Billing Specialist I
3 weeks ago
The Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. The individual actively follows up on outstanding claims and/or charges.
Essential Duties and Responsibilities:
* Reviews and resolves payer denials, including appeals, coding corrections, medically necessity rules and other related functions.
* Analyzes and resolve billing issues, keeping A/R to no more than 10% over 60 days.
* Processes daily correspondence, claim status, handle denials, appeals and re-bills.
* Answers billing questions and inquiries from patients and internal staff.
* Updates patient files with address changes, contact information changes, etc., as needed.
* Reviews all policy changes on a regular basis and informs supervisor and charge entry specialist of such changes.
* Efficiently navigates assigned insurance companies' proprietary websites to find policies, research payments, etc.
* Keeps supervisor apprised of matters regarding accounts receivable.
* Responds to requests from billing company in a timely fashion.
* Researches denials and submits correct claims/medical documentation.
* Reviews and manages claims within the work dashboard hold buckets for resolution.
* Creates, maintains and updates reports, as directed.
* Exercises confidentiality in all areas, abiding by HIPAA rules and regulations.
* Participates in and complete all required trainings and in-services.
* Performs other duties as assigned.
Minimum Qualifications:
* High School Diploma, or equivalent WITH a minimum of three (3) years related experience; OR an equivalent combination of education and/or experience.
* Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
* Must have excellent written and oral communication skills, including exceptional customer service.
* Must be able to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public.
* Must be able to work individually as well as within a team.
* Must be able to follow both verbal and written instructions.
* Must be able to work a flexible schedule.
* Must be able to respond with patience and understanding during stressful conditions related to patient health and emergent situations.
* Must be able to multi-task and prioritize.
* Must demonstrate extreme attention to detail.
* Must possess strong organization skills.
* Must be able to problem solve and use reasoning.
* Must be able to meet predefined quality standards.
* Must maintain and project a professional attitude and appearance at all time.
* Must have a working knowledge of CPT and ICD-10 coding rules.
* Must have a solid foundation of insurance knowledge and guidelines for third party payers.
* Must have a working knowledge of the healthcare field and medical specialty, as well as medical terminology.
* All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance.
Preferred Qualifications:
* Two (2) years experience working with an Electronic Medical Record (EMR).
* Medical Billing Certification
Driving/Travel:
The employee must have reliable transportation. While the primary workplace may be closest to the employees home, work assignments could be in any of the Companys locations.
-
Billing Specialist II
3 weeks ago
Annapolis, United States Clearway Pain Solutions Institute Full timeThe Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. This position will track all high dollar claims from charge entry to payment and will resolve complex carrier issues. The individual actively follows up on...
-
Environmental Health Specialist I or II, Housing
2 weeks ago
Annapolis, United States AA Health Full timeEnvironmental Health Specialist I or II, Housing Specialist I (NR 12) starting at $48,454 per year; Specialist II (NR 15) starting at $56,190 per year Posted Date 07/05/2023 Closing Date Continuous Full-time County Contractual Open to all qualified candidates. Location: 3 Harry S. Truman Parkway, Annapolis, MD 21401 Hours: 40 hours per week Salary:...
-
Contract Accounting Specialist I
7 days ago
Annapolis, United States J&J Worldwide Services Full timeGeneral Summary Provide accounting support for a contract. Duties may include preparing invoices, updating the accounting system, verifying monthly job costs, preparing AP reports, and assisting in the preparation of monthly and yearly financial reports. Responsible for accounts payable processing including calculating, posting, and verifying payments....
-
Contract Accounting Specialist I
5 days ago
Annapolis, United States J&J Worldwide Services Full timeJob Description Job Description General Summary Provide accounting support for a contract. Duties may include preparing invoices, updating the accounting system, verifying monthly job costs, preparing AP reports, and assisting in the preparation of monthly and yearly financial reports. Responsible for accounts payable processing including calculating,...
-
Contract Accounting Specialist I
2 weeks ago
Annapolis, United States J & J Worldwide Services Full timeJob DescriptionJob DescriptionGeneral SummaryProvide accounting support for a contract. Duties may include preparing invoices, updating the accounting system, verifying monthly job costs, preparing AP reports, and assisting in the preparation of monthly and yearly financial reports.Responsible for accounts payable processing including calculating, posting,...
-
Specialist: Intervention Behavioral
4 days ago
Annapolis, United States Anne Arundel County Public Schools Full timeTitle Code: Specialist: Intervention Behavioral This posting creates a pool of candidates for future positions that may become available. JOB SUMMARY Assists the principal in the management of student behavior. ESSENTIAL DUTIES/RESPONSIBILITIES * Help develop, implement and maintain a school-wide discipline plan. * Provide staff development to staff...
