- Geisinger (Scranton, PA)
- …through appropriate administrative and medical channels to avoid third party payer denials . Maintains awareness of all concurrent denials through interaction ... with payer liaison. Works with payer liaison to facilitate timely discharge or alternative plan of care acceptable to physician, family and payer. Works with physician and multidisciplinary team members to develop plan of care for each assigned patient from… more
- Houston Methodist Sugar Land Hospital (Sugar Land, TX)
- …appropriate notification of issues that may result in service delays or denials . SERVICE ESSENTIAL FUNCTIONS Maintains a safe and welcoming environment for patients, ... staff and visitors, contributing to patient, employee and physician satisfaction. Performs patient check in/check out functions. Obtains and inputs accurate scheduling and registration data to initiate financial clearance activities as needed. Responds to… more
- Houston Methodist Hospital (Houston, TX)
- …includes identification of opportunities for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of care. ... GROWTH/INNOVATION ESSENTIAL FUNCTIONS Identifies and implements innovative solutions for practice or workflow changes to improve department, entity or system operations by leading unit projects and/or other department/ system-directed activities. Proactively… more
- Stanford Health Care (Palo Alto, CA)
- …and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government ... audits and denials . This position requires strong clinical acumen, a strong...There are three (3) career banded levels within the Denials Management family. Positions are flexibly staffed at any… more
- Jobleads-US (Chicago, IL)
- …patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level ... or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent… more
- Mercy (Maryland Heights, MO)
- …of patient account coordinationincluding insurance/benefit verification, rejection and denials management and collections. The Specialty Account Coordinator is ... also responsible for knowing which assistance programs, such as drug copay cards and/or foundations, patients may qualify for, assisting patients in enrolling in thoseprograms, monitoring services rendered and billing the assistance programs for the… more
- Sonora Quest Laboratories (Phoenix, AZ)
- …quality and productivity for the Revenue Department. Demonstrates understanding of denials , monitors complex adjustments and evaluates team members' ability to meet ... Reviews ongoing processes to increase knowledge of insurance billing, aging, denials requirements and changes. Proactively communicates escalated billing issues or… more
- US Physical Therapy (Decatur, GA)
- …billing and claims department with collections of patient balances, managing denials and assisting the Office Manager with outstanding A/R. **Responsibilities:** + ... prior authorizations + Follow up with insurance companies on unpaid claims and denials . + Assist with Answer phones and scheduling new patients + Provide excellent… more
- Jobleads-US (New York, NY)
- …getting around to it one time, or sometimes at all. Tennr prevents these delays and denials by making sure every referral gets where it needs to go, with the right ... acts on every piece of patient information so providers can capture more referrals, slash denials , and reduce delays. Tennr is based in New York City and is backed… more
- Jobleads-US (New York, NY)
- …getting around to it one time, or sometimes at all. Tennr prevents these delays and denials by making sure every referral gets where it needs to go, with the right ... acts on every piece of patient information so providers can capture more referrals, slash denials , and reduce delays. Tennr is based in New York City and is backed… more
- Mom's Meals (Ankeny, IA)
- …tools in CRM and SharePoint + Manage complex billing scenarios including denials , rejections, and aging accounts + Collaborate with Posting teams to resolve ... portals, etc.) + Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans… more
- Jobleads-US (San Francisco, CA)
- …approvals. Investigate and resolve billing discrepancies, such as short payments, denials , or delays, by coordinating with attorneys, clients, and vendors. ... Qualifications: MUST have prior/current law firm/legal billing experience. Knowledge of legal billing software such as Elite, 3E or Aderant Demonstrated expertise in all aspects of the legal billing process,from time entry review to collection efforts.… more
- Jobleads-US (Washington, DC)
- …approvals. Investigate and resolve billing discrepancies, such as short payments, denials , or delays, by coordinating with attorneys, clients, and vendors. ... Qualifications MUST have prior/current law firm/legal billing experience. Knowledge of legal billing software such as Elite, 3E or Aderant Demonstrated expertise in all aspects of the legal billing process, from time entry review to collection efforts.… more
- Stony Brook University (Stony Brook, NY)
- …on all other payers. + Active participation with the physician and payer to prevent denials . Reviews cases for potential change in level of care with the CM and ... + Reviews cases daily from admission through discharge to prevent denials .This includes patient and family contacts, insurance authorizations, tests, procedures,… more
- DERMCARE MANAGEMENT LLC (Shingle Springs, CA)
- …Works closely with Revenue Cycle to ensure A/R is optimally liquidated, denials are minimized, refunds are issued, PENDI's are addressed, charts are closed ... timely, and questions promptly answered to the billing & claims team. Works closely with Credentialing & Enrollment to ensure all business and provider licenses are paid, up to date and in good standing and that all available enrollments are completed and… more
- Mom's Meals (Ankeny, IA)
- …portals, etc.) + Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans ... in process improvement initiatives. Collaborate across teams to resolve issues, claims denials , and aging + Other tasks as assigned, including but not limited… more
- Unknown (North Little Rock, AR)
- …The VP will also oversee charge capture, coding integrity, billing compliance, denials management, and reimbursement optimization, and must be a subject matter ... expert in reimbursement models, coding accuracy, and regulatory compliance. Candidates for the Vice President of Revenue Integrity position at the company should have a Bachelor's degree in a relevant field, with a Master's degree preferred, and at least 8-10… more
- Earth Saving Solutions (Denver, CO)
- …liaise directly with adjusters, and advocate on behalf of clients to overturn denials and secure full reimbursements. * Solution Design : Partner with ESS's ... success in negotiating with insurance carriers, preparing claims, and overturning denials . * Communication : Exceptional verbal and written skills; able to… more
- Jobleads-US (Miami, FL)
- …entry, and claims management processes. Knowledge of appeals process and researching denials as applicable to business needs. Possesses effective verbal and written ... communication skills. Knowledge of Microsoft Systems Word, Excel, Power Point and Access is a must. Must be detail-oriented team player with excellent written and communication skills. Background in coding experience in other released areas such as… more
- Aftermath Billing (Port Saint Lucie, FL)
- …health of our clients by working to resolve billing issues, processing denials , and facilitating collections in compliance with all applicable regulations. Key ... companies to ensure timely payment. Investigate and resolve claim denials or payment discrepancies. Maintain accurate documentation of collection activities… more
