Revenue Cycle Specialist- Medical
2 weeks ago
TNT Healthcare Billing Solutions is looking to add to our team We are in need of a candidate who has experience with medical billing. We are seeking a medical billing specialist with a minimum of one year billing experience to become an integral part of our Billing/Coding/Collections team.
This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated biller. The right candidates’ primary duties will include but are not limited to: following up on unpaid claims, utilizing the company’s primary monthly aging reports, and filing appeals when appropriate to obtain maximum reimbursement for our clients. Secondary duties include but are not limited to: data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits.
Daily Responsibilities:
Post all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer outstanding balance to secondary insurance or patient responsibility
- Post all payments, by line-item, received for physician’s professional services into EMR software system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient and client satisfaction
- All payment batches must be balanced in both their dollar value of payments and adjustments prior to posting.
- Verify all demographic and insurance information in patient registration of the pager demographic sheet and or the client's EMR software system at the time of charge entry to ensure accuracy
- Provide feedback to clients and supervisor to ensure timely reimbursement.
- Review the physician’s coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
- Transmit all appropriate electronic and paper claims, correct any errors on claims and re-transmit; file secondary claims as necessary.
- Identify, work, and follow up on rejected claims as evidenced by EOBs
- Discuss any outstanding payment amounts with patients determined the insurance company and the patient
- Provide outstanding customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts in accordance with practice protocol.
- Patient calls regarding accounts receivable should be returned within one business days to ensure maximum patient and client satisfaction.
- Follow-up on all returned claims, correspondence, denials, account reconciliations and re-bills within two working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
- Submit primary and secondary insurance claims electronically each day
- Process refunds to insurance companies and patients in accordance with client protocol.
- To be able to learn and utilize the clients EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry as required.
- Provide cross coverage for fellow coworkers in their absence as required to ensure efficient and professional practice operation.
- Maintain an organized, efficient and professional work environment.
- Adhere to all practice policies related to HIPAA, Medicare Compliance, and Business Associate Agreements with our clients
TnT Healthcare Billing Solutions shall provide equal access to and opportunity in its employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender expression.
-
Supervisor Revenue Cycle
Found in: Resume Library US A2 - 2 weeks ago
Saint Paul, Minnesota, United States Fairview Health Services Full timeOverview: The Supervisor Revenue Cycle oversees a team in the Central Pre-Registration and Benefits department. Responsible for staff, daily operations, and performance outcomes. Provides daily leadership, oversight, guidance, and support to ensure the team meets daily work to achieve target objective. The role ensures the department's workflow, quality...
-
Revenue Cycle Management
2 weeks ago
Saint Louis, United States Peoples Family of Corporations Full timeJob DescriptionJob DescriptionJob Title:Director, Revenue Cycle ManagementPosition Type:Full-time, Salary Exempt40 base hours Reports To: Chief Financial OfficerJob DescriptionRole and ResponsibilitiesEssential member of the financial management team. Keep the Chief Financial Officer apprised of daily operations and communicate any problems or issues in a...
-
VP Revenue Cycle
Found in: Resume Library US A2 - 2 weeks ago
Saint Paul, Minnesota, United States Fairview Health Services Full timeOverview: The Vice President of Patient Access and Clearance Services is a key member of the Revenue Cycle senior and servant leadership team. The position is accountable for setting, measuring, monitoring and achieving leading practice system operating standards for front end preservice revenue cycle functions including consistent metrics and performance...
-
Vice President of Revenue Cycle Management
Found in: Resume Library US A2 - 1 week ago
Saint Louis County, Missouri, United States EmpowerMe Wellness Full timeOverview: Candidates for this position must reside in the St. Louis area or be open to relocating. Grow your career! At EmpowerMe Wellness, you’ll find opportunities for promotion, continuing education, and great benefits, all while making a real difference in the life of seniors. Our results are in our success stories – come write yours with...
-
Specialist, Medical Coding
Found in: beBee jobs US - 1 week ago
Saint Paul, Minnesota, United States Hillrom Full timeThis is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.Baxter's products and therapies are found in almost...
-
Specialist, Medical Coding
2 days ago
Saint Paul, United States Baxter Full timeThis is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxter's products and therapies are found in...
-
Specialist, Medical Coding
Found in: beBee S US - 2 weeks ago
Saint Paul, United States Baxter Full timeThis is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxter’s products and therapies are found in...
-
Patient Access Specialist II
Found in: Resume Library US A2 - 2 weeks ago
Saint Paul, Minnesota, United States Fairview Health Services Full timeOverview: As part of Revenue Cycle Management, this position is responsible for creating a positive first impression of M Health Fairview and ensuring an exceptional experience is achieved while interacting closely with patients, families, and other internal and external stakeholders in a highly organized and professional manner. This position must utilize...
-
Intake/Reimbursement Specialist
Found in: Resume Library US A2 - 2 weeks ago
Saint Paul, Minnesota, United States Fairview Health Services Full timeOverview: We at MHealth Fairview are looking for you to join our amazing team! This benefits eligible position is a 1.0FTE(80 hours/2 weeks) on the day shift! As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy and...
-
Credit Specialist
Found in: beBee S US - 1 day ago
Saint Paul, United States Baxter Full timeThis is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxter’s products and therapies are found in...
-
Credit Specialist
Found in: beBee S US - 1 day ago
Saint Paul, United States Baxter Full timeThis is where you save and sustain livesAt Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.Baxter’s products and therapies are found in...
-
Authorization Specialist I
Found in: Resume Library US A2 - 2 weeks ago
Saint Paul, Minnesota, United States Fairview Health Services Full timeOverview: This is a remote position under Revenue Cycle Management that is responsible for obtaining all medical necessity approvals for a patient’s service and/or verifying they meet any medical policy criteria required by the patient’s insurance. They evaluate, collect, and submit all necessary information accurately to secure the highest possibility...
-
Authorization Specialist I
Found in: Resume Library US A2 - 2 days ago
Saint Paul, Minnesota, United States Fairview Health Services Full timeOverview: This is a remote position under Revenue Cycle Management that is responsible for obtaining all medical necessity approvals for a patient’s service and/or verifying they meet any medical policy criteria required by the patient’s insurance. They evaluate, collect, and submit all necessary information accurately to secure the highest possibility...
-
Senior Ancillary Revenue Manager
Found in: beBee S US - 3 weeks ago
Saint Paul, United States Marriott Full timeJob Number 24062247 Job Category Revenue Management Location The Westin Maui Resort & Spa Ka'anapali, 2365 Kaanapali Parkway, Lahaina, Hawaii, United States Schedule Full-Time Located Remotely? Y Relocation? Y Position Type Management JOB SUMMARY Manages rooms and function space inventory and ensures inventory is allocated and...
-
Credit Specialist
Found in: beBee jobs US - 6 days ago
Saint Paul, Minnesota, United States Hillrom Full timeThis is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.Baxter's products and therapies are found in almost...
-
Credit Specialist
Found in: beBee jobs US - 6 days ago
Saint Paul, Minnesota, United States Hillrom Full timeThis is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.Baxter's products and therapies are found in almost...
-
Intake/Reimbursement Specialist
Found in: Lensa US P 2 C2 - 3 weeks ago
St Paul, United States Fairview Health Services Full timeOverview: We at MHealth Fairview are looking for you to join our amazing team! This benefits eligible position is a 1.0FTE(80 hours/2 weeks) on the day shift! As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy and...
-
Orthopedic Medical Billing Specialist
2 days ago
Saint Petersburg, United States CHILDREN'S ORTHOPAEDIC AND SCOLIOSIS SURGERY ASSOC Full timeJoin Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We're seeking a highly motivated individual to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. What You'll Do: Collaborate with the...
-
Authorization Specialist I
6 days ago
St Paul, United States Fairview Health Services Full timeOverview: This is a remote position under Revenue Cycle Management that is responsible for obtaining all medical necessity approvals for a patients service and/or verifying they meet any medical policy criteria required by the patients insurance. They evaluate, collect, and submit all necessary information accurately to secure the highest possibility of...
-
Revenue Cycle Representative
2 weeks ago
East Saint Louis, United States So IL Health Care Foundation Full timeJob DescriptionJob DescriptionVISION, MISSION, PLEDGE & VALUES: Every employee of SIHF Healthcare is expected to uphold our vision, mission, pledge, and values. Our actions will reflect our values of service, diversity, integrity, excellence, and teamwork. We pledge to collectively reflect our values each and every day in the pursuit of better health and...