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5 years’ experience required, specifically overall revenue cycle management of a large (50-100+ providers) medical group practice with knowledge of the physician billing and insurance claim follow-up and denial management process preferred.
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The Clinical Application Specialist, Revenue Cycle/Scheduling is required to attend Epic training and complete the respective Epic certification in one of the following areas (Welcome & MyChart, Eligibility & Referrals, Benefits, Reimbursement, Charge Routing, Claims & Remittance) within 4-6 months of starting the role.
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The knowledge of medical claims typically acquired over one to two years of work experience in medical claims adjudication, contract interpretations, billing and coding, and medical terminology.
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This position is also responsible for managing the revenue billing and accounts receivable process for large utility-scale solar and wind plants, understanding contractual stipulations associated with “price” and “quantity” (as these inputs drive settlement activity), and managing documents and ensuring regulatory compliance with Sarbanes Oxley requirements.
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1 years of experience in claims processing, medical/ pharmacy precertification, appeals and grievances coordination or other applicable related work experience(Applies to All Levels.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Nautilus offers Medical, Dental, and Vision coverage options, along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices. Possess a working knowledge of all functional aspects of insurance company and third-party administrator (i.e. claims, underwriting, marketing, loss control, etc.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Transactional activities including accounts payable, accounts receivable (revenue recognition and billing), and payroll, general accounting, reconciliations, month-end close, and maintaining workpapers.
$120,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Their duties may include the utilization of computerized medical office software, administrative office procedures, health insurance processing billing and transcription of medical reports.
$14 - $17 an hourFull-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Have a deep understanding of healthcare billing practices, EDI standards, and claims processing workflows. Monitor EDI transaction activity, troubleshoot errors or discrepancies, and ensure timely and accurate claims processing.
$70,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Knowledge of claims processing, utilization review, case management, quality assurance, and risk management methodologies. Interfaces with TriWest functional areas, and claims processing subcontractors as needed on fraud, waste, and abuse cases.
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As an Order Entry Pharmacy Technician, you will play a crucial role in the accurate and efficient processing of prescription orders within our closed-door pharmacy. Resolve issues of denials identified through adjudication and follow-up claims in Point of Sales (POS.
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Basic qualifications for the role are: 1-2 years of Appeals and Grievance, 1 Year of medical claims processing experience (Must be with a healthcare plan, not on behalf of provider or provider's office), Medicaid insurance customer service or claims processing, knowledge/navigation skills for Microsoft programs in fast paced, production driven environment and dedication to attendance adherence.
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Nautilus Insurance Group is seeking a Vice President, Claims, to be located in their Scottsdale, AZ office. The Vice President, Claims, is an officer of the Company responsible for (1) the implementation of Company strategies, goals and philosophy specifically within the Claims Department and (2) contribution to the Company's total profitability through the management of the Department's financial results and the continued development of its leadership team.
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Require extensive interaction with hotel Director of Sales, Director of Catering, Director of Events (or Director of Catering & Events), and Director of Revenue Management. As a Manager of Group Space Optimization and Delphi , you are responsible for maximizing group revenue through optimization strategies including: understanding the total “health” of each group, effective meeting space management, increased forecast accuracy and application of historical data, business intelligence and analysis.
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An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
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revenue medical billing claims processing jobs Company: Surgery Partners in Phoenix, AZ
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