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Billing Specialist and Admissions. Job Summary: Responsible for working collaboratively with the Clinical Director, Admissions Director, and UR/Billing/IT Lead to assist with conducting precertification and concurrent reviews with insurance organizations, managing insurance billing, compiling monthly reports, completing state billing (TnWits), and auditing client electronic and paper records.
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The billing specialist serves as a point of contact for benefits-related inquiries, facilitating communication between the employer, employees, HR contacts, TPAs, and insurance carriers.
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Provider Network Specialist - Medical Billing/Coding Experience. The ideal candidate should also be familiar with provider contracting, provider relations, provider billing, coding and appeals.
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Provide thorough data analysis of all A/R behavior, with particular attention to billing, collections/follow/up, denials management, credit balance reconciliation to identify payer trends & patterns.
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Preferred Salesforce certifications: Billing Specialist Superbadge, Advanced Billing Specialist Superbadge, Sales Cloud Consultant, Service Cloud Consultant, Experience Cloud Consultant, Platform App Builder, MuleSoft Certified Developer.
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Also known as: Medical Billing, Reimbursement Specialist, Pharmacy Advocate, Pharmacy Insurance Tech, Pharmacy Technician, Pharmacy Financial counselor) Nebraska Medicine is now taking applications for a talented individual to join us as an Experienced Medication Access Coordinator in our Retail/Specialty Pharmacy department and will focus on medical billing.
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The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting.
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The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services.
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About the job Utilization Review Specialist About UsCongress Billing is a sophisticated Billing Management Company that strongly believes in the best interest of their clients. RequirementsTo be considered for the Utilization Review Specialist position, you will need:Master's degree from an accredited college or university in social work, mental health, nursing, or related degree Required.
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Hospital Billing Compliance Auditor Hybrid Full-time. Five years of experience in clinical setting analyzing data and performing reviews such as utilization management , quality assurance, charge capture, coding, billing and medical necessity to facilitate correct claims submission to federal and state payers required.
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The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR procedures, BWFH OR procedures, FXB OR procedures and BWH/BWFH Endoscopy Suite procedures in accordance with standards established by the Department, Hospital, Medical Staff, and outside regulatory and accreditation agencies.
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The Prior Authorization Specialist maintains a high level ofunderstanding of insurance companies and billing authorizationrequirements. Schedule Weekly Hours:40 Gundersen Health System is lookingto add a Prior Authorization Specialist to our team.
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Indirectly reports to Assistant Program Director, RAP Billing and Data Specialist, QC Specialist/Trainer, Division Director and Program Director. The Rental Assistance Program Project Based Voucher (PBVs) Specialist is responsible for assurance and enforcement of regulations of the PBV programs which includes overseeing and conducting day to day operations of in accordance to the Housing and Urban Development (HUD) and Department of Housing and Community Development (DHCD) policies and procedures.
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The Billing and Coding Specialist II will review claims data to ensure the assigned procedural and diagnosis codes meet required legal and insurance rules. DUTIESValidates charges and documentation to ensure billing codes are accurate prior to claims submission.
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The Senior Care Coordination Specialist works as the Licensed Social Work/ Licensed Associate Counselor Mental Health Clinician and contributes to the success of the program by managing the daily workflow to achieve high quality care management delivery and positive clinical outcomes, while meeting the administrative and contractual performance targets, documentation standards and billing requirements of the grant program(s.
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billing specialist jobs Title: specialist Company: Careerbuilder Us
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