Grand Rapids, MI · On-site +1
Documenting denials associated with patient responsibility to forward to the collection team ... Management and organizational skills to support the leadership of this function * Ability to follow ...
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Grand Rapids, MI · On-site +1
Documenting denials associated with patient responsibility to forward to the collection team ... Management and organizational skills to support the leadership of this function * Ability to follow ...
Livonia, MI · On-site +1
$32.50 - $43.75/hr
POSITION PURPOSE Work Remote Position At the direction of the Regional Manager, Clinical ... Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within ...
Livonia, MI · On-site +1
$32.50 - $43.75/hr
POSITION PURPOSE Work Remote Position At the direction of the Regional Manager, Clinical ... Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within ...
Byron Center, MI · Remote
$17 - $21.75/hr
... claim billing, denials, appeals, and payer inquiries to correct denied claims. * Protect ... Work can be remote with the ability to come into the Faith Hospice Corporate Office in Byron Center ...
Byron Center, MI · Remote
$17 - $21.75/hr
... claim billing, denials, appeals, and payer inquiries to correct denied claims. * Protect ... Work can be remote with the ability to come into the Faith Hospice Corporate Office in Byron Center ...
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Working with the Regional Manager, Clinical Documentation Integrity, is directly responsible for ... Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within ...
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Working with the Regional Manager, Clinical Documentation Integrity, is directly responsible for ... Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within ...
Troy, MI · On-site +1
Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment ... We serve the growing insurance and risk management needs of medium and large governmental entities ...
Troy, MI · On-site +1
Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment ... We serve the growing insurance and risk management needs of medium and large governmental entities ...
Livonia, MI · On-site +1
... management, training the Claims Support Analyst on call monitoring and claim auditing techniques ... Remote Relocation Eligibility: Not Available * Performs quality audits for all types of claims ...
Livonia, MI · On-site +1
... management, training the Claims Support Analyst on call monitoring and claim auditing techniques ... Remote Relocation Eligibility: Not Available * Performs quality audits for all types of claims ...
Livonia, MI · On-site +1
... management, training the Claims Support Analyst on call monitoring and claim auditing techniques ... Remote Relocation Eligibility: Not Available * Performs quality audits for all types of claims ...
Livonia, MI · On-site +1
... management, training the Claims Support Analyst on call monitoring and claim auditing techniques ... Remote Relocation Eligibility: Not Available * Performs quality audits for all types of claims ...
... management, training the Claims Support Analyst on call monitoring and claim auditing techniques ... Remote Relocation Eligibility: Not Available * Performs quality audits for all types of claims ...
... management, training the Claims Support Analyst on call monitoring and claim auditing techniques ... Remote Relocation Eligibility: Not Available * Performs quality audits for all types of claims ...
$26/hr
This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who ... Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt. * Communicate ...
$26/hr
This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who ... Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt. * Communicate ...
$26/hr
This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who ... Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt. * Communicate ...
$26/hr
This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who ... Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt. * Communicate ...
| Aspect | Remote Denials Management | Remote Claims Processing |
|---|---|---|
| Primary Focus | Handling and appealing denied insurance claims | Submitting and processing insurance claims for reimbursement |
| Skills Required | Knowledge of insurance policies, denial codes, appeals process | Data entry, claim submission, basic insurance knowledge |
| Work Environment | Healthcare providers, insurance companies, remote | Healthcare providers, insurance companies, remote |
| Certifications | Medical billing/coding certifications often preferred | Medical billing/coding certifications often preferred |
Remote Denials Management focuses on addressing and appealing denied insurance claims, requiring specialized knowledge of denial reasons and appeals. Remote Claims Processing involves submitting and managing claims for reimbursement, emphasizing accuracy and data entry skills. While both roles operate remotely within healthcare and insurance industries, they serve different stages of the claims lifecycle.
The most popular types of Denials Management jobs in Michigan are:
For Remote Denials Management jobs in Michigan, the most frequently searched job titles are:
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Full-time
Posted 7 days ago
Prepare, review, and transmit insurance claims using billing software through electronic, website, and paper submissions.
Post payments and handle unpaid claims, including reviewing denials, correcting information, and following up with insurance companies.
Manage accounts receivable by addressing overdue claims, researching and appealing denied claims, and communicating with patients and insurance providers.
EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.
Job Title: RCM Specialist-Ophthalmology
Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA
Job Summary
As a member of the Revenue Cycle Management Team, the RCM Specialist is a subject matter expert regarding RCM processes and procedures necessary for EyeCare Partner Practices.
The RCM Specialist may be responsible for multiple elements including, but not limited to: Billing, Coding, Payment Posting, Accounts Receivable (A/R) follow up, insurance claim submission and managing customer services requests from patients.
Duties and Responsibilities
•Prepare, review, and transmit claims using billing software including electronic, website submission, and paper claim processing
•Post payments both electronically and manually into the practice management system according to set standards and productivity measures.
•Status unpaid claims within standard billing cycle timeframe
•Timely review/handling of insurance claim denials, exceptions, or exclusions
•Forwards requests for medical records to appropriate internal resources
•Addresses/corrects demographic information requested by insurance company
•Ability to read and accurately interpret insurance Explanation of Benefits (EOB's)
•Verifying insurance payments for accuracy/compliance based on contracts to ensure correct reimbursement is received
•Following up directly with insurance companies regarding payment discrepancies
•Utilizing aging reports and workflow statuses to address any unpaid or open claims over 30, 60, 90, and 120 plus
•Coordination of Benefits (COB) – Ability to Identifying and bill secondary or tertiary
•Documenting denials associated with patient responsibility to forward to the collection team
•Ability to research and appeal denied claims
•Answering all patient or insurance telephone inquiries pertaining to assigned accounts
•Report payment discrepancies or denial trends identified.
•Keep supervisor abreast weekly of any concerns or issues associated with accounts
•Adhering to company standards of compliance with policies and procedures
•Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
•Performs other duties that may be necessary or in the best interest of the organization.
Education, Licensure & Certification Requirements
High School Diploma or GED
CPC, RHIT, CCS, or CMC Coding Credentials preferred
Experience Requirements
3+ years of Medical Insurance Billing. Ophthalmology Practice preferred.
Knowledge, Skills and Abilities Requirements
Location/Work Environment:
For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards.
For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.
If you need assistance with this application, please contact (636) 227-2600
Please do not contact the office directly – only resumes submitted through this website will be considered
EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly – only resumes submitted through this website will be considered
NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.
