Trabajos medical biller en Richmond, VirginiaCrear alertas

Description: Position Summary: The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for out-of-network coverage. Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements. Track and document authorization status in the EMR and billing systems. Work closely with billing and collections teams to resolve denied claims and appeals. Stay current with payer-specific guidelines and regulatory changes affecting out-of-network billing. Team player and accuracy is key. Qualifications: High school diploma or equivalent required; associate degree or certification in medical billing preferred. Minimum of 2–3 years of experience in medical billing, insurance verification, or prior authorization. Strong knowledge of commercial insurance plans, including PPO, POS, and indemnity plans. Familiarity with out-of-network billing practices and reimbursement models. Proficiency in EMR systems and billing software. Excellent communication, problem-solving, and organizational skills. We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged. #Acct Responsibilities: Skills:

Description: Under the direct supervision of the Service Fee Supervisor the position is responsible for front-end billing responsibilities and data collection and review. Communicate with direct care program staff as needed. Comply with all agency standards, rules, practices, and procedures. Eligibility verification using electronic software for all Insurance types. Open and close clients in Net Smart Enter and update Medicaid, Medicare and Managed Care rates in Net Smart Enter client information into electronic health record. Follow up corrective action plans. Perform other tasks as assigned. QUALIFICATIONS: High School Diploma or GED, Billing Certification, preferred. 3-5 years of work experience in related field is required. Experience working with Medicaid, Medicare and Managed Care. Experience with Electronic billing software, Net Smart preferred. Proficiency in word processing and spreadsheet applications is essential. We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged. #Acct Responsibilities: Skills:

Job Description About Us: Dominion Women’s Health is dedicated to delivering high-quality healthcare services with accuracy, efficiency, and integrity. We are seeking a detail-oriented and knowledgeable Medical Coder to join our team on-site and play a critical role in ensuring proper coding and billing practices. As a part of our team, all employees must maintain strict confidentiality and adhere to all HIPAA and OSHA regulations to ensure patient privacy and workplace safety. Qualifications: • Certified Professional Coder or Certified Professional Coder Apprentice, • 1–2 years of coding experience preferred (newly certified candidates may be considered)., • Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines., • Ability to work independently with strong attention to detail., • Excellent communication and organizational skills., • Must be willing to submit to a background investigation, including for example, verification of your past employment, criminal history, and educational background., • Must submit for pre-employment & random drug screening performed during course of employment Responsibilities: • Review and analyze medical records to assign accurate ICD-10, CPT, and HCPCS codes., • Ensure compliance with federal regulations, payer guidelines, and internal policies., • Collaborate with providers and clinical staff to clarify documentation and coding questions., • Prepare and submit coding information for billing and reimbursement., • Managing insurance denials., • Participate in quality improvement initiatives as needed., • Answering the phones, assist patients with billing and insurance questions, creating payment arrangements with patients, assisting front desk with insurance and balance related questions What We Offer: • Competitive pay based on experience., • Health, dental, and vision insurance., • Paid time off and holidays., • Opportunities for professional growth and continuing education., • Supportive team environment with on-site resources. Applying Please submit resume, cover letter preferred, for immediate consideration

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Dental insurance, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development Benefits/Perks • Competitive Compensation, • Supportive Team Environment, • Opportunities for Career Growth and Advancement, • Meaningful Work Serving Patients in the Community, • Collaborative, Mission-Driven CultureJob Summary We are seeking a detail-oriented and motivated Medical Biller to join our growing home health care team. In this role, you will be responsible for processing and managing insurance claims, verifying billing information, following up on unpaid claims, and assisting patients and staff with billing-related questions. The ideal candidate is organized, dependable, and comfortable communicating with insurance companies, physicians offices, clinicians, and patients. Experience with Medicare, Medicaid, and managed care billing in a home health setting is strongly preferred. Responsibilities • Process and submit medical claims for Medicare, Medicaid, commercial insurance, and managed care plans, • Review claims for accuracy, completeness, and compliance prior to submission, • Follow up on unpaid, denied, or rejected claims and assist with appeals and corrections as needed, • Verify patient insurance coverage, eligibility, authorizations, and billing requirements, • Communicate with insurance companies regarding claim status, payment discrepancies, and authorization issues, • Work closely with clinicians, intake staff, physicians offices, and hospitals to obtain required documentation and orders, • Post payments, adjustments, and denials accurately into the billing system, • Maintain accurate patient billing records and documentation, • Assist patients and families with billing questions and insurance-related concerns in a professional and compassionate manner, • Monitor accounts receivable and assist with collection efforts when appropriate, • Maintain confidentiality and compliance with HIPAA regulations, • Support the administrative team with additional office and billing duties as assignedQualifications, • Previous medical billing experience required; home health billing experience strongly preferred, • Knowledge of Medicare, Medicaid, EVV, PDGM, and managed care billing processes preferred, • Experience with EMR or billing software systems preferred, • Strong attention to detail and organizational skills, • Excellent communication and customer service abilities, • Ability to prioritize tasks and manage multiple deadlines, • Comfortable working independently and as part of a team, • Proficiency in Microsoft Office and general computer skills, • Understanding of HIPAA and patient confidentiality standardsSchedule, • Full-Time or Part-Time Opportunities Available, • MondayFriday, • In-Office Position with Potential for Hybrid Flexibility Based on Experience and Performance Flexible work from home options available.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

We're currently looking for individuals across the country to take part in remote paid market research, including online focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing y