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This role is responsible for providing Middle Office operations and systems knowledge to ensure the successful execution of Middle Office daily workflows such as new client accounts, trade support, cashiering, client accounting, reporting and billing.
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PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service.
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Act as functional SME for all Unanet modules, such as: accounts payable, accounts receivable, general ledger, project setup, cost revenue, billing, employee, labor, payroll, compensation, personnel, cost pools, fixed assets, procurement, etc.
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Summary: This position is responsible for reviewing provider charges and insurance, making corrections as needed, adding modifiers, and processing provider charges from the Holding Tank, tasking providers with clarifying questions or notification of un-submitted charges, manual entry of hospital and nursing home charges, and providing support to the billing company as needed with A/R follow-up.
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To provide service for our customers, assist with billing and A/R duties, maintain story inventory and receiving, data entry, assist with daily operation of Horizon Health. Assist with billing procedures, which includes processing insurance claims electronically and manually.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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Respond in precise, comprehensive and timely manner to beneficiary, provider, and Government inquiries regarding eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care, Defense Health Agency/TRICARE Health Plan policy, and other TRICARE topics.
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Medical Billing and Coding Instructor Faculty Part-Time Application Pool. This is a part-time faculty pool for available assignments during the academic year, primarily in the Medical Billing and Coding program.
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Morgan, Lewis & Bockius LLP, one of the world's leading global law firms with offices in strategic hubs of commerce, law, and government across North America, Asia, Europe, and the Middle East, is seeking to hire a Billing Coordinator.
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The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews.
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SQL server database and programming skills in ASP.NET, C#, Java, Python, REST API, SSIS, Web Services, JSON, LINQ, HTML5, CSS, jQuery, ORM, Angular and Visual Studio. HCA Healthcare Co-Founder. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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Detects potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review. Conducts both preliminary assessments of FWA allegations, and end to end full investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and communications development, and recommendations and preparation of overpayment identifications and closure of investigative cases.
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Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.
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Perform DME billing for Medicare, Medicaid, Tricare, and other private insurances. Responsible for all billing and collection functions for Ballad Health Medical Equipment Services/Mediserve to include charge entry, payments, and A/R management.
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Understand/explain policies regarding services, pricing, insurance billing, and payment of account. If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call.
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billing job Title: specialist Company: Medix
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