The Account Manager is responsible for marketing, servicing and providing support to producers in maintaining and expanding all assigned accounts, and processing documentation for new and existing clients.
Coordinate the receipt and organization of prospect and client information, documents to support coverage and placement of accounts
Work with the producer regarding renewal marketing plans and assist in developing strategy for presentation at least 90 days prior to expiration
Support the Company on any insurance issues and preform any other administrative duties may assigned. Maintain strict contact and adequate information flows with Director/Project Manager of the project ensuring compliance with any contractual insurance obligations. Define, effect and maintain non-project insurance coverages such as property, casualty and personnel risks. Ensure notification, management and recovery of indemnities from the Insurers on any accident to projects, ...
The Certified Coding Specialist is primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the assigned client. The ideal candidate will have some of these licenses or designations. Certified Coding Specialist, CCS, Registered Health Information Analyst, RHIA, Registered Health Information Technician, RHIT, hospital claims, CPT, HCPCS, ICD-9, ICD-10, DRG.
Essential Duties and Responsibilities of the ...
Billing Specialist (Spanish Speaking)
• Investigate rejection notices from EDI payers and resubmit them promptly;
• Appeal claims with all information for reimbursement; to include preparation of appeals and medical records;
• Update the Revenue Cycle Manager on updates to insurance companies, facilities, or patient information;
• Follow policies/guidelines for maximized reimbursement of accounts receivable before insurance filing deadlines;
• Reach production goals in accordance ...
The purpose of this position is to assist in managing the company’s outstanding receivables, through routine communication with all payers (e.g. commercial insurance, Medicare, private pay patients, etc.) to ensure that expected reimbursement for patient care is processed timely and paid accurately.
Essential Job Functions:
Follow up on submitted claims (i.e., claim received, pending, processing, paid, etc.) and complete action as appropriate to ensure timely receipt and ...
This position oversees Medical Billing and Payment Posting Staff to ensure 1) timely, accurate, and successful submission of claims 2) timely and accurate posting of cash receipts from payers and patients for health services provided by the company. This position is a “working” Supervisor position and is expected to work alongside staff as well as provide direction.
Essential Job Functions:
Responsible for management and oversight of daily activities as they relate to the ...
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