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Knowledge of UB-04, itemized bills, insurance plans (i.e. Commercial Medicare, Medicaid, HMO, PPO, etc) grievance procedures and utilization management processes required. Maintains current knowledge of utilization review process, including denials and concurrent reviews.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Follow up on outstanding insurance claims, appeals, and denials. BCBS High Deductible & PPO Medical insurance Options. Problem-solving skills to navigate insurance claim discrepancies and denials.
$16 - $20 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid. Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Appeals and denials management. The Medical Collections Specialist will be tasked with following up with insurance rendered regarding denials and rejections. The Medical Collections Specialist must be well versed with Medi-Cal, HMO, PPO and Government insurance.
$21.85 - $26.3 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Person MUST come with 1 year of experience and knowledge in Veteran Affairs, Worker Compensation, Medicaid, Medicare Advantage, PPO and Prior Authorization Appeals are all a MUST. Person will be doing Verification of Benefits in the Appeals process for prior authorization/denials/exceptions, etc.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Works with Utilization Review (UR) to coordinate PPO, Medicaid, Medicare and Insurance information to prevent denials and delays in reimbursement for services. Creating a positive customer service environment, the Registrar assists with insurance verification, collections of identified amounts due and pre-certification through collaboration with Case Management and other departments to ensure comprehensive processing and continuum of care.
ExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Payment posting, Health care, cash postings, payment poster, HMO, PPO, ERA, EOB, health insurance, reconciliation, health insurance claims, revenue cycle. Accurately post payments, adjustments, and denials in the billing system.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Familiar with Medicare, Medicaid, PPO, HMO and Third Party payer billing guidelines. Ability to comprehend EOB's, work denials and knowledge of appeals process. They must be able to explain the process of posting payments, manual and electronic, corrected claims, EOB'S, primary and secondary payments.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Knowledge of common insurance plans i.e., HMO, PPO, Capitation, Medicare and Medi-cal. Research denials and requests/inquiries from insurance payers. Knowledge of current CPT-4 and ICD-10 coding.
TemporaryExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Experience with Dentrix preferred and all insurance, specifically PPO and some medicaid. Follow up on claims and denials. Posting payments, leading the insurance division of the front office, quoting procedures and treatments plans.
Full-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Reviews accounts for possible assignment makes recommendation to Billing Supervisor and prepares information for collection agency. Assigns uncollectible accounts to collection agency or attorney via clinic Credit and Collection policy.
ExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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As a Reimbursement Specialist, you will assist patients with understanding their insurance benefits including denials and reimbursements. Knowledge of insurance guidelines including HMO/PPO, Commercial Medicare, Medicare Advantage, TN Care's, Medicaid.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Reviews remittance codes from EOB-s & R/s to ensure payment or to identify denials or non-payment. Responsible for the collection of outstanding balances from all Commercial HMO PPO Medi-Cal & Managed Care payors professional claims.
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Works closely with payer provider relations representatives Contacting insurance companies by email and/or phone to collect payments Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker's Com., self-pay and third-party reimbursement issues.
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Meeting and maintaining cash collection metrics and goals Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures This is a fast-paced environment, which requires attention to detail, accountability, teamwork, and professional behavior and a focus that extends to patients, clients and other departments.
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