- Reviews claims that have been adjudicated by Medicare, Medicaid, and Commercial carriers for appropriate billing.
- Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
- Extracts information regarding patient treatment from medical records and works closely with coding staff to compose individualized appeal letters.
- Identifies payor specific patterns or trends regarding denials and reports to management for communication to Medical Departments and Administrators.
- Makes the necessary recommendations regarding billing and edit creation to reduce denials.
- Remains current in all payor specific guidelines.
- Utilizes various collection processes such as appeals or collection notices by mail, electronic correspondence, and telephone communication with payor representatives.
- Performs all other duties as assigned.
- None
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Medical Office Billing Clerk-Intermediate
2 weeks ago
University of Texas Health Science Center San Antonio SanAntonio, United States· Under general supervision, responsible for performing any combination of routine calculating, posting, and verifying duties to obtain primary insurance data for use in preparing statements to patients' insurance carriers. May prepare notices to patients of amount expected (or ...
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Trinity Staffing Services San Antonio, United StatesJob Description · Job DescriptionBusiness Office of Automotive Network needs help in their Billing Department. This position requires good data entry and reconciling skills to process deals from the dealerships and to balance all the paperwork once it is entered in system. Candid ...
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UT Health San Antonio San Antonio, United StatesJob Summary: · Under limited supervision, responsible for performing any combination of routine calculating, posting and verifying duties to obtain primary insurance data for use in preparing statements to patients' insurance carriers. May prepare notices to patients of amount ex ...
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Billing Clerk
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VIP Staffing New Braunfels, United States Full timeWe are now hiring for a billing clerk for a company in New Braunfels, TX. This position is starting ASAP. Please submit your resume to this posting and call our office at · Pay: $18/hr · Schedule: Monday-Friday 8:00am-5:00pm · Description: · It is the primary duty of this positi ...
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Billing Clerk
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Vic Vaughan Toyota of Boerne Boerne, United StatesExperienced Automotive Billing Specialist · This is an outstanding opportunity for a results-focused, highly driven and experienced Automotive Billing Specialist. The purpose of the Billing Specialist is to process car deals by verifying completeness of documentation. We are loo ...
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Unit Clerk Intermediate Cardiac Care
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AR/ Medical Insurance Specialist
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TEKsystems San Antonio, United States ContractDescription: · Job Description · Collect and analyzes needed documentation for billing. Acts as the liaison between customer, Solventum, and third-party payer to ensure the order meets regulatory and payer requirements. · •Review and analyze payer specific requirements and cove ...
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Clerk II
5 days ago
Texas Department of Aging & Disability Services San Antonio, United StatesJob Description: · Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe i ...
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Emergency Department Technician
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Christus Health San Antonio, United States· Summary: · The Emergency Room Technician is part of the EmergencyDepartment. This position requires the skills and knowledge of manyareas such as: ED Tech, Patient Registrar, Unit Clerk, and MonitorTech. Emergency Room Tech performs a variety of RN delegated tasksunder the sup ...
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Acc. Management/Medical Billing
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TEKsystems San Antonio, United States ContractDescription: · Account Management/ formerly MCO (Managed Care) Recertification Department: Billing/Collections Specialist · 1. Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to ensure accurate invoicing and prompt payme ...
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Client Service Liaison
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Physician Life Care Planning San Antonio, United StatesSummary: As a Client Service Associate at Physician Life Care Planning, you will play a vital role in our commitment to provide exceptional service and solutions to our customers. You'll engage with clients, experts, and team members to manage logistics, provide in-depth informat ...
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Commercial Lines Account Manager
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Higginbotham San Antonio, United States Full timeHigginbotham , a privately held, independent insurance and financial services firm that ranks within the top 20 nationwide, has an opening for an Employee Benefits Account Management Team Lead for our San Antonio, TX office. · This team lead will be responsible for assisting in ...
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Analytics Engineer Mid-Level
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USAA San Antonio, United States Full timeThe Opportunity · As a dedicated Analytics Engineer Mid-Level , you will analyze sophisticated business problems and issues using data from internal and external sources to provide insight to analysts and decision makers. Identifies and interprets trends and patterns in dataset ...
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Emergency Department Technician
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Christus Health San Antonio, United States· Summary: · The Emergency Room Technician is part of the Emergency Department. This position requires the skills and knowledge of many areas such as: ED Tech, Patient Registrar, Unit Clerk, and Monitor Tech. Emergency Room Tech performs a variety of RN delegated tasks under the ...
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Accounting Clerk IV Contractor
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Zachry Holdings, Inc. San Antonio, United States FreelanceThe Accounting Clerk IV (contractor) position requires proficiency in transactional business processes (Accounts Receivable, Accounts Payable, and Payroll, with a heavy emphasis in Billings). The Representative will perform a variety of routine accounting functions under general ...
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Accounting Data Clerk
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Roger Ward - San Antonio Inc. San Antonio, United StatesJob Description · Job DescriptionBilling Clerk Needed for Large Moving Co. (San Antonio, TX) · Ward North American is an elite moving company that specializes in white glove moving for people all over the nation. Currently moving millions of pounds of furniture, we are in immedia ...
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A/R Collections Clerk
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Surgery Partners San Antonio, United StatesJOB TITLE: Collections Clerk · GENERAL SUMMARY OF DUTIES: · The Collector is responsible for handling all parts of insurance claims and denials, as well as checking the status of claims. · EDUCATION/EXPERIENCE: · * High School Diploma or Equivalent · * 2 years of medical collecti ...
Medical Office Billing Clerk-Intermediate - San Antonio, United States - UT Health San Antonio
Description
Job Summary:
Under general supervision, responsible for performing any combination of routine calculating, posting and verifying duties to obtain primary insurance data for use in preparing statements to patients' insurance carriers.
Job Duties:
Education:
High school diploma or GED is required.
Experience:
Three (3) years of related experience to include clinical setting is required. Medical/Dental coding experience is preferred.
Additional Licenses and Certifications:
None.
Supervisory Requirements: