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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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Communicate when needed to Primary Care Physician, Insurance companies, and Case Manager/Adjustors when authorization is needed for patient. Major areas of the Front Desk Representative include benefit verification and authorization, patient financial responsibility collection, Therapy chart maintenance, patient scheduling, financial end of day collection reconciliation, and patient follow up on all Business Office related functions regarding Therapy Visits.
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Position Overview: Reporting to the Client Operations Manager, the Revenue Cycle Specialist - Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review.
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Insurance verification and eligibility. Counseling patients and families on insurance and payment issues prior to surgery. Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system in an accurate and timely manner.
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Review & work incoming insurance and patient correspondence including refund requests. Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
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Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Verify insurance benefits and determine pre-certification/authorization status via online or other resources. Verify all insurance and obtain pre-certification/authorization. Understand/explain policies regarding services, pricing, insurance billing, and payment of account.
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Satisfactory background check, fingerprinting and securities registration and/or insurance licensing verification, if applicable. Obtain state insurance licenses (life, health & variable contracts) and Series 7 and 66; Series 7, 65 and 63; or Series 6 and 63 registrations.
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Understanding of revenue cycle (Registration, Insurance Verification, Coding, Billing) The registration representative will professionally interview and register; verify demographics, interpret and explain insurance benefits with confidence.
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Ability to read and interpret insurance explanations of benefits and managed care contracts. Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents.
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The Specialist/Documentation Auditor will physically be located at the Central Fabrication Center in Tampa, FL but will perform insurance verification for assigned hospitals located throughout the U.S.
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Update or add insurance information and/or patient demographic information and request rebill. 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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Demonstrates knowledge of insurance for proper classification and coding. ·Obtains / scans clear copies of insurance card(s) and/or payor information using various resources such as Internet, fax, telephone, etc.
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The role is primarily responsible for processing eligibility and insurance verification, via web and telephone process. Basic computer proficiencyStrong team playerExperience with medical referrals/insurance/back ground in insurance verification and obtaining authorizationsKnowledge of Managed Care preferredWe are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status.
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Exceptional Support: Work with our dedicated operations team regarding securing your caseload, credentialing, insurance verification, billing and reimbursement, and IT support. Comprehensive Benefits Package: We offer our full-time therapists medical, dental, vision coverages, and FSA; company-paid life insurance; generous PTO (increased for 2024); and a 401K plan with a company match.
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insurance verification jobs in Tampa, FL
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