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Claims Resolution Specialist Hybrid
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UroPartners LLC. Westchester, United StatesGENERAL SUMMARY · The Claims Resolution Specialist is responsible for monitoring the charge capture process and identifying issues and process improvement opportunities within the Mid-Revenue Cycle. The position is responsible for revenue leakage root cause analysis and resoluti ...
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Warrior Insurance Network Bedford Park, United StatesIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL · We are seeking an experienced Litigation Claims Specialist · The Litigation Specialist will be resp ...
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First Chicago Insurance Company (FCIC) Bedford Park, United StatesIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL · We are seeking an experienced Litigation Claims Specialist · The Litigation Specialist will be resp ...
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Hybrid Business Analyst Specialist 29773
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First Chicago Insurance Company (FCIC) Chicago, United StatesJob Description · Job DescriptionIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL · We are seeking an experienced Litigation Claims Specialist · The L ...
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Warrior Insurance Network Chicago, United StatesJob Description · Job DescriptionIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL · We are seeking an experienced Litigation Claims Specialist · The L ...
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Skyway Behavioral Health Skokie, United StatesCompany: Skyway Behavioral Health · Title: Admissions & Assessment Specialist · FLSA Status: Exempt · Location: Skokie, IL - hybrid remote / in-office (Illinois based) · Approved by: Executive Leadership · Skyway Behavioral Health is an innovative behavioral health center th ...
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Skyway Behavioral Health Skokie, United StatesJob Description · Job DescriptionCompany: Skyway Behavioral Health · Title: Admissions & Assessment Specialist · FLSA Status: Exempt · Location: Skokie, IL - hybrid remote / in-office (Illinois based) · Approved by: Executive Leadership · Skyway Behavioral Health is an innov ...
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Wire Operations Specialist#Hybrid
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Member Operations Specialist#Hybrid
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Wire Operations Specialist #hybrid
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Paid Media Specialist #Hybrid
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First Chicago Insurance Company (FCIC) Chicago, United StatesJob Description · Job DescriptionIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL · We are seeking an experienced Auto Bodily Injury Claims Specialist ...
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Warrior Insurance Network Chicago, United StatesJob Description · Job DescriptionIf you are an experienced CLAIMS PROFFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFFESSIONAL · We are seeking an experienced Casualty Claims Specialist · The Aut ...
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Northwestern Memorial Healthcare Chicago, United States Full timeJob Description · Job Description Company Description · At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of o ...
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Underwriting Services Specialist II-Hybrid
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Cash Application Specialist-Hybrid Rosemont IL
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AccentCare Rosemont, United States Regular, Full timeOverview · Find Your Passion and Purpose as a Cash Application Speacilist · Reimagine Your Career in Corporate Healthcare · As a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless driv ...
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Cash Application Specialist-hybrid Rosemont Il
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Skyway Behavioral Health Skokie, United StatesCompany: Skyway Behavioral Health · Title: Admissions & Assessment Specialist · FLSA Status: Exempt · Location: Skokie, IL - hybrid remote / in-office (Illinois based) · Approved by: Executive Leadership · Skyway Behavioral Health is an innovative behavioral health center th ...
Claims Resolution Specialist Hybrid - Westchester, United States - UroPartners LLC.
Description
Job DescriptionJob Description Description:
GENERAL SUMMARY
The Claims Resolution Specialist is responsible for monitoring the charge capture process and identifying issues and process improvement opportunities within the Mid-Revenue Cycle.
This position will help optimize Revenue Cycle by evaluating, validating, and trending data for presentation to all levels of the organization.
This role reports to the Coding Supervisor.ESSENTIAL JOB
FUNCTION/COMPETENCIES
Monitors scheduling and revenue reports for all practice locations to ensure all charges are entered timely and appropriately according to charge capture policy standards
Monitors practice adherence to charge reconciliation processes
Works Missing Encounter Report to identify missing charges and ensure they are posted timely and accurately ? Runs surgery schedule weekly and monthly to ensure all scheduled surgeries and related charges have been billed
Monitors late charges and write-offs by reviewing reports weekly to determine root causes for late charges
Maintains charge screens and department charge master files ? Provides feedback to Coding & Revenue Integrity Manager on consistent basis for those
providers/clinicians/practices
that are not meeting charge entry standard
Performs quantitative and financial analysis from daily audit findings as it pertains to charge capture
Provides estimated revenue impact from audit findings to leadership
Works with Revenue Integrity Team, Clinical Operations and RCM (Revenue Cycle Management) staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement
Responds to queries regarding charges
Participates in ongoing coordination and resolution of revenue issues as they arise.
Assists in troubleshooting and resolving issues related to the patient mid-revenue cycle and assists in development and recommendations Job may require other duties as assigned
CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS
Coding and/or Physician Billing Certification, preferred
KNOWLEDGE | SKILLS | ABILITIES
Demonstrates understanding of business and how actions contribute to company performance
Demonstrates excellent customer service skills
Knowledge of medical terminology, Current Procedural Terminology (CPT), International Classification of Disease (ICD) coding, and the entire revenue cycle process
Knowledge of EHR (Electronic Health Record) software systems and Microsoft Office products
Professional verbal and written communication skills
Ability to develop reports and create presentations
Ability to work collaboratively across disciplines and business lines
Must be comfortable educating staff members
Ability to handle multiple tasks with excellent problem-solving skills
Strong analytical skills with ability to make conclusions and recommendations
Well organized with the ability to maintain accuracy and confidentiality
EDUCATION REQUIREMENTS
High school diploma or general education degree (GED); or equivalent combination of education and experience.
EXPERIENCE REQUIREMENTS
Minimum of one years' revenue cycle experience within a physician practice
Minimum of one years' AR experience within a physician practice
Experience in Urology or physician practice environment preferred
Requirements:
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