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Professional Biller, Medical Reimbursement Specialist or Billing & Coding Specialist Certification. Review and processing of claims aging and denials as assigned to include claim tracers, corrected claim submissions, appeals, and consistent revenue flow.
$23 - $28.75 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Examine payer policies, minimizing patient denials, maximizing reimbursement compensation, and producing cost reports. Demonstrated knowledge of insurance billing relating to patient reimbursement.
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Resolves all denials, and requests for information, including appeals. Baylor College of Medicine's Patient Business Services Team is seeking a candidate who has a strong understanding of AR follow-up to assist the AR follow up team with payment reimbursement.
$40,862 - $46,984 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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100% Tuition Reimbursement Program :We invest in your education for career advancement opportunities, including the path to becoming a BCBA. This position will focus primarily on reviewing and assessing Medicaid denials or returned claims.
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Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts. Problem-solving skills to research and resolve discrepancies, denials, appeals.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Reimbursement Specialist primarily responsible is to interface with Patients, HCPs and Payers by providing reimbursement support for activities related to benefit coverage, prior authorization, appeal denials, triage to specialty pharmacy and general inquiry.
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Review carrier denials and/or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately. As an Account Rep II on the Experian Team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in the areas of claims submission and/or account follow-up.
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Retrospectively analyzes accounts with payment variances or denials to ensure proper contractual payments amounts and accurate SDK prorations in an effort to achieve department recovery goals. Patient Account Analysts are also responsible for determining if additional reimbursement is due and uses an optimal combination of rebilling, collections and required payment follow up activities to resolve outstanding balances of disputed contract accounts.
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The Reimbursement Specialist is responsible for billing, collections, payment posting, appeals, data entry, phone calls, inquires , and other functions as assigned. Contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals, and negotiations.
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The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. The Reimbursement Specialist arranges refills, transfers, and delivery of medications.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Understands clinical operational workflows in relationship to technical build to identify inconsistencies or improvement opportunities that could impact reimbursement, revenue integrity, and/or reduce denials.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Support patient access assistance from prescriber decision through to fulfillment, supporting the entire Reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
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Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Revenue Cycle Manager is responsible for the implementation, execution, and completion of all day-to-day Revenue Cycle functions, while ensuring workflows remain aligned with strategy, commitments, and goals of PPMW. The Revenue Cycle Manager will lead or direct the work of Reimbursement Specialists and Insurance Benefit Verification specialists to improve billing processes, minimize denials, and ensure timely and correct posting and follow up.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Stay abreast of changes in healthcare regulations, reimbursement polices and industry standards related to revenue cycle management. Part of this positions responsibilities will also be the creation and management of recurring clients monthly reporting of transactions, denials, and collections.
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