Orthopedic Collections Specialist
5 hours ago
Midwest Orthopaedics at Rush is a leading provider of comprehensive orthopedic services, and we're seeking a highly skilled Collections Specialist to join our team. As a key member of our revenue cycle team, you'll play a critical role in ensuring accurate and timely claims follow-up and accounts receivable resolution.
Key Responsibilities:- Analyze authorizations, claims, and other relevant information to identify the next appropriate action toward payment resolution.
- Follow government and third-party payor guidelines to ensure complete and timely follow-up on open balances for assigned payors or accounts.
- Perform appeals, underpayment appeals, and disputes by following government and third-party payor appeals guidelines or contracted terms.
- Collaborate with the Revenue Cycle Analyst to identify patterns and interpret denial trends.
- Work to minimize write-offs by exhausting all resolution options and performing thorough research/review of all appropriate resources.
- High School Diploma or equivalent; Associates or Bachelor's Degree preferred.
- 3-4 years of related experience in a business office or on a revenue cycle team; Preference given for physician or medical group CMS 1500 experience.
- Strong expertise with Blue Cross Blue Shield claims submission, denial resolution, and appeals processes.
- Knowledge of durable medical equipment requirements, workers compensation, motor vehicle, and personal injury claims.
- Experienced with patient accounting systems – Athena preferred.
Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package, as well as opportunities for growth and development in a dynamic and supportive environment. If you're a motivated and detail-oriented professional with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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Physical Therapist
1 week ago
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Authorization and Collections Specialist
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Mobile Phlebotomy Specialist
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Senior Employee Relations Specialist
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Nurse Specialist
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Dental Excellence Specialist
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Behavior Intervention Specialist
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Beauty Product Specialist
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Administrative Support Specialist
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Practical Nursing Specialist
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Practical Nursing Specialist
4 weeks ago
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Customer Engagement Specialist
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School Services Specialist
7 days ago
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Yonkers, New York, United States Mount Sinai Hospital Full timeAbout the OpportunityWe are seeking a highly skilled Endocrinologist to join our team at Mount Sinai Hospital in Pelham, NY. As a member of our multi-specialty team, you will have the opportunity to provide exceptional patient care and work collaboratively with a variety of specialists.ResponsibilitiesProvide office-based endocrinology services to a diverse...
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Customer Engagement Specialist
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Customer Engagement Specialist
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Yonkers, New York, United States Fine Line Vision Full timeJob OverviewAt Fine Line Vision, we are committed to fostering a supportive and enjoyable workplace for our employees. We are a comprehensive sales and consulting organization that collaborates with leading telecommunication firms in retail settings. Our focus is on equipping our team with the necessary training to thrive and find satisfaction in their...
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Labor and Employee Relations Specialist
10 hours ago
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Lead Youth Development Specialist
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Behavioral Intervention Specialist
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Physical Therapist
1 week ago
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