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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
3. 

   Dhiraj |Manager

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

   2.9 Days Later

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!

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
2. 

   Lisa |President & CEO

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

   6.8 Hours Later
3. 

   Leon |President

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

   7.9 Hours Later

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
2. 

   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
3. 

   James |Billing Manager

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

   1 Day Later