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Proven experience with high cost biologics and in-depth knowledge on issues related to billing, coding, appeals across physician types. The Field Reimbursement Manager (FRM) proactively provides education and support on product access programs for physicians and their staff.
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The FRM will need to coordinate cross functionally within Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, and Specialty Pharmacy Account Management. Your ability to clear the way, extrapolate intricate details, attend to complex situations and serve as a trusted go-between make you a perfect fit for a Field Reimbursement Manager role at Syneos Health.
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Assist e-billing appeals team, attorneys, and billing team to address invoice reductions and appeals for assigned invoice submissions. Knowledge of legal time and billing software (Aderant and BillBlast) is preferred.
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Responsible for all aspects of billing, timekeeper setup, and rate management using Elite Legal Billing System, Elite Design Gallery and various electronic billing packages. Handles Billing Manager end-of-month closeout procedures.
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The Reimbursement Specialist is responsible for managing outstanding worker's compensation claims by collecting payments, resolving billing issues, and minimizing the number of uncollectable accounts.
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Identifies and analyzes underpayments to identify reasons for discrepancies and process denials and appeals as needed. Conducts relevant research to complete appeals process to include assessing, complete and accurate documentation, tracking, responding to, and / or resolving appeals with third party payers in a timely manner.
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The Medical Billing / Collection Specialist is responsible for assisting patients by communicating with insurance payors via various methods (i.e. telephone, fax, internet) to determine eligible benefits and acquiring Pre-Certification(s) when deemed necessary by the insurance payor.
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Coordinates with Accounts Receivable/Collections Manager to promote timely processing of invoices, appeals, and collections thereof. Our precious law firm client is continuing to grow and looking to hire a Billing Manager to join their New Orleans location.
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O Required: Minimum of two years of Professional Billing with an emphasis in Managed Care denial follow up and appeals processing Prior hospital billing experience a plus. Identify any billing and/or coding trends resulting in denials and report to the Coding manager.
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The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. Document and initiate prior authorization process and claims appeals.
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The FRM is responsible for providing access and reimbursement education to HCP office personnel including medical policies, prior authorization requirements, coding and billing, product access via buy-bill or specialty pharmacy and site of care options and restrictions with the goal of minimizing barriers to therapy.
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Knowledge of CPT, ICD-10, HCPCS and billing practices. The successful RN candidate will review both inpatient and outpatient Medicare member appeals for benefits, medical necessity, coding accuracy and medical policy compliance.
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Requires knowledge of common revenue cycle accounts receivable terms, common business practices, and statute of limitations as it pertains to billing, appeals, payer requests, payments, retractions, and EOBs.
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Provides referrals to Case Management, Disease Management, Appeals and Grievance and Quality Departments as necessary. Knowledge of CPT-4, ICD-10, HCPCs, and provider billing practices. Provides referrals to Case Management, Disease Management, Appeals and Grievance and Quality Departments as necessary.
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Organize filed appeals for Billing Department. A legal services firm in New Jersey is looking to add a new Legal Assistant to their growing team. Organize filed appeals for Billing Department.
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billing appeals jobs in New Orleans, LA
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