Reimbursement Specialist
3 weeks ago
Understands how to bill a claim to Navicure as well as correct front end edits on Navicure
Submits all payer refunds to management for review
Understands voids and re-enters
Requests coding changes
Understands the contracted timely filing limits for claims based on carrier plan for all payers that CEMM contracts.
Informs billing office staff of changes based on payer information received.
Investigates patient eligibility and corrects as needed in the practice system
Bills all insurance claims and statements
Works insurance assigned AR
Works payer denials
Works Navicure edits and rejections
Refiles accounts that may not have crossed over to the clearinghouse (Navicure)
Answers patient billing calls and provides a status to the patients within 24 hours
Researches account to provide the best possible outcome for the patient and CEMM.
Works with insurance companies to provide missing documentation to ensure payment of claims.
Maintains excellent rapport with insurance companies and representatives to assist with claims processing Requirements:
Understands how to read and interpret explanation of benefits, provides excellent customer service, accounts receivable follow up, obtains insurance authorizations, appeals denied claims.
Past work with a claims clearinghouse is a plus.
Medical billing certificates a plus, 2-3 years of insurance reimb experience a plus, experience with claim rejection and denials a plus.
Must have a high school diploma or equivalent, have a basic understanding of medical terminology and insurance billing, 5 years’ experience in a business office setting.
Knowledge of Allscripts, Navicure. Understands how to interpret 835s and explanations of benefits. Accounts Receivable follow up, obtaining authorizations, appealing denied claims %4574221% %%admin%%
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Expense Compliance Specialist
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Coding Reimbursement Specialist
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Coding Reimbursement Specialist
3 days ago
Charlotte, NC, United States Atrium Health Full timeOverview Job Summary Performs duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines. Essential Functions Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered. Appends all modifiers. Ranks CPT...
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Coding Reimbursement Specialist
18 hours ago
Charlotte, NC, United States Atrium Health Full timeOverview Job Summary Performs duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines. Essential Functions Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered. Appends all modifiers. Ranks CPT...
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Coding Reimbursement Specialist
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Payroll Specialist
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Billing Specialist
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Billing Specialist
2 weeks ago
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Billing Specialist
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Billing Specialist
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Project Search Employment Specialist
2 months ago
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Project Search Employment Specialist
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Coding Reimbursement Specialist II
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Charlotte, United States Atrium Health Full timeOverview Job SummaryPerforms duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines. Essential Functions Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered. Appends all modifiers. Ranks...
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RN Clinical Case Manager On-call Specialist
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Certified Peer Support Specialist
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