Responsible for CenterLight’s billing and revenue cycle analysis, reconciliation, and operational procedures while maintaining adherence to DOH and CMS guidelines.
Locations (2)
Bronx, New York, United States
Olinville, New York, United States
Compensation
Salary Range (Min-Max): $80,000.00 - $90,000.00
Responsibilities
Perform weekly billing for Best Choice/Matter of Care in coordination with Coordinators and Payroll.
Enter and independently reconcile insurance and member payments to A/R.
Perform full analytics on all revenue operations for all Line of Business of Centerlight.
Perform analytics (on MMR and 820/834) and reconciliation of payments received to billing files.
Independently investigate and resolve Enrollment/Intake discrepancies for correction/rebilling.
We are currently seeking a Medicare Billing Specialist to join our team in our Stuart, Florida office to handle insurance billing, problem-solving, and detail-oriented claim processing.
Responsibilities
Direct claim collections in medical billing
Preparing, reviewing and transmitting claims using billing software, including electronic and paper claim processing
Working knowledge of insurance carriers' payment regulations including various reimbursement schemes, coinsurance and deductibles and contractual adjustment
Employee will be responsible for insurance follow-up on carrier denials, no insurance response and claim edits for Yale Medicine. Employee will function as a liaison in the day to day follow-up of denied, no response claims and claim edits to obtain maximum reimbursement for services rendered by Yale Medicine and other related practices.
Compensation
Hourly Range $31.83
Responsibilities
Follow up of denied and no insurance response for Yale Medicine and its related specialties and practices
Oversees maintenance of account files ensuring accuracy and completeness
Review payment history
Review, work and resolve problem and delinquent accounts with supervisor and collection agency
Recommend and implement changes to system and operation procedures
Responsible for insurance follow-up on carrier denials with a focus on coding denials for Yale Medicine, acting as liaison for denied and no response claims to maximize reimbursement.
Compensation
Hourly Range $31.83
Responsibilities
Follow up denied and appealed claims for Yale Medicine and related specialties
Process and review carrier denials for adherence to payer guidelines
Write, send and follow up on appeals
Communicate with insurance carriers, patients, and payers
Medicare Billing Specialist | Home Health | Stuart Branch | Full Time + BenefitsVNA of Florida · Stuart, US