We're #hiring a Medical Malpractice #ClaimsAdjuster to work remotely for our client. • Direct Hire | Remote • Up to $129,000/annually #ClaimsJobs #AdjusterJobs #InsuranceJobs #RemoteJobs https://lnkd.in/ezQcRqiK
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"Expert Claims Handler with Proficiency in Medical Underwriting | Healthcare & Insurance Specialist." With nearly 5 years of dedicated service, my journey as a Claims Handler with S3 GLOBAL SOLUTIONS LLP has been nothing short of inspiring. From meticulously analyzing claims to steering complex underwriting decisions - my career has been a testament to my passion for blending analytical prowess with high-quality customer service. What fuels my drive? ✨ A solid grounding in evaluating files, ensuring that every detail is scrutinized for accuracy and compliance. The opportunity to collaborate closely with professionals, enabling informed decision-making that ultimately protects both companies and policyholders. A continuous quest for knowledge, staying abreast of the latest industry practices and innovations to deliver beyond expectations. As I look to the horizon, I'm eager to channel my experiences into a new challenge, specifically as a Claims Handler on a personal injury team. My aim? To not just meet the benchmarks, but to set them, contributing to a culture of excellence and innovation. 📢 I'm on the lookout for opportunities where I can leverage my expertise and make a meaningful impact. Do you know a team I can contribute to? Let's connect! Your insights or a simple share can pave the way for exciting new collaborations. #JobSearch #InsuranceIndustry #ClaimsHandling #ProfessionalGrowth #LetConnect
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DVA is not associated with this job posting Medical Claim Resolution Specialist - Digitech - Remote https://lnkd.in/gzk_sSMs Essential Duties and Responsibilities: Work claims that are pending, are unable to be released or have been denied or incorrectly paid by Insurance carriers. Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold. Work denials aiming to identify why claims have been denied, and handle follow-up accordingly. Provide insurance companies with additional information as necessary to process a claim correctly and/or send an appeal. Handle all correspondence via mail, email, and any necessary refunds. Performs other duties as assigned by management. #recruiting #nowhiring #hiring #jobs #jobsearch #job #recruitment #careers #recruiting #hiringnow #employment #career #jobseekers #jobopening #work #jobhunt #resume #jobopportunity #applynow #jobsearching #jobseeker #hr #staffing #jobshiring #cfbr #jobinterview #vacancy #recruiter #jobalert #business #joinourteam
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When it comes to insurance claims and legal proceedings, access to accurate medical records is vital to expedited process improvement and prompt claims handling. However, traditional methods of retrieving these records have often been cumbersome, time-consuming, and prone to errors. This has led to significant backlogs, delayed settlements, and frustration for claims adjusters and legal professionals alike. Learn how Wisedocs can assist you in streamlining your claims management with automated medical record retrieval in this insightful article. #wisedocs #automatedmedicalrecordretrieval #claimsmanagement #insuranceindustry #insuranceclaims #legalindustry #freelancewriter #articlewriter #opentowork
Wisedocs • Blog: How Automated Medical Record Retrieval is Streamlining Claims Management
wisedocs.ai
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I am hiring for many Insurance Follow-Up Specialists- These are very long-term, W-2, 100% remote positions. FULL TIME M-F 8-4:30 est. **Epic experience is required - 3 years and must be recent** **Must have ACTUE HOSPITAL AND PROFESSIONAL BILLING EXPERIENCE*** 1. How many years of hands-on appeals experience do you have, including all the investigation required to determine if an appeal is necessary? 2. Explain your active experience in the past three years with – AR, follow up, appeals, underpayments, payor knowledge, research accounts, medical terminology. a. Does your resume reflect these skillset requirements within the last 2 years? (If not please update your resume to reflect this experience) 3. Can you provide an example of your experience with appealing denials? And resubmitting corrected claims? Underpayments? 4. Can you provide an example of a denied claim that you appealed? What steps did you take? (Please provide as much detail as possible) 5. Tell me about your experience in calling insurance companies daily checking status of past due claims? (They should know how to call BC/BS and Cigna as well as other payors to resolve claims.) 6. Tell me about your experience with using websites to check the status of multiple claims with the payors? 7. Tell me about your experience with reading an explanation of benefits? 8. Can you explain what the explanation of benefits provides? 9. Tell me about your experience with understanding medical terminology? Give examples. 10. Validate that you do not have any PTO scheduled during the first 90 days of the project. 11. Tell me about your experience in dealing with Medicare Managed Care and Medicaid Managed Care. 12. What MCO payers are you familiar with? 13. How successful have you been in collecting aged AR? 14. What is your experience with hospital /institutional claims 15. What is your backend (AR/Denials) experience working in Epic and how many years? What job functions do you do inside Epic? How were you assigned daily/weekly work to work these accounts in Epic? All resumes to [email protected] Please share- Thank you-
