We apologize for the inconvenience but the job you are looking for has been filled or it has been removed by the recruiter. For your reference, the original listing is shown at the bottom of this page.
Listed below are the top 10 out of 74 listings that are in the same industry and location as the job you were looking for. To see more than 10 listings, click here to search similar jobs in Quincy, MA
SUMMARY A Principal Scientist of the CPR&D Department is responsible for leading Project Groups to prepare Amgen's small molecule API candidates through all ...
This position will be responsible for development of the company's complex molecule programs. Candidatewill be responsible for design and execution of laboratory ...
Operations/Billing, preferrably experience with eClinical software. Experience working in private practice physicians operations. Maintain knowledge of the ...
This position is open as of 1/31/2012. Client seeks senior or principal level C#/ .Net engineer for Software Development Kits development Principal Development ...
Title: Principal Compliance Specialist Location: United StatesMassachusettsAllston Other Locations: Genzyme Corporation, ranked as one of the foremost biotechnology ...
Title: Process Engineer Principal Location: United StatesMassachusettsFramingham Other Locations: One of the world s leading biotechnology companies, Genzyme ...
Principal Talent Acquisition Specialist Requisition ID 40865 Full/Part Time Full Time Location Marlborough MA Description Principal Talent Acquisition Specialist ...
Title: Principal Process Validation Engineer, MTS Location: United StatesMassachusettsAllston Other Locations: One of the world s leading biotechnology companies, ...
Description: General Overview Working under the general direction of the Associate Director, Operations Manager, and Team Leads of the Group Practice Management ...
Description: General Overview Reporting directly to the Orthopaedic Billing Director, the Senior Billing Specialist performs a variety of billing functions ...
For your reference, we have included the original job posting below.
Principal Billing Specialist/Medicare - Medicaid
Job Number:
25670415
Company Name:
Quincy Medical Center
Job Location:
Quincy, MA US
Job Category:
Healthcare & Medical
Principal Billing Specialist/Medicare & Medicaid
Principal Billing Specialist/Medicare & Medicaid Department: Patient Accounting Schedule: Full-time Shift: Day shift Hours: Job Details: - 3-5 years experience is required Review Medicare claim rejections on a daily basis to ensure accuracy of all information billed on claim form. Verify patient eligibility and demographic information utilizing Medicare/Medicaid websites, contacting insurance company and patients. Send and receive daily transmission of electronic claims for Medicare. Follow-up and review unpaid claims and rejected claims using workstation and compass reports. Review all denied claims and determine appropriate resolutions. identify denial patterns and notify Manager. Request medical documentation from HIS department. Appeal claims that are denied inappropriately by insurance provider. Correct and adjust Medical claims in FISS. Process claims in FISS that are in provider return location. Document all findings in Meditech and on spreadsheets. Review daily cash folder for accuracy in cash posting. Identify and prepare refund for Medicare and Medicaid accounts with credit balances. identify and re-bill late charges if necessary. Prepare contractual and administrative adjustments for review by Manager. Train new employees on Medicare and Medicaid processes. Answer phone calls and respond to telephone inquires by patients. Perform other duties as requested, including coverage within the department as needed. Requirements: Candidate must have leadership skills with capacity to work independently on multiple tasks. Possess strong analytical and problem solving skills. The Principal biller must also be able to work and communicate effectively with staff of 6, management, government representatives and patients. High school graduate, associate's degree highly preferred. 3-6 years of hospital Medicare/Medicaid billing experience, computer skills and ability to work from excel spreadsheets. Knowledge of ICD-9 and HCPC codes.
