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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Assists RCM in billing issues as it relates to Medicare and Medicaid provider numbers. Experience in provider enrollment and Medicaid programs. Responsible and leads key projects related to licensing/Medicare/Medicaid processes, adverse sanctions, and disclosures of ownership related to applications.
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Collaborate with Client Success Team and Sales Operations to set up customers in the Intacct ERP system to ensure timely and accurate billing and revenue recognition. Own the customer billing operations from order to cash collections, ensuring timely and accurate invoicing within the Intacct ERP system and coordinating with the Operations group to optimize process and resolve discrepancies.
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Review healthcare policy (Medicaid manuals, fee schedules, CCI, OIG Alerts, LCAs/LCDs, NCDs, Medicare manuals, etc.) If you describe yourself as a healthcare coding and billing policy geek who is passionate about payment accuracy and integrity, then this is the dream job you've been looking for.
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Coordinates subpoena process between court system, Child Protection Center, and Legal department and facilitates billing process for expert testimony in court cases (clinic setting/Center for Safe and Healthy Children.
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An understanding of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare setting or an RCM focused HIT company.
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3+ years of State Government experience with Health and Human Services and have a strong level of domain expertise in Medicaid and MMIS (Medicaid Management Information System) initiatives, specifically Provider Enrollment.
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Complete required documentation including IEPs, progress reports, and Medicaid billing. As a Remote Speech-Language Pathologist with TeleTeachers, you will have the unique opportunity to enjoy the benefits of remote work.
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Experience with Georgia Medicaid primary and secondary billing; including electronic, direct data entry, and hardcopy submission. The role of the Accounts Receivable Reimbursement Specialist includes third party billing and follow-up procedures, with core responsibilities in payer-specific A/R analysis, advanced billing special projects, and denials research and resolution.
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Billing Office - Medicare/Medicaid Billing. Maintains a current working knowledge of all changes in billing guidelines and regulations for Medicare, Medicaid and Champus.
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Medical billing experience, working with denials for Medicaid, Medicare and/or third-party payers. The Northeast Health District seeks a Medical Insurance Billing Specialist to assist with the billing process.
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Previous billing experience of at least one year working with Medicare, Medicaid, HMO's and Commercial Insurance a plus. Input billing information using the Patient Care Network System, serve as the liaison between the client and medical support staff.
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Receives and greets clients/visitors, answer telephones, collects and inputs client’s demographics and financial information, including insurance cards, billing authorization, signatures, consent forms and income verification.
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Experience working with medical payers including Medicaid, CMO’s and Commercial insurance. The Billing and Collections Specialist must be customer service oriented, detailed in performing their job functions in accounts receivables with insurance companies and self-pays, and possess the ability to manage multiple tasks daily.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Knowledge of the 21st Century CURES Act and corresponding EVV requirements, Medicaid revenue cycle, and Medicaid billing rules. Knowledge of the 21st Century CURES Act and corresponding EVV requirements, Medicaid revenue cycle, and Medicaid billing rules.
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billing medicaid jobs in Atlanta, GA
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