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Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. 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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ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
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Advise on relevant federal and state laws, including but not limited to fraud and abuse laws (i.e. Anti-kickback Statute, Stark, Civil Monetary Penalties Law, False Claims Act), licensing and accreditation, HIPAA/HITECH, EMTALA, digital health, telehealth/telemedicine, medical staff/peer review issues, healthcare compliance matters, billing, reimbursement and claims issues (to include Medicare/Medicaid.
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This includes the verification (and/or correction) of billing data for accuracy and completeness, by following regulatory requirements, and reviewing the medical record, facility protocol, and other applicable documentation.
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Provide therapy under supervision of licensed SLP collecting quantitative data for goals, documenting for Medicaid billing and maintaining attendance of provision of services. A person with a TEA certificate who is not licensed may not be a supervisor of a licensed speech-language pathology assistant.
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Complete established performance parameters and monitor personal performance against these agreed parameters: Work closely with partners as assigned; District Sales Managers, Medical Specialists, other FRM, Reimbursement, Marketing and Access team members in assigned geographical areas to insure efficient coverage and customer knowledge of this process and all REGN patient services within defined accounts.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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A professional designation reimbursement program is provided for multiple designations, such as the Accredited Investment Fiduciary (AIF®) and the Certified Financial Planner (CFP®). Benefits (i.e., 401k with a 4% match, subsidized medical, dental, vision, disability E&O.
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Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Comprehensive medical coverage that covers many common services at no cost or for a low copay.
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St. Francis Medical Center (14 beds) and Memorial Regional Medical Center (9 beds) are Level 3A NICU's with limited subspecialty support. Our clinicians enjoy a competitive compensation package with many locations offering sign on bonuses, relocation and tuition reimbursement.
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Agiliti offers a robust suite of benefits for regular, full-time, non-union employees including: health insurance options for Medical, Dental & Vision plans, Short- and Long-Term Disability plans, Flexible Spending Accounts, Health Savings Accounts, Life Insurance Options, Paid Time Off, 401K Saving Plan with employer match, Employee Discounts, Tuition Reimbursement, Daily Pay program, Employee Assistance Program, Employee Stock Purchase Program (ESPP) and wellness programs.
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The Medical Director will partner in leadership with hospital administration to create a sense of community and interact globally with the hospital and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance an engaging work environment for all by making a positive impact on the culture while cultivating an environment where medical quality stands out.
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The Medical Lab Technician (MLT) prepares specimens for analysis by accessioning orders via LIS (CIS), verifying specimen acceptability and performing established pre-analytical procedures in accordance with laboratory policy in an accurate, safe and timely manner.
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Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Student Nurse Extern PRN Medical Trauma opening.
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Possesses current Phlebotomy Technician American Society Clinical Pathology Certification PBT (ASCP), Medical Laboratory Technician (MLT) (ASCP) certification, Medical Technologist (ASCP) MT certifications, Medical Laboratory Scientist (MLS), or National Healthcare Association Certified Phlebotomy Technician (CPT) certification, and.
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reimbursement medical billing jobs in Richmond, VA
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