Current jobs related to Authorization & Billing Specialists - Plymouth - Ophthalmic Consultants of Boston
-
Authorization & Billing Specialists
2 weeks ago
Plymouth, United States Ophthalmic Consultants of Boston Full timeJob DescriptionJob DescriptionOphthalmic Consultants if Boston is currently looking for Authorization Billing Specialists to join our team in Plymouth. These specialists provide administrative and billing support to the Retina team and serves as a responsive, accurate resource for providers and clinical staff as to coverage of various treatment...
-
Healthcare Billing Specialist
2 weeks ago
Plymouth Meeting, Pennsylvania, United States Specialist Office Full timeJob OverviewPosition: Healthcare Billing SpecialistLocation: Specialist OfficeWe are seeking a skilled Healthcare Billing Specialist with a minimum of 2 years of experience in medical billing and accounts receivable management. The ideal candidate will possess a comprehensive understanding of billing processes across various insurance providers and...
-
Financial Operations Specialist
2 weeks ago
Plymouth, Michigan, United States Plastipak Holdings Full timeAs a Financial Operations Specialist, you will gather and analyze data from vendor invoices and accompanying documentation to ensure the precision of billing information and confirm the receipt of ordered items. This position requires on-site presence.Your Responsibilities:Address, investigate, and resolve various inquiries from both internal and external...
-
Plymouth, Massachusetts, United States Complete Care Centers, LLC Full timeJob SummaryWe are seeking a highly skilled and detail-oriented individual to fill the position of Billing Records Chart Auditor at Complete Care Centers, LLC. As a key member of our team, you will be responsible for ensuring the accuracy and completeness of patient records, identifying and resolving billing and coding errors, and maintaining the highest...
-
Patient Access Specialist
7 hours ago
Plymouth, United States Beacon Hill Full timeJob SummaryBeacon Hill's client is looking for a Patient Access Specialist who will serve as a central contact for patients, providers and payers, via telephone (and potentially in person), assisting them in obtaining insurance pre-authorization for procedure. This individual will provide exceptional customer service to meet the needs of patients and other...
-
Claims Processing Specialist
2 weeks ago
Plymouth Meeting, Pennsylvania, United States Synergy Orthopedics Full timeJob OverviewObjective:The Claims Processing Specialist is responsible for managing outstanding claims and ensuring accurate patient data. This role involves handling denials and appeals to optimize collections.Key Responsibilities:Manage claims and resolve claim denials to maximize reimbursement for services rendered through insurance systems and direct...
-
Non-Independent Licensed Therapist
2 weeks ago
Plymouth, United States DBT-PTSD Specialists Full timePre-Licensed Mental Health Therapist/DBT MemberWe don’t just have a mission statement…we have a mission.At DBT-PTSD Specialists, our commitment to optimal mental health and steadfast support isn’t just for our clients; it extends to every team member.POSITION SUMMARY:DBT-PTSD Specialists employ pre-licensed therapists who have a background or interest...
-
Non-Independent Licensed Therapist
2 weeks ago
Plymouth, United States DBT-PTSD Specialists Full timePre-Licensed Mental Health Therapist/DBT MemberWe don’t just have a mission statement…we have a mission.At DBT-PTSD Specialists, our commitment to optimal mental health and steadfast support isn’t just for our clients; it extends to every team member.POSITION SUMMARY:DBT-PTSD Specialists employ pre-licensed therapists who have a background or interest...
-
Independent Licensed Therapist
2 weeks ago
Plymouth, United States DBT-PTSD Specialists Full timeSenior DBT - PTSD TherapistWe don't just have a mission statement…we have a mission.POSITION SUMMARYDBT-PTSD Specialists employ licensed mental health therapists who have a background in DBT (Dialectical Behavior Therapy) and who demonstrate confidence in working with clients with borderline personality disorder, self-harm and destructive behaviors, and...
