- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 10 **Position:** Supervisor Claims PFS **Union Code:** 00 - Non ... Union **Bi-Weekly Hours:** 75 **Weekend/ Holiday Requirement:** No Weekends or Holidays Required Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences.… more
- Sharp HealthCare (San Diego, CA)
- …business practices. **What You Will Do** Minimal data entry from non-scanned claims into GE according to established procedures. **Required Qualifications** + 1 Year ... previous claims experience in an HMO or indemnity insurance setting...and contributing to unit meetings.Demonstrates ability to work independently.Inform supervisor when available for additional work assignments.Accurate and timely… more
- Trinity Health (Farmington Hills, MI)
- …clinical best practices. The position will report directly to the Supervisor Clinical / Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, ... is paid/settled in the most timely manner possible: + Supports Supervisor Clinical/Coding Payment Resolution with communication and follow-up processes related to… more
- Trinity Health (Farmington Hills, MI)
- …customer complaints and issues. This position reports directly to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, ... or escalates issues affecting customer complaints and issues to the Supervisor PFS Customer Service.Performs communication and follow-up processes related… more
- Beth Israel Lahey Health (Burlington, MA)
- …toward process improvements within the Central Billing Office. 16. Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals ... and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay accounts,… more
- Banner Health (Mesa, AZ)
- …be the perfect opportunity for you. The Patient Billing and Collections PFS Representative CBO is responsible for patient billing and collection activities, ... through the billing process to the payor, working with the payor through claims processing, ensuring reimbursement to the facility. This position will use multiple… more
- Trinity Health (Livonia, MI)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, ... recommendations for resolutions of the issues and findings for the supervisor . Resolves independently or escalates issues affecting customer complaints and issues… more
- Banner Health (AZ)
- …your abilities - you belong at Banner Health. The Patient Financial Services ( PFS ) Department is responsible for the timely and accurate billing and collections of ... activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a… more
- Tidelands Health (Pawleys Island, SC)
- …better lives through better health!** **Position Summary** **:** Under the general supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager ... and achieve high collections and low accounts receivable days outstanding. + Ensure claims are processed daily and within the timely filing guidelines where account… more
- Trinity Health (Farmington Hills, MI)
- …variances from expected reimbursement, and resolving or escalating issues to the Supervisor Payment Resolution for resolution. This position reports directly to the ... Supervisor Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and...payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the… more
- Trinity Health (Farmington Hills, MI)
- …problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Trinity Health (Farmington Hills, MI)
- …and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Supervisor Professional Billing & Coding follows Federal State & local regulatory collection guidelines as well as payor ... balances from all Commercial HMO PPO Medi-Cal & Managed Care payors professional claims . Responsible for identifying issues checking status of unpaid claims by… more
- Trinity Health (Farmington Hills, MI)
- …coding best practices. This position reports directly to the Supervisor Clinical/Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, ... ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims , or other coding reasons and processing charge corrections based on medical… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Supervisor of Professional Billing & Coding, the Billing and Collections Rep receives charge batches for verification and ... Responsible for daily processing of claim edits for rejected claims processed through electronic claim vendors. Provides professional customer service… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the general direction of the Supervisor , Professional Billing & Coding and Director, Professional Billing & Coding, this position operates from ... Revenue Cycle Center to address coding issues related to professional billing claims . The incumbent is responsible for reviewing provider charges to ensure accuracy,… more
- Guidehouse (Birmingham, AL)
- …write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party ... Communicates issues to management timely. Performs other duties as assigned by direct supervisor . **What You Will Need** **:** + High school diploma or equivalent +… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** PFS General **Travel Required** **:** Up to 10% **Clearance Required** **:** None The **Project Supervisor ** is responsible for overseeing ... of the project staff inclusive of onsite Team Members when applicable. A Project Supervisor is an extension of a client's business office staff. This position is… more
- Bozeman Health (Bozeman, MT)
- …Tennessee Position Summary: The Hospital / Professional Insurance Billing Supervisor is responsible for assisting with planning, directing, organizing, monitoring ... the hospital executive team in collaboration with the Patient Financial Services ( PFS ) manager. Oversees and coordinates the insurance billing function for Bozeman… more
- Banner Health (Mesa, AZ)
- …better sounds like something you want to be part of, apply today. The PFS Department is responsible for the timely and accurate billing and collections of revenue ... customer service and making a difference in our customer's lives. The Claims Patient Financial Services Representatives is responsible for release of claims… more