-
Claims Resolution Specialists II
3 weeks ago
American Oncology Management Company Macon, United StatesLocation: · Macon Office · Pay Range: · $ $26.38 Position Summary: · Review medical insurance claims for resolution and to obtain appropriate payment thru outlined processes. Resolve incoming inquiries, denials and correspondence from various entities to obtain appropriate reso ...
-
Help Desk Specialist
1 week ago
Teksouth Macon, United StatesTeksouth is seeking skilled help desk personnel to provide technical support onsite at Warner Robins AFB, GA. Candidates must have an active secret clearance. · The Help Desk Specialist will answer, evaluate, and prioritize incoming telephone, voicemail, and e-mail communication, ...
-
Dealer CSR Service Parts
6 days ago
Blue Bird Corporation Macon, United States Full timeBlue Bird (NASDAQ: BLBD) is recognized as a technology leader and innovator of school buses since its founding in 1927. Our dedicated team members design, engineer and manufacture school buses with a singular focus on safety, reliability, and durability. School buses carry the mo ...
-
IT Support Desk Specialist I
3 weeks ago
Georgia Farm Bureau Macon, United StatesTHIS POSITION WILL INITIALLY BE BASED IN THE HOME OFFICE AND MAY TRANSITION TO A PERIODIC ALTERNATIVE WORK ENVIRONMENT AFTER TRAINING AND CONTINGENT UPON ONGOING JOB PERFORMANCE · DESCRIPTION OF ESSENTIAL DUTIES: · Assist GFB employees and County Office personnel, primarily via t ...
-
Customer Support
1 week ago
Octane Co. Macon, United StatesJob Description · Job DescriptionAre you ready to pioneer innovative solutions in customer support while enjoying the freedom of remote work? Join our progressive team as a Virtual Customer Experience Specialist and be part of a forward-thinking community that prioritizes both pr ...
-
Division Chief Financial Officer H/F
1 week ago
French Selection UK Macon, United StatesFRENCH SELECTION · RECRUITMENT SPECIALISTS International Business · Industries & Services · A well-established importer and distributor part of a larger multinational group · Responsibilities · Main duties: · Play a key role in French financial management, ensuring accurate repor ...
-
Help Desk Specialist
1 week ago
Teksouth Macon, United StatesTeksouth is seeking skilled help desk personnel to provide technical support onsite at Warner Robins AFB, GA. Candidates must have an active secret clearance. · The Help Desk Specialist will answer, evaluate, and prioritize incoming telephone, voicemail, and e-mail communication, ...
-
Schedule Specialist Home Health
3 weeks ago
LHC New Macon, United StatesSummary · We are hiring for a Schedule Specialist. · At Three Rivers Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communi ...
-
Claims Specialist
1 day ago
Oakbridge Insurance Agency LLC Macon, United StatesWelcome to Oakbridge Insurance Agency. We are a new kind of insurance and risk management agency with the mission to transform and elevate the way business is done in our industry. · For over 100 years, the founding firms of Oakbridge worked alongside each other in small towns a ...
-
It Support Technician
3 weeks ago
Jamtek Electrical, LLC Macon, United StatesOur team is in need of an experienced IT support specialist. You'll play a critical role in our team by ensuring our technical operations run smoothly. Applicants should be able to maintain high levels of productivity while never compromising on quality support. If you thrive in ...
-
Claims Specialist
6 days ago
Oakbridge Insurance Agency LLC Macon, United StatesJob Description · Job DescriptionWelcome to Oakbridge Insurance Agency. We are a new kind of insurance and risk management agency with the mission to transform and elevate the way business is done in our industry. · For over 100 years, the founding firms of Oakbridge worked along ...
-
Dealer CSR Service Parts
1 day ago
Blue Bird Macon, United StatesBlue Bird (NASDAQ: BLBD) is recognized as a technology leader and innovator of school buses since its founding in 1927. Our dedicated team members design, engineer and manufacture school buses with a singular focus on safety, reliability, and durability. School buses carry the mo ...
-
It Support Technician
2 weeks ago
Jamtek Electrical, LLC Macon, United StatesJob Description · Job DescriptionOur team is in need of an experienced IT support specialist. You'll play a critical role in our team by ensuring our technical operations run smoothly. Applicants should be able to maintain high levels of productivity while never compromising on q ...
