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Provides customer service, billing, timely follow-up, cash application processes, reconciling payer remittance, denial management and appeal functions for claims to government or grant funded programs, worker's compensation, commercial insurance.
$19.23 - $25.96 an hourFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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In-depth knowledge of the False Claims Act. In-depth knowledge in one or more of the following payment methodologies: IPF, IRF, CAH, RHC, Home Health/Hospice, Infusion/Injection coding, IPPS, OPPS, MPFS, interventional radiology coding and/or Risk Adjustment.
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Work EOB/remittance advices on a daily basis to identify denials or short paid claims. Initiate billing on assigned claims in an expeditious manner, whether through hard copy claims or electronic format.
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The incumbent will assist the Billing and Claims Manager with effectively managing the BUGSDM Accounts Receivable, in particular items billed to MassHealth and other state Medicaid programs. This position is responsible to review and investigate denials from the Medicaid/MassHealth administrator(s), i.e. Dentaquest, resubmit claims, processing adjustments to accounts within system, including write-offs and billing to the patients, as appropriate.
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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.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required.
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Resolving insurance carrier denials, appealing claims, contacting carriers on open accounts andresponding to insurance carrier correspondence and/or inquiries. Compute adjustments based on EOB's remittance and insurance contracts.
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Advanced ability and knowledge of electronic claims processing, electronic remittance advice, electronic payment posting, and clearinghouse functions. Advanced ability and knowledge of electronic claims processing, electronic remittance advice, electronic payment posting, and clearinghouse functions.
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Supporting the Director of Network Optimization & Standardization at our Vipond location, this individual will this individual will manage Claims for SCI Transportation (TM and White Glove.) Complete and submit payment remittance to Corporate Finance.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Researches and processes Electronic Remittance Advice (ERA) for assigned payers and verifies contractual adjustments. Essential Functions: Prepares and submits claims and when necessary, files appeals for denied claims to various insurance companies electronically or by paper, both accurately and timely.
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Responsible for timely remittance of quarterly or semiannual real estate taxes for all escrow mortgage accounts. Assists members with processing all necessary paperwork associated with disability and credit life insurance claims and GAP insurance claims.
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Experience in healthcare claims processing and proficiency with medical billing and remittance forms and processes, including 835 and 837 files, and UB04 and CMS-1500 (HCFA) forms. The individual is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely manner.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Medical Billing Support Specialist is responsible for timely and accurate verification of medical insurance benefits prior visits, payment posting, follow up on unpaid primary and secondary claims, claim denials, underpaid and overpaid claims and collections in accordance with established guidelines.
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Posts cash receipts to patient accounts; reviews remittance advises to confirm that expected payment was received; and follows up with payer and re-bills claims not paid or incorrectly paid.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Epic Resolute Hospital Billing Claims and Remittance Administration Certification required. About this positionThe Application Administrator II IT EPIC Hospital Billing Claims Remittance is an application design and configuration analyst for vendor purchased and NMHC developed applications.
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