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Coding Reimbursement Specialist
1 week ago
Atrium Health Charlotte, NC, United StatesOverview Job Summary Performs duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines. Essential Functions Performs ICD and CPT coding of provider (professional) services and verifies that ...
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MannKind Corporation Charlotte, NC, United StatesAssociate Director, Field Reimbursement Specialist - EAST · At MannKind our employees are our number one asset, and we continue becoming a tight-knit community where each of us plays a critical role in our collective success. Committed to diversity, at MannKind we depend on a ric ...
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Radiologic Technologist
3 days ago
Atrium Health Charlotte, United States Full timeOverview · This position is Sign-on Bonus eligible. · Headquartered in Charlotte, North Carolina, Atrium Health is now part of Advocate Health, the third-largest nonprofit, integrated health system in the United States, which was created from the combination with Advocate Aurora ...
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Administrative Support Specialist
4 days ago
University of North Carolina at Charlotte Charlotte, United StatesPosition Information · General Information Vacancy Open to All Candidates Employment Type Permanent - Part-time If time-limited, note appointment end date Hours per week 28 Months per year 12 Position Number NC Salary Grade Equivalency GN06 Classification Title Administrative Su ...
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Marketing Pursuit Specialist
2 weeks ago
LaBella Associates Charlotte, North Carolina, United States PermanentA Proposal Specialist supports the process of business development for their firm segment by creating opportunity-specific marketing materials (proposals, quals, or presentations), researching clients and prospects, and identifying promotional opportunities to reach intended audi ...
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Travel Nurse RN
1 day ago
ARMStaffing Charlotte, United States Full timeARMStaffing is looking for RN - PCU in Asheville, North Carolina · Shift: 12 Hour Night, 19:00:00-07:00:00, · Unit Details: PULMONARY · At ARMStaffing we take care of our nurses We offer:Health & Retirement Benefits · Day-1 access to extensive benefits including Medical, Vision, ...
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High Yield Research
5 days ago
Barings Charlotte, United States Full timeAt Barings, we are as invested in our associates as we are in our clients. We recognize those who work diligently for us and reward them for personal and professional integrity, communication skills, distinct competencies and expertise in specific strategies, ability to collabora ...
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PaTS Assistant Director for Customer Service
2 weeks ago
University of North Carolina at Charlotte Charlotte, United StatesPosition Information · General Information Position Number Vacancy Open to All Candidates Working Title PaTS Assistant Director for Customer Service & Business Position Designation EHRA Non-Faculty Employment Type Permanent - Full-time Months per Year 12 Work Schedule 8:00 am – ...
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Travel Nurse
1 week ago
Triage Charlotte, United StatesTriage is seeking an experienced Rehabilitation Registered Nurse for an exciting Travel Nursing job in Charlotte, NC. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel Rehab RN | Charlotte, NC · Travel Nursing: Rehabilitation Charlotte, NC · Location: ...
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Contract Specialist
1 week ago
PMMC Charlotte, United StatesJob Title: Contract Specialist · Reports To: Controller · Department: Finance/Admin · About The Team · Our mission at PMMC is to continuously improve the financial performance of healthcare organizations so that they have more resources to devote to patient care. PMMC provides re ...
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Patient Services Specialist- Ballantyne
3 days ago
OrthoCarolina Charlotte, United States Full timeAt OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring ...
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Travel Nurse RN
11 hours ago
ARMStaffing Charlotte, United States Full timeARMStaffing is looking for RN - PCU in Kinston, North Carolina · Shift: 12 Hour Day, 07:00:00-19:00:00, · Unit Details: RN - 3 Medical - Days - UNC Lenoir Health Care · At ARMStaffing we take care of our nurses We offer:Health & Retirement Benefits · Day-1 access to extensive be ...
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LocumJobsOnline Charlotte, United States Full timeLocumJobsOnline is working with The Inline Group to find a qualified Family Practice MD in Prospect Hill, North Carolina, 27314 · About The Position · Piedmont Health Services - Full Time · through Friday 8 AM to 5 PM · Employed · New Graduates Welcome to Apply · Average Patients ...
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LocumJobsOnline Charlotte, United States Full timeLocumJobsOnline is working with The Inline Group to find a qualified Family Practice MD in Burlington, North Carolina, 27217 · About The Position · Piedmont Health Services - Full Time · through Friday 8 AM to 5 PM · Employed · New Graduates Welcome to Apply · Average Patients se ...
