Account Reimbursement Specialist I
3 days ago
Revenue Cycle Account Reimbursement Specialist IThe Account Reimbursement Specialist I (ARS I) is responsible for accurately processing information to ensure accurate and compliant billing for office and hospital procedures. The Revenue Cycle ARS I researches insurance guidelines and focuses on improving the effectiveness of billing processes. The position requires attention to detail, strong organizational skills, and dependability. This role is vital to the overall financial success for the organization.Primary Job Responsibilities:Performs daily billing activities to ensure successful processing and payment of claims.Ensures claim information is complete and accurate for charge entry and data enters key demographic information necessary for insurance claim processing.Verifies all patient benefits, eligibility, and coverage to ensure accurate billing.Audits completeness and accuracy of all claims prior to submission to claims clearinghouse.Makes necessary claim corrections to resolve payer claim edits and rejections.Reports billing changes, billing issues, and process improvement plan accomplishments to RCM Leadership.Completes tasks in RCM to resolve patient cases (via phone or written communication), process virtual payments, process insurance refund requests, research missing payments, process bankruptcy and deceased patient notifications, and collection account reconciliation.Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.Performs other duties as required or assigned within the scope of responsibility.Requirements:Minimum of two (2) years of complex claim follow-up experience in a physician office, hospital, ambulatory surgery center or centralized medical business office.Knowledge of medical terminology, ICD-10, and CPT codes.Excellent computer skills; Intermediate skill with Microsoft Word, Outlook, and Excel.Experience working within EMR systems. Experience with AthenaHealth EMR is a plus.Experience interpreting payor explanation of benefits.Excellent verbal communication skills and strong customer-service background.Ability to manage time and organize daily schedule to meet productivity and accuracy standards.Education and Certifications:High school diploma or equivalent required.Associate degree in business, healthcare administration or related field highly preferred.Physical Requirements:Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.Must be able to lift and support weight of 35 pounds.Ability to concentrate on details.Use of computer for long periods of time.
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Account Reimbursement Specialist I
1 week ago
Charlotte, NC, United States Tryon Medical Partners Full timeRevenue Cycle Account Reimbursement Specialist I Job Summary: The Account Reimbursement Specialist I (ARS I) is responsible for accurately processing information to ensure accurate and compliant billing for office and hospital procedures. The Revenue Cycle - ARS I researches insurance guidelines and focuses on improving the effectiveness of billing...
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Patient Access Account Specialist I-Admitting
2 weeks ago
Charlotte, United States Presbyterian Healthcare Services Full timeOverview Presbyterian is seeking a Patient Access Account Specialist IThe Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and...
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Lead Coding Reimbursement Specialist III
14 hours ago
Charlotte, United States Tryon Medical Partners Full timeLead Coding Reimbursement Specialist III Job Summary: Under the direction of the Revenue Cycle Director, provides day to day operational support to Coding staff, which includes Coder I & II positions. Responsibilities include but are not limited to daily monitoring of missing encounters to be coded, daily distribution of work based on priorities, execution...
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Coding Reimbursement Specialist II
2 weeks ago
Charlotte, United States Tryon Medical Partners Full timeCoding Reimbursement Specialist II Job Summary: The Coding Reimbursement Specialist II performs various duties to accurately interpret and bill physician charges for physician services by entering into the appropriate CPT, ICD-10, and modifiers into the Billing system. (This is a full-time position with remote eligibility, Monday to Friday 8 am to 5 pm)...
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Clinical Reimbursement Specialist CRS
6 days ago
CHARLOTTE, United States Laurel Health Care Company Careers Full timeAre you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our North Carolina facilities. If you love...
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Clinical Reimbursement Specialist CRS
10 hours ago
CHARLOTTE, United States Laurel Health Care Company Full timeAre you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our North Carolina facilities. If you love...
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Territory Account Specialist
7 days ago
Charlotte, NC, United States Solenis Full timeSolenis is a leading global producer of specialty chemicals focused on delivering sustainable solutions for water-intensive industries, including consumer, industrial, institutional, food and beverage, and pool and spa water markets. Owned by Platinum Equity, the company's product portfolio includes a broad array of water treatment chemistries, process aids,...
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Territory Account Specialist
2 days ago
Charlotte, NC, United States Solenis Full timeSolenis is a leading global producer of specialty chemicals focused on delivering sustainable solutions for water-intensive industries, including consumer, industrial, institutional, food and beverage, and pool and spa water markets. Owned by Platinum Equity, the company's product portfolio includes a broad array of water treatment chemistries, process aids,...
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Territory Account Specialist
6 days ago
Charlotte, NC, United States Solenis Full timeSolenis is a leading global producer of specialty chemicals focused on delivering sustainable solutions for water-intensive industries, including consumer, industrial, institutional, food and beverage, and pool and spa water markets. Owned by Platinum Equity, the company's product portfolio includes a broad array of water treatment chemistries, process aids,...
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Territory Account Specialist
6 days ago
Charlotte, NC, United States Solenis Full timeSolenis is a leading global producer of specialty chemicals focused on delivering sustainable solutions for water-intensive industries, including consumer, industrial, institutional, food and beverage, and pool and spa water markets. Owned by Platinum Equity, the company's product portfolio includes a broad array of water treatment chemistries, process aids,...