-
Document Specialist I
2 days ago
Annapolis, United States SCD Information Technology Full timeSCD Information Technology is seeking a Document Specialist to join our team in Annapolis Junction, MD.The ideal candidate will have a primary role in manual scanning and indexing of hard copy documents provided by Security & Counterintelligence (S&CI).*TS/SCI with CURRENT POLYGRAPH IS A MUST*Responsibilities:Process hardcopy security related...
-
Pre-certification Specialist
4 weeks ago
Annapolis, United States Solaris Health Holdings LLC Full timeDescription: ** This is an in-office position** Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and the ability to multi-task. The ideal applicant must have...
-
Document Specialist I
3 days ago
Annapolis, United States SCD Information Technology Full timeSCD Information Technology is seeking a Document Specialist to join our team in Annapolis Junction, MD. The ideal candidate will have a primary role in manual scanning and indexing of hard copy documents provided by Security & Counterintelligence (S&CI). *TS/SCI with CURRENT POLYGRAPH IS A MUST* Responsibilities: Process hardcopy security related...
-
Pre-Certification Specialist
4 weeks ago
Annapolis, United States Anne Arundel Urology Full timeJob Description Job Description Description: * This is an in-office position* Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and the ability to multi-task. The...
-
Pre-Certification Specialist
5 days ago
Annapolis, United States Anne Arundel Urology Full timeJob Description Job Description Job Type: Full-Time, in-office position located in Annapolis, MD. Description Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail...
-
Pre-Certification Specialist
3 weeks ago
Annapolis, United States Anne Arundel Urology PA Full timeJob DescriptionJob DescriptionDescription:* This is an in-office position*Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and the ability to multi-task. The...
-
Pre-Certification Specialist
2 weeks ago
Annapolis, United States Anne Arundel Urology Full timeJob DescriptionJob DescriptionJob Type: Full-Time, in-office position located in Annapolis, MD.DescriptionOur Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and...
-
Pre-Certification Specialist
3 weeks ago
Annapolis, United States Anne Arundel Urology Full timeJob DescriptionJob DescriptionJob Type: Full-Time, in-office position located in Annapolis, MD.DescriptionOur Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and...
-
Pre-Certification Specialist
1 week ago
Annapolis, United States Anne Arundel Urology Full timeJob Type: Full-Time, in-office position located in Annapolis, MD.Description Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and the ability to multi-task. The...
-
Annapolis, United States iJET Full timeAbout Crisis24 Crisis24, a GardaWorld company, is widely regarded as the leading integrated risk management, crisis response, consulting, and global protective solutions firm, serving the world's most influential people, disruptive brands, and prominent organizations. Championed by our advanced Global Operation Centers and our skilled team of intelligence...
-
Environmental Sanitarian I, Sanitary Engineering
2 weeks ago
Annapolis, United States AA Health Full timeEnvironmental Sanitarian I, Sanitary Engineering $44,464 per year Posted Date 04/24/2024 Closing Date Continuous Bureau: Environmental Health | Sanitary Engineering Full-Time County Contractual Position open to all qualified candidates. Location: 3 Harry S. Truman Parkway, Annapolis, MD 21401 Hours: 40 hours per week Benefits: Participation in the County’s...
-
Cash Application Specialist
4 days ago
Annapolis, United States Aston Carter Full timeDescription: The Billing and Collections group is seeking a cash applications person to be a part of our accounts receivable team. The Billing and Collections team is responsible for the collections and cash application of our various accounts. The cash applications role will be responsible for daily coding and application of all cash to customer accounts as...
-
Clinical Support Specialist
3 days ago
Annapolis, United States Greenbrooktms Full time**Clinical Support Specialist** Annapolis, MD Part-time Clinical Support Specialist position now available in our Annapolis Center offering the opportunity to provide patient care in a behavioral/mental healthcare organization utilizing breakthrough Transcranial Magnetic Stimulation (TMS) Therapy and Spravato treatments for treating depression. Greenbrook...
-
Procurement Officer I
3 weeks ago
Annapolis, Maryland, United States State of Maryland - MDA Central Services Full timeIntroduction\r\rThe Maryland Department of Agriculture is a department under Maryland's Executive Branch.� Formed in 1972 by the Maryland General Assembly to address the agriculture needs for the State of Maryland. The Department oversees and serves as a regulatory body for animal health�and consumer services to include marketing and lab...