- Reporting of carrier performance according to contracted fee schedule
- Denial management
- Good oral and written communication skills
- Effective Problem-solving skills and make independent decisions
- Work effectively in a team environment
- Perform consistent, assertive, efficient and timely follow-up on accounts as determined by Management
- Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements
- Medicare, Medicaid, and/or third party payer experience in dealing with healthcare insurance companies through phone follow-up and letter correspondence during the appeals or denial resolution process
- Corrects billing errors, edits, overlaps, etc., and submit clean claims
- Review payment variances and remittances for resolution in an efficient and timely manner for processing of patient and/or insurance refunds.
- Identify payer issues or trends and update Manager in a timely manner, providing concrete examples for Management to review.
- Other duties as assigned.
- Minimum of a high school diploma, coding and billing courses helpful.
- Additional training in Athena and Trizetto a plus.
- Skill in computer applications
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Billing Specialist
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Vaco Jacksonville, United StatesJob Description · Job DescriptionVaco has a direct hire opportunity for a Billing Specialist. This position is fully onsite. · The Billing Specialist is responsible for creating invoices and credit memos, updating customer records, and sending payment reminders to customers. The ...
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Billing Specialist
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Mac Papers and Packaging, Jacksonville, United StatesJob Description · Job DescriptionThe Billing Specialist is responsible for creating invoices and credit memos, updating customer records, and sending payment reminders to customers. The Billing Specialist validates accounting and customer records for accuracy and responding to qu ...
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Billing Specialist
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North Florida Surgeons Jacksonville, United StatesJob Description · Job DescriptionDescription:Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement. · Responsibilities: · Reporting of carrier ...
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Southeast Utilities of Georgia, a Congruex company Jacksonville, United StatesJob Description · Job DescriptionJob ProfileBilling Specialist · Jacksonville, FL · Southeast Utilities of GA, a Congruex Company, is looking for a Billing Specialist to join our construction team. Learn more about our operating unit at is CongruexCongruex designs and builds bro ...
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Billing Specialist
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Mac Papers and Packaging, Jacksonville, United StatesJob Description · Job DescriptionThe Billing team at Mac Papers and Packaging is a part of the key financial and customer operations activities which help deliver exceptional experiences to our customers and drive performance of the organization. The Billing Specialist is respons ...
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Medical Billing Specialist
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CARDIO OPTIONS INC Jacksonville, United StatesJob Description · Job DescriptionCardio Options is seeking an experienced Medical Billing Specialist. The ideal candidate will have experience with insurance claims denials, appeals, expertise with deductibles, copays, eligibility verification and EOB processing. In depth evaluat ...
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IPS Bill Only Specialist
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Idea Recruitment Jacksonville, United StatesJob Description · Job DescriptionIdea Recruitment is assisting our client with their search for an IPS Bill Only Specialist. · Schedule / Pay Info · Days: Monday - Friday · Training Work Hours: 9:00am - 6:00pm · Permanent Work Hours: 9:30am - 6:30pm · Temp-to-Hire Position · Star ...
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Workers Compensation Billing Specialist
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Unify Health Services Jacksonville, United StatesJob Description · Job DescriptionUnify Health Services · Join our dynamic team where your attention to detail and dedication will be valued We are committed to delivering top-notch billing services to our clients and seek a motivated Workers Compensation Billing Specialist to sup ...
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CPC Certified Billing Specialist
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Complete Health Jacksonville, FL, United StatesSUMMARY OF JOB DUTIES: · The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This perso ...
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Jax Spine & Pain Centers Jacksonville, United States Full timeJOB SUMMARY: · *COMPETITIVE PAY BASED ON VERIFIED EXPERIENCE* · This position is responsible for providing excellent customer service while answering questions from patients, staff, and insurance companies. The Billing Specialist will also have proper phone etiquette, computer sk ...
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Jax Spine & Pain Centers Jacksonville, United States Full timeJOB SUMMARY: · *Base pay $17-23 an hour with performance bonus eligibility effective upon hire. · This position is responsible for providing excellent customer service while answering questions from patients, staff, and insurance companies. The Billing Specialist will also have p ...
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Jax Spine & Pain Centers Jacksonville, United States Full timeJOB SUMMARY: · *COMPETIVE PAY BASED ON VERIFIED EXPERIENCE* · This position is responsible for providing excellent customer service while answering questions from patients, staff, and insurance companies. The Billing Specialist will also have proper phone etiquette, computer skil ...
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Jax Spine & Pain Centers Jacksonville, United States Full timeJOB SUMMARY:This position is responsible for providing excellent customer service while answering questions from patients, staff, and insurance companies. The Billing Specialist will also have proper phone etiquette, computer skills and ability to multi-task and work well indepen ...
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JC HOME MEDICAL Jacksonville, United StatesJob Description · Job DescriptionOur company is seeking a dynamic talented billing and AR specialist for fast growing DME company. · Responsibilities: · Handling all aspects of Medicare billing and compliance for durable medical equipment · Ensuring and maintaining appropriate do ...
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Baptist Health System Jacksonville, United StatesBaptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Flori Physician, Specialist, Claims ...
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Pap Specialist
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Adapt Health LLC Jacksonville, United States: · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the qualit ...
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Director Nursing
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SCA Health Jacksonville, United StatesOverview: · Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and he ...
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Structural Heart Navigator
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HCA Florida Memorial Hospital Jacksonville, United States**Introduction**: · Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at HCA Florida Memorial Hospital have the opportunity to make a real impact. As a Str ...
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Structural Heart Rn Navigator
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HCA Florida Memorial Hospital Jacksonville, United States**Introduction**: · Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at HCA Florida Memorial Hospital have the opportunity to make a real impact. As a Str ...
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Lead Medical Coding Specialist
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Holy Redeemer Health System Meadowbrook, United StatesPS HR Administration · - Full-Time - Day - M - F 8am - 4:30pm · Weekend Requirements: None · **LEAD CODING/REVENUE CYCLE SPECIALIST** · **SUMMARY OF JOB**: · The Lead Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, UHDDS sequencing ...
Billing Specialist - Jacksonville, United States - North Florida Surgeons
Description
Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement.
Responsibilities:
