Billing Resolution Specialist jobs in the United States

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Aging & Billing Resolution Specialist
  • Medusind
  • Prescott, AZ FULL_TIME
  • At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with rich domain expertise and robust compliance norms.

    Our four-prong approach of an excellent management team coupled with a detailed eye for processes experienced manpower, and cutting-edge technology helps us deliver superior, cost-effective services to our clients across the globe.

    Position Details

    Fulltime, fully remote, $21.50 Hourly.

    Primary Job Responsibilities

    • Research and document denials in a thorough, professional and expedient manner.
    • Analyze denied claim explanation of benefits, insurance carrier contacts, and general correspondence from insurance companies.
    • Request medical records from internal staff when needed.
    • Compose all correspondence in accordance with regulatory requirements, to reflect accurate appeal information in a clear, concise, grammatically correct format.
    • Maintain tracking system of correspondence and outcomes for appeals.
    • Maintain well-organized, accurate and complete files for all appeals.
    • Monitor each appeal to ensure all internal and regulatory timelines are met.
    • Act as point of contact for submission and/or resolution of denial determinations and interfaces with insurance companies in regard to reconsiderations, disputes and/or appeals.
    • Responsible for data collection and analysis regarding specific denial determinations and appeals.
    • Develop necessary policies and procedures and oversees quality assurance measures related to appeals.
    • Review denied claims looking for large trend issues.

    Skill Requirements

    • Must have experience appealing denied insurance claims for out of network providers (preferably in behavioral health).
    • Computer literacy and proficiency in programs such as Microsoft Excel and Word.
    • Understanding of state and regulatory grievance and confidentiality regulations.
    • Ability to handle confidential material with discretion and integrity.
    • Excellent verbal and written communication skills.
    • Ability to establish and maintain positive and effective work relationships with coworkers and clients.
    • Ability to work independently as well as in team environment.

    About Medusind

    Since 2002, organizations across the entire healthcare spectrum have leveraged our deep expertise and high-quality solutions to maximize revenue, reduce operating costs and navigate the changing healthcare landscape.Medusind’s unique combination of deep industry expertise, robust operational capability, and client-focused service significantly improves the efficiency and profitability of healthcare organizations. Client satisfaction is the primary focus of the Medusind leadership and staff.Our highly experienced personnel, cutting edge technology, and forward thinking approach allows us to deliver effective solutions while staying ahead of healthcare industry changes.
  • 10 Days Ago

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Billing Resolution Specialist
  • Urology, P.C.
  • Lincoln, NE FULL_TIME
  • Urology, P.C. is looking for a Billing Resolution Specialist to work in our fun, fast paced office environment. ESSENTIAL DUTIES AND RESPONSIBILITIES: Review past due accounts and contact insurance co...
  • 17 Days Ago

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AR RESOLUTION SPECIALIST - BILLING
  • NORTHWEST SPECIALTY HOSPITAL
  • Falls, ID OTHER
  • Job Details Job Location: Harbor Ridge Office - Post Falls, ID Position Type: Full Time Salary Range: Undisclosed Job Shift: Day Job Category: Billing Department AR RESOLUTION SPECIALISTNorthwest Spec...
  • 1 Month Ago

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Account Resolution Specialist - Medical Billing
  • South Texas
  • San Antonio, TX FULL_TIME
  • Job Title: Account Resolution SpecialistDepartment: Credit BalanceLocation: San Antonio, Texas (on site)Reports To: Supervisor, Patient Account ServicesFLSA Status: Non-exempt Summary of Position: To ...
  • Just Posted

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Medical Billing / Claim Resolution Specialist
  • TurboTar
  • San Diego, CA FULL_TIME
  • TurboTAR is a maturing B2B EHR Software and Billing Company centrally located in Mission Valley.We have the following position open and are looking to fill ASAP:Medical Billing/Claims Resolution Speci...
  • Just Posted

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Billing Resolution Specialist Property & Casualty
  • Horace Mann
  • Springfield, IL FULL_TIME
  • Billing Resolution Specialist is responsible for researching, analyzing, and addressing inquiries and transactions around billing, payments, and refunds. Processing transactions around exception payme...
  • 29 Days Ago

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Medical Billing Specialist
  • Moore OBGYN
  • Oxon Hill, MD
  • Job Title: Medical Billing Specialist Bilingual Spanish, a plus Position Summary: The Medical Billing Specialist utilize...
  • 7/14/2024 12:00:00 AM

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Billing Specialist - Chattanooga, Memphis, Nashville, Houston, Knoxville, Washington, DC
  • Baker Donelson
  • Washington, DC
  • Baker, Donelson, Bearman, Caldwell, & Berkowitz, PC has an immediate opening for a Billing Specialist in any of these of...
  • 7/14/2024 12:00:00 AM

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Billing Specialist
  • Jones Networking
  • Washington, DC
  • Position Title: Legal Billing Specialist Division: Accounting / Billing Reports to: Billing Manager Industry: Law Firm /...
  • 7/13/2024 12:00:00 AM

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Senior Billing Specialist
  • Hamlyn Williams
  • Washington, DC
  • Our client is a leading global Law Firm with over 40 offices in over 25 countries. Currently they are actively expanding...
  • 7/13/2024 12:00:00 AM

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Billing Specialist (Law Firm Experience Req)/Remote Regional
  • Consultative Search Group
  • Washington, DC
  • International law firm seeks professional biller to join its Billing Team in its Wash DC Offices, and is also available ...
  • 7/13/2024 12:00:00 AM

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Sr. Billing Specialist- 1778412
  • AMS Staffing Inc.
  • Washington, DC
  • ***LEGAL BILLING (Aderant/Elite-3E EXPERIENCE REQUIRED*** The position will allow for a hybrid work schedule with approx...
  • 7/12/2024 12:00:00 AM

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Medical Billing Specialist
  • Maxim Healthcare
  • Columbia, MD
  • The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoi...
  • 7/12/2024 12:00:00 AM

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Medical Coding/Billing Specialist - *Procedures* (remote OR onsite)
  • CSI Companies
  • Washington, DC
  • Medical Coding/Billing Specialist - *Procedures* (remote OR onsite) JOB DETAILS Job Title: Medical Coding/Billing Specia...
  • 7/12/2024 12:00:00 AM

Income Estimation for Billing Resolution Specialist jobs
$43,355 to $50,942

Career Path for Billing Resolution Specialist