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Manages appeals at the branch level including clinical documentation review, training, and guidance of clinical staff to ensure accurate reimbursement, regulatory compliance and the delivery of outcome-based, quality, cost effective care.
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Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
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The Biller's responsibilities include accurately billing patient accounts, ensuring timely claim submission and reimbursement from various third-party payers, ensuring proper account documentation in the billing and patient accounting system, and pursuing follow-up efforts on aged accounts under the supervision department leader.
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While our experts guide our clients to sustainable healing, our job is to support our valued staff members, and we do that through offering industry-competitive salaries, career growth and skills expansion, student loan repayment and tuition reimbursement, and a company commitment to diversity, equity, and inclusion, among other advantages.
$22.66 - $26.78 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Investigate all payer denials and take appropriate action including but not limited to appeals, corrected billing. Participates in quality assurance audits, audits, appeals and committees & projects as needed.
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Address appeals and review needed information for insurance denials to facilitate expedient resolution and reimbursement. This position is accountable for auditing information coded from provider documentation and patient medical records within the designated time frames in order to expedite the billing process ensure accurate reimbursement for services rendered and to promote compliance.
$31.19 - $43.68 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Facilitates record audits and process of care investigations, trends outcome data (satisfaction, utilization andclinical), develops and implements plans of action to ensure quality improvement, reimbursement and regulatory compliance.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement. Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
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As a Biller, you will be responsible for reviewing account files to ensure accuracy and completeness, and maximum reimbursement, and appeal denials. Minimum Requirements:Requires a H.S. diploma and a minimum of 2 years of experience in billing and appeals process including medical office experience; or any combination of education and experience, which would provide an equivalent background.
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This role includes all aspects of revenue cycle collections including denial management, appeals, and accounts receivable collections. As the Medical Insurance Collector you will be responsible for the timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure the reimbursement of claims from various insurance companies.
$25 - $30 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Initiate appeals corrected claims submissions or submit medical records in response to payer requests for information or claims denials. Education assistance, certification reimbursement, and student loan refinancing partnership programs are available.
Up to $24 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The position exercises discretion and independent judgment to respond to complex inquire about MSO provider network policies, contracts, reimbursement rates, managed care policies changes, referrals, credentialing, provider appeals and member grievances, etc.
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Effectively and timely identifies the root cause of non-payment denials and works with the insurance company, the patient and allied healthcare support staff to find resolution to claim denials, making all necessary claim and account corrections to ensure the full reimbursement of services rendered.
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Job Summary:The role of the Coding and Reimbursement Lead is to review billing issues and charge corrections for accuracy and adherence to billing and coding guidelines and for edit opportunities.
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Ogletree Deakins offers a robust suite of benefits for our Staff including: Paid Time Off, Paid Sick Leave, a 401(k) matching program, Profit Sharing, Paid Holidays, Paid Parental Leave, affordable Health and Life Insurance including Dental & Vision coverage, Health Savings Account /Flexible Spending Accounts to help offset the cost of dependent care and/or health care expenses, Teladoc (24/7 access to a doctor by phone or online video), Tuition Reimbursement and an Employee Assistance Program.
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