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LocumJobsOnline Charlotte, United States Full timeLocumJobsOnline is working with The Inline Group to find a qualified Pediatrics MD in Moncure, North Carolina, 27559 · About The Position · Piedmont Health Services - Full Time · through Friday 8 AM to 5 PM · Employed · New Graduates Welcome to Apply · Average Patients seen: 18 t ...
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LocumJobsOnline Charlotte, United States Full timeLocumJobsOnline is working with The Inline Group to find a qualified Family Practice MD in Chapel Hill, North Carolina, 27514 · About The Position · Piedmont Health Services - Full Time · through Friday 8 AM to 5 PM · Employed · New Graduates Welcome to Apply · Average Patients s ...
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Respiratory Therapist
3 days ago
Atrium Health Charlotte, United States Full timeOverview · This position is Sign- on Bonus eligible. · Headquartered in Charlotte, North Carolina, Atrium Health is now part of Advocate Health, the third-largest nonprofit, integrated health system in the United States, which was created from the combination with Advocate Auror ...
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ICU Veterinary Technicians
1 week ago
CARE | Charlotte Animal Referral & Emergency Charlotte, United StatesApplications are only accepted through our Human Resources platform, Centrally HR. Please · CARE | Charlotte Animal Referral & Emergency is an independently, woman owned 24-hour Emergency and Specialty Referral Hospital in Charlotte, NC that offers its employees a fun company cu ...
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WELLS FARGO BANK Charlotte, United States Full timeWells Fargo is seeking a New Business Initiatives Senior Business Accountability Specialist to join our CSBB New Business Initiative (NBI) team and be part of our Chief Administrative Office (CAO) team. Learn more about the career areas and business divisions at . · As a New Bus ...
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Travel Ultrasonographer
3 weeks ago
Bluepipes Charlotte, United States FreelanceTriage is seeking an experienced Ultrasonographer for an exciting Travel Allied job in Charlotte, NC. Shift: Inquire Start Date: 07/05/2024 Duration: 13 weeks Pay: $ / Week Travel Ultrasound Tech - General/Echo/Vascular | Charlotte, NC · Travel Radiology: General/Echo/Vascular U ...
Reimbursement Specialist - Charlotte, NC, United States - Metrolina Nephrology Associates
Description
:Metrolina has competitive wages and benefits and a generous paid time off package beginning in your first year of employment: 4 weeks (accrued) paid time off PLUS 7 additional paid holidays We also have a generous 401k plan with two entry points during the year. Metrolina Nephrology Associates is the region's most recognized and experienced nephrology group. The practice has been on the forefront of the treatment and management of kidney disease for more than 40 years. Composed of 41 Nephrologists and 35 Nephrology Advanced Practitioners, our practice serves patients from seven convenient locations. Our extensive network of providers and offices allow our practice to deliver care in an atmosphere that is personal, patient centered, and compassionate. It is our mission to provide the most comprehensive nephrology services available with a personal commitment to enhance our patients' quality of life through professional activity and dedication. By providing service excellence through highly specialized physicians and staff, we commit to serving the individual needs and circumstances of patients. A non-exempt position responsible for claims follow up and collections on accounts. Responsible for overseeing metrics by payer to include but not limited to work Navicure rejections, claims follow up and denial follow up. Researches and reviewed unpaid claims
Understands how to bill a claim to Navicure as well as correct front end edits on Navicure
Submits all payer refunds to management for review
Understands voids and re-enters
Requests coding changes
Understands the contracted timely filing limits for claims based on carrier plan for all payers that CEMM contracts.
Informs billing office staff of changes based on payer information received.
Investigates patient eligibility and corrects as needed in the practice system
Bills all insurance claims and statements
Works insurance assigned AR
Works payer denials
Works Navicure edits and rejections
Refiles accounts that may not have crossed over to the clearinghouse (Navicure)
Answers patient billing calls and provides a status to the patients within 24 hours
Researches account to provide the best possible outcome for the patient and CEMM.
Works with insurance companies to provide missing documentation to ensure payment of claims.
Maintains excellent rapport with insurance companies and representatives to assist with claims processing Requirements:
Understands how to read and interpret explanation of benefits, provides excellent customer service, accounts receivable follow up, obtains insurance authorizations, appeals denied claims.
Past work with a claims clearinghouse is a plus.Medical billing certificates a plus, 2-3 years of insurance reimb experience a plus, experience with claim rejection and denials a plus.
Must have a high school diploma or equivalent, have a basic understanding of medical terminology and insurance billing, 5 years' experience in a business office setting.
Knowledge of Allscripts, Navicure. Understands how to interpret 835s and explanations of benefits. Accounts Receivable follow up, obtaining authorizations, appealing denied claims