-
Independent Licensed Therapist
2 weeks ago
Plymouth, United States DBT-PTSD Specialists Full timeSenior DBT - PTSD TherapistWe don't just have a mission statement…we have a mission.POSITION SUMMARYDBT-PTSD Specialists employ licensed mental health therapists who have a background in DBT (Dialectical Behavior Therapy) and who demonstrate confidence in working with clients with borderline personality disorder, self-harm and destructive behaviors, and...
-
Plymouth, United States PT Holdings LLC Full timeDescription Position at BildonLooking for the bestService Support Specialist! Position Summary: Are you ready to be an integral part of our team? We're seeking a Service Support Specialist to be the backbone of our branch, tackling a variety of tasks across all departments. This is an IN-PERSON position, Full Time/Hourly Mon-Friday 8:00 am-4:30 pm ...
-
Independent Licensed Therapist
2 months ago
Plymouth, United States DBT-PTSD Specialists Full timeSenior DBT - PTSD TherapistWe don't just have a mission statement...we have a mission. POSITION SUMMARY DBT-PTSD Specialists employ licensed mental health therapists who have a background in DBT (Dialectical Behavior Therapy) and who demonstrate confidence in working with clients with borderline personality disorder, self-harm and destructive behaviors, and...
-
Clinic Patient Registration Specialist
4 weeks ago
Plymouth, United States Summit Orthopedics Full timeDescription At Summit Orthopedics, we recognize the significance each member of the Summit Family has as they impact one another and our patients on a daily basis. Be part of a patient-first environment that lives into our values of: Compassion, Integrity, Excellence, Collaboration, Stewardship and Innovation and a place where staff members feel respected...
-
Clinic Patient Registration Specialist
2 months ago
Plymouth, United States Summit Orthopedics Full timeDescription At Summit Orthopedics, we recognize the significance each member of the Summit Family has as they impact one another and our patients on a daily basis. Be part of a patient-first environment that lives into our values of: Compassion, Integrity, Excellence, Collaboration, Stewardship and Innovation and a place where staff members feel respected...
-
Clinic Patient Registration Specialist
2 months ago
Plymouth, United States Summit Orthopedics Full timeDescription At Summit Orthopedics, we recognize the significance each member of the Summit Family has as they impact one another and our patients on a daily basis. Be part of a patient-first environment that lives into our values of: Compassion, Integrity, Excellence, Collaboration, Stewardship and Innovation and a place where staff members feel respected...
-
Plymouth, Massachusetts, United States Harbor Health Services Full timeJob SummaryHarbor Health Services is seeking a skilled Behavioral Health Specialist to provide high-quality mental health services to patients in a primary care setting.Key ResponsibilitiesProvide direct psychotherapy services to patients, including intakes, evaluations, and therapy sessions.Assist the Behavioral Health Director in clinical functions, such...
-
Quotation Specialist
2 months ago
Plymouth, United States Buhler Group Full timeIf you take pride in your attention to detail and want to help a vibrant team provide excellent customer service, consider joining Buhler as a full-time Quotation Specialist - Estimator! We're seeking an attentive problem-solver to assist clients and help drive sales for our company.When you join our Plymouth, MN team, you earn competitive pay and receive an...
-
Office Assistant
2 weeks ago
Plymouth, United States Lexitas Legal Full timeOffice Assistant / Process Service Specialist 3141 Fernbrook Ln N, Plymouth, MN 55447, USA Req #148 Monday, July 22, 2024 SUMMARY: The Office Assistant/Process Service Specialist is accountable for providing a positive client experience through daily email correspondence and management of data entry requirements. Process Service Specialist receives...
-
Accounting and Contract Specialist
1 month ago
Plymouth, United States Dominium Management Services Full timeDescription Dominium is helping tackle the affordable housing crisis - and we're looking for motivated candidates to join our team and help further our mission. With offices in Minneapolis, Atlanta, Dallas and Phoenix, Dominium is one of the nation's most respected and innovative affordable housing development and management companies. We create quality,...
