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This position requires clear and concise written and oral communication with payors, providers, and billing staff to ensure resolution of denials. Title: RCM Specialty Follow Up Specialist – Workers CompDepartment: Central Business OfficeLocation: Security Park – B27 | On-siteThe RCM Specialty Follow Up Specialist for Workers Comp ensures accurate and timely submission of insurance claims, obtaining missing information, researching denials and documentation, following up on claims, and maintaining compliance with department standards, HIPAA, and governing agency policies and procedures.
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2 year minimum experience in medical billing and/or claims accounts receivable. Research/rectify third party denials/edits, requests for information and other related correspondence. Learn different claim platforms within eviCore and also client claims platforms when necessary.
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Experience using eClinicalWorks (eCW) billing system preferred. Medical billing and collections in a physician office setting preferred. Timely and accurate filing and billing of all patient transactions (billing, invoices, and insurance claims, etc.
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Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials.
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Identify and communicate reimbursement and billing system problems to the Medical Collections Manager. Resolve insurance claim denials and no-response claims in a timely and efficient manner.
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Ensure revenue integrity functions, including charge capture, denials management, unbilled claims, and maintenance of chargemaster. This leader will perform audits and reviews of departmental charge capture and reconciliation, denials management for all campuses, daily reporting and coordinated work on unbilled/DNFB, departmental education on the aforementioned functions, and the identification and implementation of process improvement opportunities, in collaboration with Revenue Cycle and hospital and clinic operations, in order to enhance revenue potential and compliance.
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The Cash Application Specialist is responsible for manually reviewing all remittances from patients and payors as well as posting payments, adjustments, and denials from insurance companies, patients, and government agencies.
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Has the ability to enter charges efficiently and accurately as well as determine where the issues are and come up with proactive solutions to avoid the denials in the future. Wants to be part of a team and takes pride in working as a group to achieve the goals set forth by the office and learn other areas of billing as needed including AR and claims followup.
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Provide subject matter expertise regarding specific payors to revenue cycle associates and others throughout the CBO in accounts receivable follow-up, billing, denials and/or underpayments.
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2 years combined experience CBO in Billing, Cash Collections, Denials, Disputes, Follow-up, and/or appeals. Able to navigate through nThrive and Availity (preferred) 2 years combined experience CBO in Billing, Cash Collections, Denials, Disputes, Follow-up, and/or appeals.
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Manage daily work queues of credit balances for both onshore & offshore teams. Recommend an adjustment when applicable or recommend a refund of the overpayments to the insurance carrier or patient, providing the appropriate documentation.
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In addition to coding and billing tasks, this role involves proactive follow-up on outstanding claims. The Hospital Biller monitors and addresses claim denials, engaging in effective communication with insurance companies to resolve issues and secure timely payments.
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Evaluates payments/denials received for correctness and ensures they are applied accordingly. Verifies billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted.
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Work with clearinghouse and billing partners to investigate and resolve claim denials by analyzing reasons for denial and taking corrective actions while creating and implementing strategies to enhance revenue cycle efficiency and reduce claim rejections.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Collections Specialist is responsible for handling billing issues and making outbound collection calls to resolve patient accounts. Manage multiple work queues for follow-up and denials by engaging payor websites and initiate calls to ensure prompt payment of medical claims.
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billing denials jobs in Dallas, TX
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