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Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy. The Accounts Receivable Associate II is responsible for processing insurance claims and billing.
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Benefits Include: PPO medical with dependent option at low cost401k after 90 days with employer contributionLife insurance at no cost and more! Penn Tank Lines is looking for an experienced Diesel Mechanic for its Atlanta, GA location.
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Ability to analyze, identify and trend claims issues to proactively reduce denials. Basic functioning knowledge of individual payor websites, including, but not limited to, Navinet, Availity and the respective Blue Cross Blue Shield, Medicare and Medicaid sites depending upon the state/s in which the client is located.
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The specialist may also escalate authorization requests in order to facilitate peer to peer discussions between the payor and provider or notify the provider’s office of denials. Must have 5 years plus Pre-Authorization Experience.
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Ability to develop and produce coherent and comprehensive written responses to reservation of rights letters and coverage denials. Insurance Adjuster's License and licensed in accordance with local requirements.
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A minimum of one year experience in a fast-paced dental office with HMO and PPO insurance. Sage Dental is seeking a Patient Coordinator to join our team in North Druid Hills, GA! Sage Dental is the leading Dental Support Organization (DSO) in the Southeast, and we are continuing to grow.
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Medical (HSA and PPO options), Dental and Vision insurance. As a Field Service Technician operating out of our Atlanta, GA branch you will be responsible for traveling to customer facilities and performing preventative maintenance, troubleshooting, and repairing forklifts, aerial lifts, and other powered material handling equipment.
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Knowledge of insurance plans (HMO/PPO), is a plus. The Ideal Candidate we hire should have a minimum of 1 - 2 years' experience working in a dental office, checking in/out, presenting dental treatment plans; knowledge of various dental insurance plans; and exceptional customer service skills.
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Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred. Maintains knowledge of departmental applications i.e. Point n' Click, General Patient Registration (GPR), credit card devices, and other systems utilized by Patient Services.
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Working knowledge of insurances and general reimbursement types: PPO, HMO, Indemnity, Medicare, Medicaid, Workers Compensation. Responsible for resolving and/or appealing denials and rejections.
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Knowledgeable of payor denials, reason codes, polices and guidelines. Knowledgeable in CPT AND ICD-10 assignments. Familiar with working with Electronic Medical Records and Clearing House claim rejections.
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Health Care (Medical, Vision, Dental) - Blue Shield PPO or HMO Medical Insurance. We’re looking for a Junior Software Developer who can help with developing scripts and tools to support our digital advertising, product, and supply chain teams.
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General knowledge of HMO/PPO contracts and credit balances 3. Demonstrated knowledge of ten (10) key calculators, and personal computers and computer spreadsheet programs. Prior experience interpreting UBO4 billing documents, EOB remittances against managed care contracts, and adjustment processing.
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Benefit offerings include paid holidays, generous PTO, Premium subsidized United Healthcare PPO (medical, dental, and vision), term life insurance, short-term disability insurance, and a matching 401K plan.
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We are proud to offer five diverse health plan options as well as a PPO dental plan through Blue Cross Blue Shield, Term Life/AD&D Insurance, and a 401(k) Savings Plan. Solving IT covers a portion of the health and dental premiums for our employees.
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ppo denials jobs in Atlanta, GA
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