-
Plymouth, Massachusetts, United States CV Library Full timeSustainability and Environmental Compliance SpecialistJoin a leading manufacturer dedicated to excellence in sustainability and environmental practices.Salary: Up to £43,260 DOEBenefits: 25 Days Holiday + Bank Holidays + Life Assurance (3x Annual Salary) + Pension (5% Matched) + Company bonus based on attendance, productivity, and quality + Company discount...
Authorization & Billing Specialists
2 months ago
The work schedule is Monday through Friday 8-4:30PM and can be fully onsite or a hybrid schedule once trained.
Examples of Duties:
· Maintains accurate, up-to-date understanding of payer policies for Retina injectable medications, including policy changes as they occur.
· Consistently maintains an effective tracking tool for active Prior Authorizations (PA) and their expirations dates to anticipate PAs that need renewal.
· Proactively submits PA requests and appropriate supporting documentation as needed for upcoming appointments with sufficient lead time so that PA can be obtained prior to patients’ appointments.
· Submits urgent PA requests as needed, e.g., in the event of adding on patients.
· Effectively communicates with “challenging” insurance companies to ensure prior approval and coverage.
· Consistently and methodically saves PA approval to patient record in Epic and updates Permanent Comments field in Epic to communicate to provider and clinic team the status of PA approval.
· Promptly and effectively addresses denied PAs to ensure approval is ultimately obtained.
· Reviews periodic reports for outstanding patient balances to identify the need for connecting patients with copay support services.
· Registers commercially insured patients with manufacturer copay support services
· Registers Medicare and Medicare Advantage patients with foundation copay support services
· Orders specialty pharmacy (SP) medication, as required, and carefully communicates with clinic team the related billing procedures for SP.
· Manages and reviews the daily EPIC schedule, utilizing the Day in Accounts Receivable (DAR) to ensure that all scheduled retina/procedure appointments are verified for coverage, drug, authorization, and balance.
Performance Requirements:
· Knowledge of organizational policies, procedures, and systems
· Ability to exercise initiative, problem solving and decision making.
· Must be highly organized, accurate, and proactive, with strong reasoning ability.
· Excellent written and verbal communication skills.
· Familiar with retinal diseases, the symptoms, and treatments strongly preferred/required (?)
· Knowledgeable about retinal medications and therapies, e.g., class of drug, approved indications, off label usage, risks, benefits, and alternatives strongly preferred.
· Able to read and understand ophthalmic/retina office notes including exam documentation, assessment, and plan, and to understand provider’s decision-making based on the documentation.
· Prior experience with standard operations of insurance companies; verification of benefits/coverage including prior authorization (PA), claims, approvals, denials, appeals, letters of medical necessity, peer-to-peer discussions, buy-and-bill vs. specialty pharmacy processes, co-pays, deductibles, and payer coverage policies, etc.
· Familiar with medication manufacturers’ portals/hubs and how to use them.
· Familiar with required injection paperwork including consent forms, manufacturers’ portal registration forms, ABNs and NEIBs, etc.
· Strong working knowledge with properly coding services, procedures, diagnosis, and treatments (ICD10 and CPT coding)
· Communicate with patients to discuss procedures, insurance coverage, prior authorization and assisting patients with various questions.
· Assist Billing management with implementing production, productivity, quality, resolving problems and identifying billing system improvements.
· Updates job knowledge by participating in educational opportunities; reading professional publications, payer webinars.
· Maintains strictest discretion and confidentiality.
· Other duties as assigned.
Education and Experience:
· Associate degree in Business Administration or equivalent Medical Billing Experience.
· Bachelor’s degree preferred.
· 3+ years of medical billing experience.
· Prior experience in ophthalmology strongly preferred.
· Previous experience with Epic required.
OCB offers industry leading benefits including the 401(k) and great medical and dental benefits. To find out more about OCB, please visit our website at www.eyeboston.com
OCB is an Equal Opportunity Employer.
Powered by JazzHR
IQWoZde3RA