Telecommute Healthcare Reimbursement Specialist

4 weeks ago


New Providence NJ, United States PRISM Vision Group Full time

The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements.
Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service.
Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts.
Identify and respond to patterns of denials or trends and perform complex account investigation as needed to achieve resolution.
Review and resolve uncollected accounts and prepare charge corrections.
Appeal carrier denials through review of coding, contracts, and medical records.
Research and appeal denied claims
Complete required reports and assist with special projects as assigned.
High School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment. Strong communication, including writing, speaking and active listening
Effective computer skills with practice management software
Understanding of industry-specific policies, such as HIPAA regulations for health care
Effective communication abilities for phone contacts with insurance payers to resolve issues
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members
Knowledge of medical terminology
Knowledge of CPT/ICD-10 and modifier coding %16911601% %%finance%%



  • New Providence, NJ, United States PRISM Vision Group Full time

    The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service. Pursue reimbursement from...


  • New Providence, United States PromptCare Companies Inc Full time

    Job DescriptionJob DescriptionDescription:PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to join our Accounts Receivable (AR) department. The specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. The...


  • New Providence, United States PromptCare Companies Inc Full time

    Job DescriptionJob DescriptionDescription:PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to join our Accounts Receivable (AR) department. The specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. The...


  • New Orleans, United States Syneos Health inVentiv Health Commercial LLC Full time

    Description The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the ophthalmic therapeutic area, specifically supporting our client's products. The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which...


  • New York, United States Syneos Health Careers Full time

    Description The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the ophthalmic therapeutic area, specifically supporting our client's products. The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which...


  • Providence, United States Lifespan Corporation Full time

    **Summary**: Under general supervision of the Billing Manager performs insurance/billing clerical duties including review and verification of patient account information against insurance program specifications. May resolve routine patient billing inquiries and problems follow up on balances due from insurance companies and type invoices to insurance...


  • New York, United States Uber Technologies Inc Full time

    Uber Technologies, Inc. has openings for Marketing Specialists (all types/levels) in New York, NY. May telecommute from home. Job Duties: Under direct supervision, develop marketing ventures in order to attract and retain new users. Develop integrated marketing strategies that align with company goals, set timelines, and ensure deadlines are met. May...


  • New York, United States Healthcare Enterprise Full time

    Job DescriptionJob DescriptionThe Compliance Specialist oversees the Compliance Program for the Home Care agency, ensuring adherence to local, state laws, and regulations outlined by the New York State Department of Health, Office of Medicaid Inspector General, and company policies. This role includes the continual implementation of the Code of Conduct and...


  • New Providence, United States PromptCare Companies Inc Full time

    Job DescriptionJob DescriptionDescription:Promptcare is seeking a highly motivated and experienced Reimbursement Manager to join our team. As a Reimbursement Manager, you will be responsible for managing the reimbursement process for infusion services. You will work closely with patients, healthcare providers, and insurance companies to ensure timely and...


  • New Providence, United States PRISM Vision Group Full time

    Role and Responsibilities Assist the Director of Compliance with- Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff. The investigation of HIPAA incidents. Maintaining the existing language assistance program and Implementing the PRISM language...


  • New Providence, United States PRISM Vision Group Full time

    Role and ResponsibilitiesAssist the Director of Compliance with-Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff.The investigation of HIPAA incidents.Maintaining the existing language assistance program and Implementing the PRISM language...


  • New York, United States Uber Technologies Inc Full time

    Uber Technologies, Inc. has openings for Operations & Logistics Specialists (all types/levels) in New York, New York. May telecommute from home. Job Duties: Develop analytical frameworks to identify and scope problems, project business impact of new regulations or revised business practices, and to support the company in business decision-making. Identify...

  • Rad Tech

    3 weeks ago


    New Palestine, United States Interim HealthCare of Indianapolis Full time

    Rad TechLocation: Indianapolis Pay Rate/Range: $42 - $51Shift times: EveningsRequired to have 2 years of recent and related experienceWe are looking for experience Rad Techs to work at great hospitals in the Indianapolis area. These are 13 week contracts with evening shifts available, with a current pay rate of $42 to $51 per hour. You must have at least...


  • New Providence, NJ, United States PRISM Vision Group Full time

    Role and ResponsibilitiesAssist the Director of Compliance with-Coordinating the compliance training program, including appropriate introductory training for new staff as well as annual compliance training for all PRISM staff.The investigation of HIPAA incidents.Maintaining the existing language assistance program and Implementing the PRISM language...


  • Providence, United States Regeneron Pharmaceuticals Full time

    Regeneron Pharmaceuticals Reimbursement Business Manager (RBM), Ophthalmology - Hartford Providence , Rhode Island Apply Now The Reimbursement Business Manager is a critical front-line member of the Regeneron EYLEA Field team. You will use your expertise and knowledge with all Regeneron customers, both internal and external. In this role, you will support...


  • New Providence, NJ, United States PRISM Vision Group Full time

    Summary: The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Role and Responsibilities: Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer...


  • New Providence, NJ, United States PRISM Vision Group Full time

    Summary: The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Role and Responsibilities: Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer...


  • New York, NY, United States LESC Full time

    In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements The Utilization Manager is responsible for...


  • Providence, United States Acadia Healthcare Full time

    Overview: Now Hiring: Revenue Specialist I Hybrid in Providence, RI We are improving the lives we touch. We need passionate, talented people working together who share our desire to create a world-class organization that sets the standard of excellence in the treatment of speciality behavioral health and addiction disorders.Acadia Healthcare is...


  • Providence, United States Sutherland Full time

    Sutherland Global Services Business Development Specialist - Healthcare (Remote) Providence , Rhode Island Apply Now Sutherland is seeking a creative and self-motivated person to join us as a Manager of Business Development - Healthcare. We are a group of driven and hard-working individuals. If you are looking to build a fulfilling career and are confident...