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Recent Reimbursement Inquiries

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Medical Billing And Reimbursement

This full-time job post has been authorized by zintro. Job position: director, billing & reimbursement position summary: provides effective leadership and management of the reimbursement department in revenue management, medical insurance authorizations and managed care contracting. Essential duties and responsibilities: • develops, implements and manages the policy and procedures to ensure complete, accurate, and compliant processes that result in optimal collections and customer service performance for the organization. • directs the complete revenue cycle process for reimbursement services: ensures timely authorization of tests; initiates prompt calls and manages and monitors contract status and compliance. • is the key interface with xifin, our billing and collection service to ensure pricing is accurate and billing policies are followed. • coaches, trains and mentors team to meet departmental goals. • establishes performance metrics and reporting on progress to management on a weekly basis. • identifies issues and opportunities within the reimbursement process and implements strategies to improve efficiency and effectiveness. Knowledge, skills and abilities: • third-party reimbursement, managed care organizations guidelines, medicaid & medicare regulation experience required, medical terminology experience preferred. • ability to read, analyze and interpret documents, periodicals, professional journals, technical procedures and government regulations. • strong financial, problem solving, and organizational skills. • ability to read, interprets, and analyzes business and accounting documents. • effective communication skills, the ability to provide clear and concise oral/ written information to internal/external customers. • ability to maintain confidentiality and hipaa compliance practices. Education/experience: • bs degree in business or a related field • 8 years revenue cycle experience and 5 years in a leadership role overseeing medical authorizations, managed care and reimbursement employees. Candidate must be authorized to work in the u.S.A.

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    Sue |Manager

    I have 35+ years experience in Medical Management including Coding Billing and all methods necessary...

    1.2 Hours Later
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    Dell |Office Manager, Billing Manager

    To Whom It May Concern: My name is Dell Snellings and I would like to introduce myself to you. I w...

    2.4 Hours Later
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    Dhiraj |Manager

    Hello Respected Sir/Madam, I am Dhiraj Rana from Pune, I came across your advertisement for a job ...

    2.9 Days Later
+11 Other Responses
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Reimbursements For Wound Care In Nursing Homes

We are interested in talking with a medical reimbursement expert about "wound care services in nursing homes" (10 "cpt"). Specifically, we are interested in talking with experts about their view on future potential reimbursement trends for these codes. Our assertion is that these procedures are smaller ticket items (~$100-150 a procedure) and thus not on medicare’s radar for cuts, but we would like to try and support this by talking with people who know how medicare thinks and what they may be targeting for potential cuts in the future. We would like to speak with people who have either previously worked in medicare or are at other agencies or organizations who are very close to the pulse of what medicare is thinking. Thanks!

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    Medicaid Reimbursement

    I am looking to understand reimbursements for medicaid in california. I am looking at opening a facility that accepts medicaid but j hear horror stories of how long it takes to get paid

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      Michael |Managing Partner

      I can speak to Medi-Cal and how it is structured with regard to reimbursements. Perhaps we should d...

      2.7 Hours Later
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      Lisa |President & CEO

      Med-eHUB Consultants works closely with Medicaid and Medicare. We can help you with all your questio...

      6.8 Hours Later
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      Leon |President

      TPG Consulting has several senior faculty ***** California with extensive experience in Medicai...

      7.9 Hours Later
    +4 Other Responses
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    Behavioral Health Insurance Advocacy

    Hello - we are a private equity firm working to acquire a business that provides billing and insurance advocacy services to behavioral health companies, including mental health, developmental, and addiction centers. We are unfamiliar with the sector, and we are interested in speaking with someone who can be a river guide as we perform our due diligence. Thank you so much.

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      Mary |Managing Partner MSN

      If you consider a person with end to end knowledge of insurance for behavioral health and *****...

      38 Minutes Later
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      John |Partner

      Hello I have over 20 years in the behavioral health field from the iinsurance side to running a trea...

      57 Minutes Later
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      Leah |Clinical Pharmacist

      Can assist with any portion ***** *****apy only, if interested please contact below...

      1.3 Hours Later
    +34 Other Responses
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    Digital Pathology Reimbursement

    We are a us based investment firm that is currently researching digital pathology. Ideally, we are looking to speak with an expert in digital pathology with particular experience in pathology labs and reimbursements that could tell us how a new technology might fit into the current reimbursement model. This is an urgent need and so the call will likely take place in the next few days. This would be someone who runs an anatomic pathology lab at an independent lab or as part of companies like labcorp or quest diagnostics. Only us based. You should have knowledge of digital pathology and the procurement and reimbursement of new computer aided diagnosis technology. And specifically, knowledge of cpt code 88361 for digital pathology and how new technologies might be adopted under that or other reimbursement schemes. Thank you in advance.

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      Medical Reimbursement

      Our company provides training to healthcare professionals and their staff to help them run their businesses more smoothly. This includes coding and billing. We are looking for experts in a variety of subjects to speak to our audience. We do pay a $500 honorarium for a 1 hour webinar talk. Most speakers see a positive result after the webinars for their businesses through new clients. If you are interested in this and other opportunities we have, please contact us at*****. Lacy in our editorial director. You can also email her at **** i hope to hear from you soon. Best, samantha **** president coding leader

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        Brad |Reimbursement Specialist

        Hi, I could be of assistance, I have 15 years of reimbursement experience. ...

        1 Minute Later
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        Lea |Co-founder and Director of ERISA based a

        I am very interested in this opportunity. Can you give me more details please?...

        1 Minute Later
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        susan |President

        We are the exclusive provider of online reimbursement training for several medical specialty trade g...