-
Senior Industrial Engineer I
1 week ago
Clark Nexsen Macon, United StatesWe seek to hire a Senior Industrial Mechanical Engineer I will perform industrial and mechanical engineering services on industrial process projects of small to large scope for facilities that process minerals, fertilizers, pulp and paper, and petrochemicals, among others. · Gen ...
-
Schedule Specialist Home Health
4 weeks ago
LHC New Macon, United StatesSummary · We are hiring for a Schedule Specialist. · At Three Rivers Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communi ...
-
EDI Specialist
4 weeks ago
315health Macon, United StatesHive, LLC is seeking an experienced EDI Specialist to join our team. As an EDI Specialist, you will be responsible for managing electronic data interchange (EDI) processes, ensuring the accurate and efficient exchange of data between our company and external partners. You will wo ...
-
Schedule Specialist Home Health
3 weeks ago
LHC Group Macon, United StatesJob Description · We are hiring for a Schedule Specialist. · At Three Rivers Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the ...
-
Help Desk Specialist
1 week ago
Teksouth Macon, United StatesTeksouth is seeking skilled help desk personnel to provide technical support. The Help Desk Specialist will answer, evaluate, and prioritize incoming telephone, voicemail, and e-mail communication, as well as in-person requests for assistance from users experiencing problems with ...
-
Schedule Specialist Home Health
4 weeks ago
LHC Group Macon, United StatesJob Description · We are hiring for a Schedule Specialist. · At Three Rivers Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the ...
-
Dealer CSR Service Parts
4 days ago
Blue Bird Macon, United StatesBlue Bird (NASDAQ: BLBD) is recognized as a technology leader and innovator of school buses since its founding in 1927. Our dedicated team members design, engineer and manufacture school buses with a singular focus on safety, reliability, and durability. School buses carry the mo ...
Claims Resolution Specialists II - Macon, United States - American Oncology Management Company
Description
Location:
Macon OfficePay Range:
$ $26.38Position Summary:
Review medical insurance claims for resolution and to obtain appropriate payment thru outlined processes. Resolve incoming inquiries, denials and correspondence from various entities to obtain appropriate resolution and payment in timely manner. Contact insurance carriers to research, compile and respond on open account balances to obtain appropriate payments.
Required Qualifications:
High School diploma or GED required. At least 1 year of prior work experience in the medical field, as well as experience in medical billing and/or collections. Must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, ICD-10 and CPT codes. Must have an in-depth understanding of explanation of benefits (EOB). Electronic Medical Records (EMR), GE Centricity Practice Management software experience preferred. Employee must be knowledgeable in Medical Oncology/Hematology and/or Radiation, Pathology, Radiology, Pumps and Specialties. Excellent communication and interpersonal skills are required. Employee must be able to work independently as well as in a team. Employee must complete 6 CEUs annually.
Key Performance Areas:
Apply billing/collection knowledge required for insurance payers to insure proper and maximum reimbursement.
Respond to patient and office inquiries regarding outstanding insurance balances, insurance payments received, allowable charges, assignment of benefits and any other insurance questions.
Manage insurance review and denial of payment by responding with appropriate documentation to support appeal. Follow-up on claim to ensure payment was received. Coordinate effort with office personnel and/or the doctor as necessary.
Report any consistent claim denials or problems to appropriate team lead per payer.
Inquire about and resolve any payments that differ from established profile on our payer contracts.
Attend third party payer meetings, seminars, and training sessions and report any changes or concerns to your supervisor.
Follow-up on correspondence in a timely manner.
Transfer appropriate balances to patient responsibility per SOP and notify the patient and appropriate department of this action accordingly.
Bill applicable secondary insurance.
Document all collection activity in Onco EMR, Centricity and Unity.
Contact patients to correct insurance information to ensure accuracy as needed.
Maintain and ensure the confidentiality of all patient and employee information at all times as established by HIPPA and Company policies.
Keep work area and records in a neat and orderly manner.
Maintain all company equipment in a safe and working order.
Will be expected to work at any Company location to help meet the Company's business needs.
Must establish and maintain effective work relationships with new and existing customers through a high degree of professionalism and excellent interpersonal communication skills.
Will be expected to complete additional reports or projects as assigned by management.
Comply with all Federal and State laws and regulations pertaining to patient care, patients' rights, safety, billing, human resources and collections. Adhere to all Company and departmental policies and procedures, including IT policies and procedures and Disaster Recovery Plan.
#AON