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I am hiring for many Insurance Follow-Up Specialists- $23/hr, W-2, 100% remote positions. FULL TIME M-F 8-4:30 est. **Epic experience is required - 3 years and must be recent** **Must have ACTUE HOSPITAL AND PROFESSIONAL BILLING EXPERIENCE*** Resume must reflect 1. How many years of hands-on appeals experience do you have, including all the investigation required to determine if an appeal is necessary? 2. Explain your active experience in the past three years with – AR, follow up, appeals, underpayments, payor knowledge, research accounts, medical terminology. a. Does your resume reflect these skillset requirements within the last 2 years? (If not please update your resume to reflect this experience) 3. Can you provide an example of your experience with appealing denials? And resubmitting corrected claims? Underpayments? 4. Can you provide an example of a denied claim that you appealed? What steps did you take? (Please provide as much detail as possible) 5. Tell me about your experience in calling insurance companies daily checking status of past due claims? (They should know how to call BC/BS and Cigna as well as other payors to resolve claims.) 6. Tell me about your experience with using websites to check the status of multiple claims with the payors? 7. Tell me about your experience with reading an explanation of benefits? 8. Can you explain what the explanation of benefits provides? 9. Tell me about your experience with understanding medical terminology? Give examples. 10. Validate that you do not have any PTO scheduled during the first 90 days of the project. 11. Tell me about your experience in dealing with Medicare Managed Care and Medicaid Managed Care. 12. What MCO payers are you familiar with? 13. How successful have you been in collecting aged AR? 14. What is your experience with hospital /institutional claims 15. What is your backend (AR/Denials) experience working in Epic and how many years? What job functions do you do inside Epic? How were you assigned daily/weekly work to work these accounts in Epic? All resumes to [email protected] Please share- Thank you- MUST RESIDE IN USA-
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If you’re a Coder, Manager, Health Information professional or an Auditor this is a really important read. I can not over emphasize the importance of anyone involved in Revenue Cycle truly understanding the consequences of fraudulent activity. Health Information professionals require the integrity - regardless of payor requirements, or reimbursement, to absolutely safeguard each and every encounter by only selecting and applying diagnostic codes that are documented and supported by the physician(s). Each Coder took a sort of “oath” that requires ethical behavior at all times when receiving our credentials. I am stunned and disheartened to read the findings in this article. We must do better. We’re a team with our physicians and should work as such. Wow.
When Coding Creativity Turns Criminal
printfriendly.com
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I am interested in connecting with healthcare professionals who have experience in any of the following areas listed below: • Virtual Medical Assistance • Virtual Healthcare Assistance • Credentialing • Medical Billing • Patient Service • Revenue Cycle Management (RCM) • Insurance Verification • Eligibility Checking • Medical Scribing • Medical Transcription • Prior Authorization • Insurance Claim Management • Denial Management • Medical Debt Collection • Accounts Receivable (AR) If you have expertise in any of these areas, please send me a connection request or like this post so I can view your LinkedIn profile. If you think this message would be useful to your network, please share it by reposting. You can also comment 'Cfbr' to help others discover this post.Thank you! #hiringnow #hiringurgently #hiringimmediately #virtualassistant #medical #credentialing #medicalbilling #frontdesk #patientservices #patientbilling #revenuecyclemanagement #insuranceverification #medicalscribing #medicalscribe #medicaltranscription #priorauthorization #insuranceclaims #denialmanagement #claimdenials #medicalbiller #medicalbillingandcoding #medicalbillingspecialist #medicalcoding #medicalcodingjobs #remotejobs #workfromhomejobs #medicalcoder #medicalbillingservices #insurance #ushealthcare #USHealthcare #HealthcareIndustry #HealthcareExperts #MedicalBilling #RevenueCycleManagement #HealthcareManagement #PatientSupport #EligibilityChecking #BenefitsVerification #PriorAuthorization #MedicalBillingExpert #HealthcareServices #InsuranceClaims #PatientCare #HealthcareAdministration #HealthcareProfessionals #HealthcareTech #MedicalCoding #HealthcareSystems #HealthcareAnalytics #HealthcareLeadership #HealthcareInnovation #Health