        1 Minute Later
      +24 Other Responses
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      Medical Billing And Coding

      Medical billing and coding determine whether mental health crisis services have been appropriately submitted for medicaid reimbursement.

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        Leon |President

        My consulting firm TPG *****ices, has a doctor on staff whose expertise is medical billing and c...

        5.6 Hours Later
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        Gary |OWNER

        WE are very familiar with these billing issues. Please feel free to contact me....

        5.3 Days Later
      +2 Other Responses
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      Dme Reimbursement

      As far as i can see, in order for a provider to be reimbursed by medicare for issuing a dme, the claim must include a detailed written order. The detailed written order must contain five elements (name of doctor, name of beneficiary, date, description of item, signature of doctor) to be approved for reimbursement. My inquiry is as follows: can progress//chart notes (or other medical records) that contain all of the five aforementioned elements qualify as a detailed written order for medicare reimbursement purposes? There is no statutory or regulatory definition of a detailed written order, so is anything containing those five elements considered a detailed written order by the cms? Thank you for your assistance.

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        Brad |Reimbursement Specialist

        Hello, I have experience in this area. I would need to *****s from the Medicare rules and then...

        54 Minutes Later
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        Pat |Managing Partner

        I am an expert in the area of billing DME and orthotics and we have numerous tools to help your orga...

        2 Hours Later
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        Martin |Owner - Consultant

        We can provide an answer and CMS references for your your question....

        3.4 Hours Later
      +10 Other Responses
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      Medical Reimbursements

      Dear all, i am looking for an expert with experience in the reimburstment process from proton therapy and imrt . We are interested in someone with experience in maryland or pennsylvania. If interested, please contact me. Thanks, claudia

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        Rosemary |Principal

        Hi Claudia, I have experience in this area. For the most part, CMS rules are followed by the comme...

        1.3 Hours Later
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        Denise |President

        Hi Claudia, I have done appeals to insurance companies to get different types of ***** when...

        1.6 Hours Later
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        Brad |Reimbursement Specialist

        Hi Claudia, I served as the Mayo Clinic *****logy Financial *****orting Pro...

        1.9 Hours Later
      +5 Other Responses
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      Medical Billing & Coding

      I am looking for healthcare medical coding ad biling

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        Michael |Mr

        Sorry, but I don't have the coding and billing background you are looking for. Best regards, Michael...

        12 Minutes Later
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        Sue |Manager

        I have 35+yrs in medical billing and coding I can help you...

        39 Minutes Later
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        Melissa |CEO, Speaker, Author, Entrepreneur

        Hello, I have 20+ years of medical billing coding and consulting experience and own Mainstream Serv...

        51 Minutes Later
      +13 Other Responses
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      Medical Billing And Reimbursement

      Who out there can tell me how to get blue cross blue shield to send the checks to the provider instead of the patient for services rendered?

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        Darleen |President

        You need to have a contract with them. It sounds like you are not par - which means they will send t...

        31 Minutes Later
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        Mona |Medical Billing and Coding Professional

        I would like to help with your dilemma. I would need to see a sample of the manner in whcih you are...

        20.9 Hours Later
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        James |Billing Manager

        Do your providers ***** local BCBS?...

        1 Day Later
      +8 Other Responses
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      Healtchare Economics & Reimbursement

      My name is chris whittington, i represent market access global and am a specialist in healthcare economics and reimbursement in the medical devices arena. We currently have a vacancy for a turkish speaking healthcare economics director based in ankara. The role of the director, healthcare economics and reimbursement is to provide leadership to support development and implementation of strategic plans at the territorial level that optimize the economic value of the portfolio. This position will provide leadership at territorial level in strategic planning, defining, developing and leading the implementing coverage coding and payment strategies that enhance the position of our products. Exceptional ability to plan for the use of data and evidence to support a value proposition is required. Responsibilities will include development, implementation, analysis, interpretation, and communication of global health economic and reimbursement (he&r) strategies and projects to demonstrate covidien products’ values across their lifecycle. Collaboration with corporate reimbursement and health economic strategies and objectives, alignment with internal functions of clinical, medical affairs, strategic marketing and pricing, payer relations, global and regional counterparts, and new product development is essential. Performance of this position is measured in part, by the degree to which “he&r issues” are resolved within emea emerging markets regional markets for covidien products. Advanced degree preferred or equivalent experience in health policy, health economics, healthcare marketing, research or reimbursement. • experience in interfacing with external scientific, governmental and regulatory bodies & preference for interactions with reimbursement agencies in emea; • exposure in value based pricing, product development process, health economics (modeling), and reimbursement; • prior experience in reimbursement planning or policy (or public health), coding and payment; • solid understanding of the business of healthcare and the incentives and disincentives which influence product adoption and utilization among clinicians and purchasers; • international he&r experience with a publication track record in peer reviewed literature and professional presentation history is preferred; • successful track record of working with a disseminated sales team; • experience in the medical device industry is strongly preferred; • experience within one or more emea emerging markets countries is preferred. I would be most grateful if you could recommend any candidates to me for this role, as it is an urgent vacancy. Please contact me if you can assist me in any way with this. Yours sincerely chris whittington executive search consultant healthcare economics and reimbursement market access global

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        Eric |Regional Head of Operations

        Hi Chris, You can try Korhan Eser http://tr.linkedin.com/pub/ahmet-korhan-eser/***** ...

        30 Minutes Later
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        ARDA |Business Development Specialist

        Dear Chris, I received your inquiry and may spread the word in my friends in Ankara. It would be ea...

        1 Hour Later
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        Manu |Certified Professional Coder

        Hi Chris: My area of expertise pertains to US healthcare RCM only and does not involve directly i...

        7.7 Hours Later
      +4 Other Responses
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