- Robert Half Office Team (Columbus, OH)
- …and revenue cycle goals. This role supports the accurate and timely resolution of denied claims , ensuring regulatory standards are upheld and that ... seeking experienced HIM Associates with a strong background in working denied claims and commercial payer follow-up. This fully remote, contract-based opportunity is… more
- UNC Health Care (Rocky Mount, NC)
- …will make a lasting impact on our community's health and wellbeing. Summary: The Revenue Cycle Representative is responsible for performing a variety of complex ... at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . Timely resolution...Addresses customer issues or concerns related to billing. The Representative performs all duties in a manner which promotes… more
- UNC Health Care (Chapel Hill, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works ... physician claims ("professional billing"). + Maintains A/R at acceptable aging...companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods. +… more
- UNC Health Care (Smithfield, NC)
- …to improve the health and well-being of the unique communities we serve. **This Revenue Cycle Rep Senior will be an onsite position in Smithfield, NC.** Summary: ... in support of reimbursement from patient and insurance carriers throughout the revenue cycle from pre-service with prior authorizations and insurance verification to… more
- University of Rochester (Rochester, NY)
- …unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to obtain information as to why claims are not paid and ... - - - Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate...claims to establish the expected reimbursement in the revenue cycle system. - Initiate payer-related accounts receivable report… more
- University of Rochester (Rochester, NY)
- …unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to obtain information as to why claims are not paid and ... a payment date from the payer. + Research and calculate underpaid or overpaid claims ; determine final resolution .- - - Re-calculate claim based on fee schedule,… more
- BCA Financial Services, Inc. (Columbia, SC)
- …, insurance claims resolution , insurance collector, claims follow up, revenue cycle specialist, revenue cycle representative Powered by JazzHR ... Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday through Friday schedule +… more
- Virtua Health (Mount Laurel, NJ)
- …to optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in ... projects related to Revenue Cycle initiatives. Participate in ongoing coordination and resolution of revenue issues as they arise. Provide input to Director… more
- Arnot Health (Elmira, NY)
- …(LCDs, NCDs, NYS insurance laws, payer policies) + Assist in claim edit resolution to ensure compliant, clean claims are submitted + Maintain proficiency ... CPC (not CPC-A) and/or AHIMA Certified Coding Specialist credential required. HFMA Certified Revenue Cycle Representative (CRCR) preferred. + Minimum of 3 years'… more
- Trinity Health (Farmington Hills, MI)
- …$18.8367-$28.2551) Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. ... and guidance to lower level colleagues and provide problem resolution as needed. This position reports directly to a...the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents… more
- University of Virginia (Charlottesville, VA)
- …ensure the claims are processed and followed up to meet the CBO Revenue Cycle performance metrics & representative Facility specific goals. They will also ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing...from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
- Ochsner Health (New Orleans, LA)
- …multiple revenue cycle applications (ie, patient access, patient accounting, claims clearinghouse, eligibility, etc.). Tasks are performed under the direction of ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Beth Israel Lahey Health (Charlestown, MA)
- …+ Performs all Hospital Billing, Follow Up, and Denial activities necessary to obtain payment/ resolution of claims . + Reviews entire account to ensure claims ... oversight of the Department Manager & Supervisor, the Patient Financial Services Representative - Hospital Billing will be responsible for efficient & timely billing… more
- Trinity Health (Farmington Hills, MI)
- …Rate: $16.8185-$25.2277) Performs day-to-day billing and follow-up activities within the revenue operations of an assigned Patient Business Services (PBS) location. ... the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents... cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s).… more
- McLaren Health Care (Flint, MI)
- …daily provider telephone calls which will include problem solving, eligibility, benefit, and resolution of claims issues. Assists in providing linkage to the ... Also responsible for assisting members with eligibility, benefit, and resolution of claims issues as needed. **This... claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs,… more
- McLaren Health Care (Indianapolis, IN)
- …daily provider telephone calls which will include problem solving, eligibility, benefit, and resolution of claims issues. Assists in providing linkage to the ... Also responsible for assisting members with eligibility, benefit, and resolution of claims issues as needed. **This... claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs,… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative , Bilingual, assists members, physicians, hospitals, revenue agencies and other healthcare providers with ... member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service...schedules, network participation, and requirements. + Ensure first contact resolution when possible. + Update customer files and communicate… more
- Houston Methodist (Houston, TX)
- …accurate claims submission and may perform registration and/or other revenue cycle functions. Other duties include providing general operations assistance and/or ... At Houston Methodist, the Senior Patient Services Representative is responsible for performing patient check in/check...less experienced staff and serves as the next level resolution source for problems. **SERVICE ESSENTIAL FUNCTIONS** + Uses… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... and Account Managers to communicate and prevent denials. Provides suggestions for resolution . + Assists with knowledge sharing, payor and department cross training,… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Patient Account ... Representative (PAR) is expected to perform specific billing processes,...is expected to perform specific billing processes, follow-up, account resolution , adjustments and scanning as required. This position works… more