Sentences with phrase «submission of medical claims»

PROFESSIONAL EXPERIENCE Pediatrics 2000 II P.C., New York • NY 2000 — 2004 & 2008 — Present Medical Billing Provide accurate and detailed preparation and submission of medical claims to various insurance companies either electronically filed or form presentation.

Billing Coordinator is responsible for the timely submission of medical claims to insurance companies and Medicaid.

Not exact matches

The new offering, «Watson for Patient Safety,» will gobble up anonymized medical records, claims data, and millions of electronic submissions to the FDA about potential drug side effects (known as individual case safety reports) to see if it can learn about the hidden dangers of medicines before they become too costly.

Through medical billing outsourcing, small and private practices can increase the quality of claims submissions while improving the success of collections.

With Infinit Healthcare's medical billing outsourcing services, hospitals and private healthcare providers can tremendously increase the quality of their claims submissions and improve the process of their collections.

Just 21 states have plans approved by the federal government for submission of Medicaid claims related to special education medical costs.

Healthy Paws was fast - all claims are online with submission of medical records and we were reimbursed very quickly!

(1) This section applies to a claim for a medical or rehabilitation benefit or an application for approval of an assessment or examination under section 38 if the insurer gives the insured person a notice informing the insured person that the insurer will pay the expenses without the submission of a treatment and assessment plan under that section.

It was only after submission of a detailed Letter of Claim setting out the evidence that had been obtained by Moore Blatch that the GP's medical defence organisation indicated that this was a claim which it wished to comproClaim setting out the evidence that had been obtained by Moore Blatch that the GP's medical defence organisation indicated that this was a claim which it wished to comproclaim which it wished to compromise.

37.3 (1) This section applies to a claim for medical or rehabilitation benefits under section 37.1 or 37.2 in respect of an impairment that is asserted by the insurer to come within a Pre-approved Framework Guideline if the insurer gives the insured person a notice informing the insured person that the insurer will pay for the goods and services described in the Pre-approved Framework Guideline without the submission of a treatment confirmation form under either of those sections.

Mr. Justice Punnett rejected this submission and in doing so summarized some of the principles courts consider in tort claims when reviewing the frequency and nature of post accident medical treatment.

Document Submission: On intimating the insurer about the claim, the claimant will have to submit the necessary documentation, such as the original insurance document, proof of the claim, death certificate, medical records, etc. as required.

The Medical Billing and Coding Specialist is responsible for timely submissions of accurate insurance claims to all payers with subsequent timely follow - up and collection.

• Prepared all medical claims for billing and entered into SoftAid electronic billing software • Gathered appropriate documentation for claims submission • Successfully coded 250 claims in a single day following backlog due to absentees • Achieved Employee of the Week Award in 2015 for positive and dedicated attitude during work hours

-- Timely submission of claims, processing of referrals and review of Medicare claims while complying with relevant rules and regulations — Preparing medical billing statements for payers and patients — Distributing mail and working with payers and patients in regards to billing as related to services rendered — Correctly producing account invoices and implementing corrective measures when needed — Processing specialized billing reports for all parties involved — Maintaining spreadsheets and other reports

Main duties of a medical coder and biller include claim submission to insurance companies, calculation of charges payable and answering questions and queries of the patients regarding the billing procedures.

• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied claims and providing alternatives to denials

> Captures patient care data for the initial claim preparation > Registration of all patients, including insurance verification > Responsible for accurate and timely preparation of billing data > Validates all appropriate coding data for daily processing > Prepares electronic claims for submission to the appropriate payer > Obtains and submits copies of medical documentation as required or requested by third party payers > Reconciles insurance / patient payments > Assists in deposit preparation > Analyzes and resolves claim rejections and denials related to billing or provider issues > Assists in the compilation of monthly reports > Prepares, reviews, and completes patient statements submissions > Answers patient questions, identifies and resolves patient billing complaints > Assists in delinquent account review > Other duties as requested by the Billing Manager

Will work on a freelance - to - hire basis to support all portions of the medical billing cycle, including submission of insurance claims and updates on claim status.

• Track record of overseeing and leading the operations of the billing department with special focus on coordinating modules such as medical coding, charge entries, claims submissions and payment postings • Documented success in handling reimbursement management activities and performing follow - ups on delinquent accounts • Adept at auditing procedures to monitor efficiency and implement measures for improvements

Medical Billing Manager BRONX MEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receMedical Billing Manager BRONX MEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receMedical Billing Manager BRONX MEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receMEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receMEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts recemedical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts recemedical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts recemedical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts recemedical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts recemedical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts recemedical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receivables

Medical Coding Training: The online medical billing classes offered by the AAPC are aimed at teaching you the ins and outs of the medical billing industry, including the process of claims submission and Medicare, Medicaid, and third - party reimburMedical Coding Training: The online medical billing classes offered by the AAPC are aimed at teaching you the ins and outs of the medical billing industry, including the process of claims submission and Medicare, Medicaid, and third - party reimburmedical billing classes offered by the AAPC are aimed at teaching you the ins and outs of the medical billing industry, including the process of claims submission and Medicare, Medicaid, and third - party reimburmedical billing industry, including the process of claims submission and Medicare, Medicaid, and third - party reimbursement.

The medical biller's work place and challenges they face when handling medical claims and health insurance billing submission as part of their daily routine.

The Specialist / Analyst should understand medical billing processes and accounting, and should coordinate, monitor and handle a variety of data entry functions, maintain billing records and statistics, resolve data entry discrepancies, oversea and monitor claims submissions and resolve a variety of second level claim issues, overseas posting charges and accounts receivables.

• At least four years of experience in medical billing and revenue cycle is required • Understanding the claim submission process • Knowledge of CPT coding, ICD - 9 and ICD - 10 • Understanding of medical and insurance terminology • Compliance, Law & Ethics (HIPAA) • Good communication and interpersonal skills • Bi-lingual (English & Spanish) is a plus • Education Required: Certificate from an accredited Medical Billing medical billing and revenue cycle is required • Understanding the claim submission process • Knowledge of CPT coding, ICD - 9 and ICD - 10 • Understanding of medical and insurance terminology • Compliance, Law & Ethics (HIPAA) • Good communication and interpersonal skills • Bi-lingual (English & Spanish) is a plus • Education Required: Certificate from an accredited Medical Billing medical and insurance terminology • Compliance, Law & Ethics (HIPAA) • Good communication and interpersonal skills • Bi-lingual (English & Spanish) is a plus • Education Required: Certificate from an accredited Medical Billing Medical Billing Program