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We’re Growing & You Can Grow With Us! Hey there, LinkedIn community! Our team at PPO Negotiation Solutions is on the hunt for an organized, detail-oriented superstar to join us as a Credentialing Coordinator. What makes us excited to come to work every day? It's simple: our culture. We thrive in an environment built on respect, collaboration, trust, and open communication. Our remote work setup allows for flexibility, but it’s the support and camaraderie amongst the team that truly makes every challenge a pleasure to tackle. Now, let’s talk about the role. This 100% remote position is designed for someone who's has the keen eye of an eagle and the organizational skills of a seasoned librarian. You'll be handling Standardized Credentialing Applications, processing terminations, supporting a team of Project Managers and navigating OPT-OUT forms with the precision of a master craftsman. You're the type who makes a verification call feel like a friendly chat, yet you're eagle-eyed enough to spot an expired document from a mile away. Your exceptional time management skills mean deadlines don’t scare you – they motivate you. If you’re nodding along, you might just be our ideal candidate. We’re looking for: Phone Enthusiast: Enjoys being on the phone with insurance companies, as 50% of the job involves phone-related tasks, completing verification calls, and coordinating energies between the Client and project manager. Problem Solver: Can manage contracts like a pro, ensuring smooth and efficient operations. Top-Notch Communicator: Articulates complex ideas with ease and clarity. Interpersonal Champ: Knows how to foster relationships and earn trust from colleagues and clients alike. Detail-Oriented: A master of detail – nothing gets past you. Independent Spirit: Can juggle multiple projects without breaking a sweat. Great Attitude: Brings positivity and enthusiasm to the team. Team-Oriented: Works well with others and contributes to a collaborative environment Does this sound like you? Do you love the idea of working with a team that values your input and treats you like the rockstar you are? If yes, we can’t wait to meet you! Let’s create some magic together and transform the PPO landscape, one credential at a time. If you have these skills, we have a training program to get you on track very quickly with this position. Interested? Apply now and let’s chat about how you can be a part of our PPO Negotiation family! Click here to apply : https://lnkd.in/eM3hv_ax #Hiring #RemoteJob #CredentialingCoordinator #TeamCulture #PPOFamily #WorkFromAnywhere
Join Our Team - PPO Negotiation Solutions
https://pponegotiationsolutions.com
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I am curious about medical claims denial; specifically pre-authorization, not the management of post billing/revenue recover, but simply when a doctor recommends a test or treatment, but the insurance plan will not allow coverage because their team of analysts has reviewed the documentation and overruled the doctor. What is the job title of this? What education and experience (other than the ability to say "no" to everything) is required? Is the person who makes this decision someone with a medical degree who could practice in a clinic? I have heard that health plans simply hire hundreds of people with medical credentials to deny everything they can and then have more experienced people to fight the appeals, but I know that is kind of a "trolling statement" for people who actually do this work and believe they are helping to keep health care costs down by preventing unnecessary billing...so enlighten me :)
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Thrilled to share a glimpse into my role as a crucial bridge between the medical and insurance worlds! 🩺💼 As a medical underwriter based in vibrant Mumbai, I have the privilege of drafting peer reviews and rebuttal reports on behalf of esteemed doctors, supporting the insurance industry in making well-informed decisions. 📝💡 Every report is a meticulous endeavor, combining medical expertise with legal acumen to ensure accuracy and fairness for all parties involved. From evaluating medical records to crafting comprehensive assessments, each day presents a new challenge and opportunity to make a difference. 💪🔍 While my work is rooted in the medical realm, my focus remains on providing invaluable support to the insurance industry. Whether collaborating with insurers in Mumbai or liaising with our partners in New York, the goal is always the same: to uphold integrity, precision, and compassion in every report we produce. 🌐🤝 Interested in learning more about the intersection of healthcare and insurance? Or perhaps looking to connect with fellow professionals in the industry? Feel free to reach out or drop a comment below—I'm here and eager to engage! 📩💬 #MedicalUnderwriter #InsuranceIndustry #PeerReviews #RebuttalReports #Healthcare #LinkedInNetworking
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