Top 80724 Excel center Jobs

Billing Specialist
Outreach Community Health Centers —Milwaukee, WI
- Mid-level
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Early Intervention Physical Therapist
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Dairy Processing Center Supervisor at SUNY Cobleskill Ag & Tech
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Inland Empire Health Plan —Rancho Cucamonga, CA
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Part-Time IOP Therapist
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Billing Specialist

Outreach Community Health Centers -
Milwaukee, WI

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Job Details

Qualifications

VLOOKUP function
Appeals
Medical coding
High school diploma or GED
Medical billing and coding communication with insurance companies
Medical insurance appeals management
Medical claims submission
Patient interaction
Insurance claims appeal handling
Medical terminology
Excel data analysis

Full Job Description

Position Summary

Working directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid. You will be required to review and appeal all unpaid and denied claims. This position requires an individual with an extraordinary level of attention to detail and the ability to multi-task. This is a high volume, fast paced and exciting environment

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

Claims Submission: Ensure all claims are submitted with a goal of zero errors by verifying completeness and accuracy prior to transmission.
Payment Posting: Accurately post all insurance payments and adjustments by line item.
Denial Management: Timely follow up on insurance claim denials, exceptions, or exclusions; identify root causes and implement corrective actions.
Aging Reports: Utilize monthly aging accounts receivable (A/R) reports and work queues to prioritize and follow up on unpaid claims aged over 30 days.
Documentation: Coordinate medical records requests and complete additional information requests from providers and/or insurance companies.
Communication: Read and interpret insurance explanation of benefits (EOBs) to determine payment accuracy and patient liability.
Collaboration: Regularly meet with the Revenue Cycle Supervisor to discuss reimbursement issues, billing obstacles, and process improvements.
Professional Development: Attend monthly staff meetings and required continuing educational sessions.
Additional Duties: Perform other duties as assigned to support the Finance department.
reimbursement.

Minimum Qualifications (Knowledge, Skills, and Abilities)

Education & Experience:

High School diploma or equivalent required.
At least two years’ experience in healthcare billing, and alternate payor reimbursement claims processing.
Knowledge of insurance, managed care, PPO, FQHC billing and Milwaukee County systems are preferred.
Previous medical terminology and coding experience.

Knowledge, Skills, and Abilities:

Advanced proficiency in Microsoft Excel (specifically VLOOKUP, Pivot Tables, and advanced formulas) required. Experience with Electronic Medical Record (EMR) and Practice Management (PM) software is a plus.
Excellent oral, written, and presentation communication skills. Ability to communicate complex billing information clearly to patients, medical staff, and payors.
Ability to establish and maintain effective working relationships with patients, medical staff, coworkers, and the public.
Strong analytical skills with the ability to resolve discrepancies and appeal denied claims effectively.

Considerations & Statement

Outreach Community Health Centers requires employees in certain departments to be fully vaccinated against MMR (Measles, Mumps, Rubella), Varicella (Chickenpox), and Influenza.

Outreach Community Health Centers, Inc. is an Equal Opportunity Employer

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Refine Your Search

excel center jobs

Billing Specialist

Writer's Assistant

PRN Retail Pharmacist

Engineer III - EDI

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Accounts Payable Clerk

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Early Intervention Physical Therapist

Bilingual Float Patient Service Representative

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Early Intervention Physical Therapist

Early Intervention Physical Therapist

Industrial Project Controls Specialist (Scheduler/EVM)

Dairy Processing Center Supervisor at SUNY Cobleskill Ag & Tech

Production Manager - Lighting Systems Technician

Analyst II - Product System Configuration

Recreational Therapist

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Director of Accounting

Part-Time IOP Therapist

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