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Under the supervision of the Insurance Billing Manager, this position is responsible for the timely and accurate billing and follow-up of unpaid Medicare inpatient and outpatient accounts.
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Contractual arrangements include but are not limited to Medicaid, Commercial, Medicare Advantage, Medicare Accountable Care Organization (ACO) Reach, ACO – Medicaid, Capitation and global shared savings/risk.
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ESSENTIAL RESPONSIBILITIES The billing department encompasses medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
$25 - $35 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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QCO has a high volume of Medicare members that need follow up after hospital discharges for medication reconciliation, chronic blood pressure outreach calls, osteoporosis programs and post-emergency visit follow up calls.
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Qualifications Must be organized, resourceful, self-motivated, and have good verbal and written communication skills Must be proficient in MS Word, Excel, Email, and healthcare-related EMRs Must know about Medicare, Medicaid, and private pay billing practices Must have a High School diploma or equivalent An A.A.S. degree in business, finance, bookkeeping, preferred Proficient in budgeting and financial management, a plus Benefits: Competitive salary, medical, dental, 401k plan, etc.
$23 - $25 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Confirm patients' eligibility for Medicaid, Medicare, commercial insurance, and managed care plans for various services, including primary care, behavioral health, and dental.
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Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty care providers.
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POSITION SUMMARY: Under the direction of the Manager of Revenue Cycle and the Director of Revenue Cycle the Supervisor of Commercial Billing and Reimbursement is responsible for planning, directing, coordinating operation and activities of the commercial payors billing and insurance follow up for SwedishAmerican Health System and related entities’ hospital and professional services.
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As a Community and Social Health Policy Director, you would serve as a subject matter expert with health plans, functional teams, and external partners to provide needed policy expertise and consultation on issues pertaining to Medicaid, Medicare, integration of Medicaid and Medicare, managed care, long term supports and services.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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Oversee urgent and primary care walk-ins and appointments of ages 2 and up as the sole provider. Understanding of medical coding and billing. We have an opening for a Medical Provider who delivers healthcare services to patients in a clinical setting, ensuring patients are treated with high standards of care.
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Participates in the MDS as directed by the MDS coordinator Completes required assessments in a timely manner including admissions, discharges, Medicare assessments and any follow-up notes.
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The RN Care Manager is responsible for providing assessments, planning, interventions and follow-up for patients and family members at Shriners Hospitals for Children (SHC) across the continuum of care.
$124,800 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Assist with follow-up regarding Employment authorizationAssist with scheduling employees for disciplinary hearingsAssist HR Compliance Coordinator to contact HHA’s for missing documents; entering data/updates for in-services, medical reports.
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follow up medical billing managed care medicare jobs Company: Elderwood in Amarillo, Texas
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