Find Training specialist e learning Jobs in Duluth, Georgia

Active Claim Recovery: Resolve unpaid, denied, or pending Medicare claims by navigating various MAC portals (Novitas, First Coast, Palmetto, Noridian, WPS, NGS, etc.).
Denial Management: Research, resolve, and trend claim rejections. You&rsquo;ll prepare and submit high-quality appeals and reconsiderations when the payer gets it wrong.
Technical Billing: Review and correct HCFA 1500 (CMS-1500) professional claims, with a specific focus on telemedicine and tele-neurology accuracy (place-of-service, modifiers, etc.).
Multi-State Compliance: Manage claims across various state lines, ensuring strict adherence to payer-specific regulations and Medicare guidelines.
Payment Validation: Audit EOBs/ERAs to ensure accurate posting and identify payment discrepancies before they become long-term issues.
Strategic Reporting: Identify recurring denial trends and collaborate with the coding and compliance teams to prevent &quot;leakage&quot; at the source.
AR Cleanup: Support special projects and aging-reduction initiatives to keep our accounts receivable lean and current.

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47 training specialist e learning jobs found in duluth, georgia