li>Understand insurance regulations and guidelines to include CMS guidelines in order to effectively discuss outstanding claims with payers related to slow payments, underpayments, denials and to ensure claims are processed compliantly and paid appropriately.
Medical Billing Specialist
Please Note: This is an Evergreen Job Posting
This position is part of an ongoing recruitment effort to build a pipeline of qualified candidates for future vacancies.
The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).
The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).
The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).
You will be responsible for (A/R) Department, you will be responsible for completing patient financial services (PFS) tasks such as billing and/or accounts receivable follow-up with payer and maintaining quality and productivity requirements as outlined in the position performance expectations. Additional responsibilities of the Medical billing specialist: maintain and release all-ship-verified claims for all third-party claim (commercial or government) accounts within established time frame as assigned.
li>Location: Remote - if candidates are within 1 hour of hub locations in: Wake Forest, NC; Sunrise, FL; Melville, NY) The candidate is required to do 3 days a month in office for "Connection Weeks". To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy.
Applies knowledge of bylaws, rules, and regulations to effectively serve as a Medical Staff information resource, to ensure timely flow of work, and sound judgment to mentor and support Medical Staff Credentialing Specialists I, other peers, and leadership. · Ensures the accuracy of documentation to support the request for privileges by maintaining good working relationships with clinical departments, Medical Staff leadership and professional agencies.
Valid and current CPR, First Aid Certification, and an Arizona Fingerprint Clearance card required (Denova will assist with obtaining a Fingerprint Clearance Card upon acceptance of the offer). Proficiency in using electronic record-keeping systems (EMR, billing software, insurance carrier portals, spreadsheets, etc.) preferred.
For most roles, we require a minimum of 4 days of in-office presence per week to maintain our culture of excellence and ensure smooth operations, while also recognizing the importance of flexibility and work-life balance. It takes the imagination and passion of all of us-from design and engineering to the manufacturing and marketing of our billions of MedTech products per year-to look at the impossible and find transformative solutions that turn dreams into possibilities.
Scottsdale, Arizona10 days ago
div class="job__description body">Sono Bello is America's top cosmetic surgery specialist, with 185+ board-certified surgeons who have performed over 300,000 laser liposuction and body contouring procedures.
Scottsdale, AZ10 days ago
p>Sono Bello is America''s top cosmetic surgery specialist, with 185+ board-certified surgeons who have performed over 300,000 laser liposuction and body contouring procedures. Key Skills/Qualifications:
- Must be familiar with MS Office, including Excel, Ability to write routine reports and correspondence.
Assists in compliance with the accrediting and regulatory agencies regarding credentialing, while developing and maintaining a working knowledge of the required statutes and laws. Performs and collects primary source verification and other documents needed including follow-up activities of initial and reappointments applications.
Skip to main content ; Career areas Phlebotomy Laboratory Specimen processing Drivers Transportation and logistics Customer Service Per diem and on call Sales Technology Corporate Medical, scientific, and R&D Internships All jobs India based jobs Who we are Culture Benefits Upcoming events What we do Innovation and insights Start your career with Quest Veterans at Quest Job seeker resources Job alerts Saved jobs My profile Current employees Search Search by Keyword Search by Location 5 miles 15 miles 25 miles 35 miles 50 miles Radius Search More: Impact Discover a role that empowers some of life's most important healthcare decisions. Clinical Development Specialist -Medical Affairs (Remote) Apply Save roleSaved role Category Technology Location Phoenix, Arizona Job function Research and Development Job family Technical Product Management Shift Day Employee type Regular Full-Time Work mode Remote Job DescriptionA Clinical Development Specialist will work with Quest Medical and Laboratory Directors and their staff, Clinical Development management and staff, external scientific and clinical administrative staff and external vendors to support S & I clinical development research efforts.
p>As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. You'll spend your day working through accounts, connecting with payers, and helping move things forward so patients and the business are both supported.
The Medical Records Specialist is responsible for the timely and accurate processing of medical records requests from various sources, including patients, their authorized representatives, healthcare providers, and other organizations. At Amazon One Medical, we strive to deliver the highest level of patient-centered care in healthcare, and we need exceptional, talented, and motivated individuals to help us achieve this goal.
YOU can make a difference!
| | Skills Required | -Registering Patients -HIPAA Compliance -Collecting Payments -Preparing & Maintaining Electronic Medical Records -Customer Service -Computer Skills | |
| Skills Preferred | Bilingual skills in English and Spanish | |
| Experience Required | 6 months' experience registering patients in an electronic medical records system in a healthcare setting. In this role, you will register patients, collect payments, prepare and maintain the electronic medical records for the clients we serve, following HIPPA guidelines.YOU can make a difference! | |
| Skills Required | -Registering Patients -HIPAA Compliance -Collecting Payments -Preparing & Maintaining Electronic Medical Records -Customer Service -Computer Skills | |
| Skills Preferred | · Bilingual skills in English and Spanish | |
| Experience Required | 6 months' experience registering patients in an electronic medical records system in a healthcare setting. In this role, you will register patients, collect payments, prepare and maintain the electronic medical records for the clients we serve, following HIPPA guidelines.YOU can make a difference! | |
| Skills Required | -Registering Patients -HIPAA Compliance -Collecting Payments -Preparing & Maintaining Electronic Medical Records -Customer Service -Computer Skills | |
| Skills Preferred | · Bilingual skills in English and Spanish | |
| Experience Required | 6 months' experience registering patients in an electronic medical records system in a healthcare setting. 2444-2447,2449 are the same team, they will collaborate if they think one might be a better fit for a separate requisition. |
Basic Qualifications & Interests: Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets). Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
We are guided by our steadfast commitment to improving patient outcomes by empowering providers to deliver exceptional care needed to forge stronger, healthier communities. Why Revere Medical:
Revere Medical gives new life to clinics in need of tools, resources, and support so they can start delivering the personalized care their communities deserve.
Perform essential patient care functions typically handled by healthcare associate roles, as business needs dictate, to ensure a positive patient experience, including handling inbound phone calls, documenting routing, and completing additional task types. Reporting to the Quality Assurance Manager, you will play a key role in helping us deliver on our promise of high-quality, accessible, and affordable care by auditing and ensuring excellent interactions with our members.
li>Demonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research. - Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.
Working independently, initiate research from resource materials, e.g., clinical journals, periodicals, CMS (Medicare) guidelines and publications, BCBSA publications, other BCBS plans, and internet resources relating to technical, clinical and coverage guidelines, summarizing and reporting this information to management for further action. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.