4 billing specialist jobs found

Apply Job Type Full-time Description The Billing Specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The Billing Specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the Billing Specialist must demonstrate proficiency with billing systems to ensure all functionality is utilized for the utmost efficient processing of both hospital and professional claims and issuing refunds when necessary. Likewise, the Billing Specialist must be willing to assist the Billing Supervisor with...

Apply Job Type Full-time Description The Billing Specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The Billing Specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the Billing Specialist must demonstrate proficiency with billing systems to ensure all functionality is utilized for the utmost efficient processing of both hospital and professional claims and issuing refunds when necessary. Likewise, the Billing Specialist must be willing to assist the Billing Supervisor with...

Apply Job Type Full-time Description Performs work related to clinical denial management. The individual is responsible for managing claim denials related to authorization, medical record requests, and coordination of benefits. The individual will actively manage, maintain, and communicate denial/appeal activity to appropriate stakeholders. The individual works independently to plan and organize activities that directly impact reimbursement. This role is key to securing reimbursement and minimizing organizational write-offs. The Denial Specialist conducts comprehensive reviews of the claim denial and account, to make determinations of what action to be taken to obtain reimbursement.    Reviews denied claims to ensure coding was appropriate and make corrections as needed. Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers. Investigate claims with no payer response to ensure claim was received by payer Strong...

Apply Job Type Full-time Description Performs work related to clinical denial management. The individual is responsible for managing claim denials related to authorization, medical record requests, and coordination of benefits. The individual will actively manage, maintain, and communicate denial/appeal activity to appropriate stakeholders. The individual works independently to plan and organize activities that directly impact reimbursement. This role is key to securing reimbursement and minimizing organizational write-offs. The Denial Specialist conducts comprehensive reviews of the claim denial and account, to make determinations of what action to be taken to obtain reimbursement. Reviews denied claims to ensure coding was appropriate and make corrections as needed. Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers. Investigate claims with no payer response to ensure claim was received by payer Strong...