responsible for the provider end-of-day claim closure reconciliation procedures including screening of the charge capture system (ICD-10) diagnosis code and provider charge entry), claim creation, encounter closure and registration and front end claim edits for provider billing.
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All claims will be coded with CPT and ICD-10 codes according to the findings in the medical record. Knowledge of billing operations, including charges, coding, payment, insurance claims and appeals.
$19 - $22 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Knowledge of CPT, HCPCS, ICD-10 and revenue codes. Evaluate HealthSuite error screen and base payment determination using AAH claims processing guidelines. Under the direct supervision of the Claims Processing Supervisor and the general direction of the Manager, Claims Production, this position is responsible for the accurate review, entry and processing of all claims received for payment by AAH.
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Verifies physician orders are accurate, determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. Knowledge of CPT, HCPCS, and ICD-10 codes, preferred. The Financial Counselor is responsible for supporting Sheridan Memorial Hospital’s Revenue Cycle Team through providing accurate and compassionate counseling to the patient regarding insurance benefits, recommends alternative sources of payment, finding drug replacement programs, tracking payment of claims, and pre-authorization of services performed within the hospital and clinics per payor guidelines, in a timely manner.
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Knowledge of existing claims and coding systems such as CPT, HCPCS, and ICD-10. Provide subject-matter knowledge on Medicare, Medicaid and private commercial coverage, coding and payment policy and other market access-related issues impacting healthcare sectors including diagnostic laboratories, medical devices, pharmaceuticals and biologicals.
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