Telecommute Healthcare Reimbursement Specialist
2 weeks ago
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
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New Providence, NJ, United States PRISM Vision Group Full timeThe 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...
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Reimbursement Specialist
3 days ago
New Providence, United States PromptCare Companies Inc Full timeJob 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...
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Healthcare Compliance Specialist
1 month ago
New York, United States Healthcare Enterprise Full timeJob 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...
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Rad Tech
6 days ago
New Palestine, United States Interim HealthCare of Indianapolis Full timeRad 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...
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Reimbursement Business Manager
5 days ago
Providence, United States Regeneron Pharmaceuticals Full timeRegeneron 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...
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Revenue Cycle Specialist
2 weeks ago
New Providence, NJ, United States PRISM Vision Group Full timeSummary: 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...
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Revenue Cycle Specialist
1 week ago
New Providence, NJ, United States PRISM Vision Group Full timeSummary: 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...
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Business Development Specialist
5 days ago
Providence, United States Sutherland Full timeSutherland 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...
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Healthcare Reimbursement Manager
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New York, NY, United States LESC Full timeIn 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...
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Patient Eligibility Specialist
7 days ago
New Providence, United States PRISM Vision Group Full timeOverview- As a key contributor to clinical and revenue cycle operations, a Patient Eligibility Specialist plays a pivotal role in managing patient information, verifying patient treatment eligibility through meticulous insurance processes, and supporting patient care through the accurate preparation of medical charts. This role demands a dynamic individual...
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New York, United States AmerisourceBergen Corporation Full timePlay a vital role in helping patients gain access to life changing therapies! From oral medications to biosimilars to critical cancer treatments to infusions, our associates, with their passion for patients, represent these therapies providing educat Specialist, Field, Healthcare, Support, Patient Access, Project Management
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Healthcare Veteran Specialist
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New York, United States EDSI Full timeSalary $65,000 yearDo you have a passion for making a difference in someone’s life? Are you looking for an opportunity to use your skills, experience, and empathetic nature to work for a progressive, forward-thinking, and family-owned company where creativity is encouraged? Are you goal driven? Then the Veteran Specialist position is for you! We are...
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Patient Eligibility Specialist
3 weeks ago
New Providence, United States PRISM Vision Group Full timeOverview- As a key contributor to clinical and revenue cycle operations, a Patient Eligibility Specialist plays a pivotal role in managing patient information, verifying patient treatment eligibility through meticulous insurance processes, and supporting patient care through the accurate preparation of medical charts. This role demands a dynamic individual...
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CMN & Reauthorization Specialist
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New Providence, United States PromptCare Companies Inc Full timeJob Description Job Description Description: PromptCare is seeking a highly motivated and detail oriented CMN and Re-Authorization Specialist to join our team in the respiratory industry. The ideal candidate will have experience in the healthcare industry, specifically in respiratory therapy, and be able to work in a fast-paced environment. The position will...
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Revenue Cycle Specialist
1 week ago
New Providence, United States PRISM Vision Group Full timeSummary: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...
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Travel Physical Therapist
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New Providence, NJ, United States ADN Healthcare Full timeADN Healthcare is seeking a travel Physical Therapist for a travel job in New Providence, New Jersey. Job Description & Requirements Specialty: Physical Therapist Discipline: Therapy Start Date: ASAP Duration: 13 weeks 32 hours per week Shift: 8 hours, days Employment Type: Travel ADN Healthcare Job ID #58755118. Pay package is based on 8 hour...
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Revenue Cycle Specialist
2 weeks ago
New Providence, United States PRISM Vision Group Full timeSummary: 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...
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Medical Billing Specialist
3 days ago
Providence, United States City Personnel Full timeJob DescriptionJob DescriptionJoin this established medical practice in Providence, RI, as their next Medical Billing Specialist. If you are passionate about making a meaningful impact in healthcare and eager to utilize your skills, we encourage you to apply today!Company Highlights:Opportunity for growthWork-life balance Centrally located in...
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CMN & Reauthorization Specialist
4 days ago
New Providence, United States PromptCare Companies Inc Full timeJob DescriptionJob DescriptionDescription:PromptCare is seeking a highly motivated and detail oriented CMN and Re-Authorization Specialist to join our team in the respiratory industry. The ideal candidate will have experience in the healthcare industry, specifically in respiratory therapy, and be able to work in a fast-paced environment. The position will...
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CMN & Reauthorization Specialist - Enteral
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New Providence, United States PROMPT CARE COMPANIES INC Full timeJob Type Full-time Description PromptCare is seeking a highly motivated and detail oriented CMN and Re-Authorization Specialist to join our enteral team. The ideal candidate will have experience in the healthcare industry, specifically in enteral nutrition, and be able to work in a fast-paced environment. The position will entail the creation, submission,...