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Understanding medical coding, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. Experience and Competencies: 2+ years of billing experience (medical/insurance billing preferred) Knowledge of Medical Terminology, CPT, ICD-10 and HCPCS Codes.
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The Billing Specialist will follow up on unpaid claims which include all Non Medicare, Medicaid or BWC claims and rebill or appeal claims as indicated. Essential Duties & Responsibilities: Billing of claims through Electronic Vendor (Quadax) which requires keeping up to date with Payer requirements and/or edits.
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As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools.
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The Accounts Receivable Specialist is responsible for follow-up and timely and effectively managing requests from patients, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront edits and denials.
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Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary.
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Master our technology suite including but not limited to Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, in order to interact with team members and patients and complete daily work.
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1 - 2 years of medical billing or collections experience (combination of higher education and work history may be considered to satisfy this requirement). Previous experience with denials and follow up in primary care.
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Specialist is responsible for obtaining missing information, researching denials and documentation, and following up on claims. Interpret medical rules and policies including payor specific requirements such as with Medicaid and Medicare to ensure proper reimbursement.
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Provides assistance to AR Manager with overseeing follow-up efforts of team, along with training and education efforts. 5+ years experience in medical billing or healthcare accounts receivable experience; medical billing coursework may be substituted for prior experience.
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We are searching for a diligent Medical Claim Follow-Up Specialist to ensure the timely and accurate collection of medical claims. Job Title: Medical Claim Follow-Up Specialist.
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Conducts study visit activities and coordinates screening, consenting, and scheduling of test, exams, and/or non-medical/behavioral interventions and assessments involving study subjects; coordinates, facilitates, and performs various study activities; manages all follow-up activities with subjects based on protocols.
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Summary:A Billing Specialist will utilize the current Electronic Health Record (EHR) software to perform billing functions for both technical and professional services and will be responsible for timely follow-up of unpaid claims and appealing denied claims.
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The Account Specialist II, Insurance Follow-Up & Denials Management is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network.
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Job Summary - Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance.
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Responsible for all aspects of patient/client billing and collections, including but not limited to performing the billing function, ensuring timely payment, collections and follow up.
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follow up medical billing jobs Title: specialist in Amarillo, Texas
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