Job Description: • Access and navigate payer websites and portals to verify eligibility, authorization, and claim status. • Update patient demographics and insurance information in appropriate systems. • Research and resolve unpaid or…
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Job Description: • Access and navigate payer websites and portals to verify eligibility, authorization, and claim status. • Update patient demographics and insurance information in appropriate systems. • Research and resolve unpaid or…
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Job Description: • Review denied claims to identify root causes, missing information, or billing discrepancies. • Analyze payer rejection and denial trends to support reporting and process improvement. • Research and compile supporting…
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Job Description: • Ensure compliance with HIPAA regulations in all aspects of medical records management. • Manage and process both physical and electronic medical records. • Handle incoming and outgoing medical records requests…
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Job Description: • Monitor patient health data through RPM platforms, including blood pressure, glucose, weight, and other assigned device readings. • Identify readings outside physician-defined thresholds and initiate follow-up activities based on…
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Job Description: • Own and execute SEO & GEO strategy across all the company's brands, delivering measurable improvements in traffic, rankings, visibility in AI-driven search, and conversions. • Design and implement AI-ready…
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Job Description: • Spends 7-8 hours of day making claims calls. • Documents medical records’ statuses on CollaborateMD and Jira. • Collect and document claim payment information for approved medical records. • Conducts medical…
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Job Description: • Analyze benefits inquiries on insurance platforms for high-cost medications. • Verify the eligibility of patients for medication coverage. • Initiate and complete the prior authorization process when necessary. • Communicate with…
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Job Description: • Prepares, reviews, and submits accurate insurance claims for behavioral health services. • Performs claims follow-up on outstanding accounts to ensure timely reimbursement. • Investigates and resolves denied or rejected claims,…
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Job Description: • Posts insurance and patient payments (EOBs/ERAs) into the billing system accurately and within defined timelines. • Applies contractual adjustments, write-offs, and denials based on payer guidelines. • Reconciles posted payments…
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Job Description: • Leads and manages day-to-day revenue cycle operations, including billing, claims submission, and follow-up. • Supervises and mentors a team of billing and collections specialists to meet productivity and quality…
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Job Description: • Requests, obtains, and submits medical records to insurance providers in a timely manner. • Manages high-volume medical record requests while ensuring accuracy and completeness. • Maintains internal processes and documentation…
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Job Description: • Receives and routes incoming calls, providing accurate information and directing calls to appropriate departments or personnel. • Operates paging systems and communication tools to relay messages promptly and accurately.…
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Job Description: • Review and analyze medical records to assign appropriate ICD-10, CPT, and HCPCS codes. • Ensure coding accuracy and compliance with federal regulations and payer guidelines. • Collaborate with providers to…
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