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The Medical Billing Specialist performs a variety of functions including but not limited to navigating billing software, accurate follow up of claims, communicating with insurance carriers, requesting retro authorizations, submitting timely appeals, reading EOB’s, performing individual benefit investigations, communicating insurance plan behaviors on claim processing to management, and other related functions.
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This position and is responsible for designing quality and control assurance reviews of claims, Hierarchical Condition Categories (HCC) and clinical coding, call monitoring, system technology upgrades, and other critical compliance/financial/operational controls and processes across the CCA enterprise, including all health plan and care delivery activities.
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LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.
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We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events. Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there.
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Property & casualty insurance industry experience preferred, specifically in claims. Knowledge of Property Casualty Insurance. Provide support to Product, Underwriting, Claims, and Finance teams, often during non-business hours.
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