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Read and interpret contract intent of managed care payor contracts, have knowledge of hospital or physician group billing and collection operations and industry regulations related to managed care contracting, claims processes, medical management processes, medical terminology, and medical coding.
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Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance, Medicare Part B & D, Fee for Service Medicaid, Managed Medicaid) Additional responsibilities include KOL development, Advisory Board leadership, Ambulatory Infusion Suite strategy, Patient Advocacy partnerships, Professional Medical Society partnerships, Field Force alignment, Market Access coordination, Incentive Plan implementation, personnel development, general leadership and sales deployment.
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Excellent Medical Facility looking to add Coder II Reimbursement Workers to their team. Epic Claims, Epic HIM, Epic Resolute Hospital Billing,Epic Resolute Professional Billing, ICD10 6.
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Aside from supporting a great mission, you will enjoy great benefits including retirement (matched); medical, dental and life insurance; HSA option; flexible spending account; education reimbursement, flexible work schedule, awesome time-off and casual dress.
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Exceptional Support: Work with our dedicated operations team regarding securing your caseload, credentialing, insurance verification, billing and reimbursement, and IT support. Comprehensive Benefits Package: We offer our full-time nurse practitioners medical, dental, vision coverages, and FSA; company-paid life insurance; generous PTO (increased for 2024); and a 401K plan with a company match.
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Candidates with an in-depth knowledge of hospital medical billing, collections, writing appeals and the reimbursement claims process should apply. Independently, review, submit/follow up, document and collect billing on denied hospital medical claims.
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Medical billing and collections in a physician office setting preferred. Is able to resolve claim issues by utilizing knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws.
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Experience with medical billing practices and of billing reimbursement, preferred. In this position, you are responsible for performing all tasks and communication related to intake of patient information concerning the service of durable medical equipment and respiratory products and supplies with patients/clients, co-workers, and referral sources as it relates to patient services and third party reimbursement.
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Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state, and federal (Medicare) plans including coding, billing, and reimbursement protocols.
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Prior medical billing experience preferred. Communicate outstanding discrepancies to the Billing Manager. We are currently adding a Billing Coordinator to our team! In return we offer a full benefits package to include health, dental, and vision insurance, paid time off, 401K, tuition reimbursement, and a hybrid or blended work arrangement (providing balance between in office and work from home.
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Oversees the daily activities of the business office including patient billing, collections, reimbursement and computer operations. W e offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program , a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle , and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.
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This position will require frequent interaction with patients, caregivers, and co-workers to ensure correct and efficient billing of services including nursing and occupational, physical and speech therapies in the pediatric home health setting.
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Stay updated on all billing and reimbursement requirements by Payer, ensuring compliance with government changes and providing continuous updates to Business Office Management regarding ongoing errors and related issues.
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Job Schedule and Shift: Part Time Weekends Saturday and Sunday 6:30 am to 7:00 pm ESSENTIAL FUNCTIONS OF THE ROLE Conducts an documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification and billing.
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