- University Medical Center of Southern Nevada (Las Vegas, NV)
- …experience *Proficient in scanning and understand the process of follow-up, and denials and appeals Knowledge, Skills, Abilities, and Physical Requirements ... Proficient in scanning and understand the process of follow-up, and denials and appeals 05 Please detail your experience with Physician Billing and Account… more
- Surgery Partners (Addison, TX)
- …preferred ESSENTIAL FUNCTIONS: Perform extensive insurance claim follow-ups for insurance denials , appeals , and perform next steps a must Ability ... present to management Ability to read, understand, interpret and resolve payer denials and EOB's Understanding of copays, coinsurance, deductibles, and denial codes… more
- EVERSANA (Mason, OH)
- …reimbursement support for activities related to benefit coverage, prior authorization, claim denials , appeals , triage to third party support centers and general ... MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.… more
- Ochsner Health (New Orleans, LA)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... status as needed throughout the payment process. + Appeal denials when needed throughout the payment process and determines...when needed throughout the payment process and determines when appeals should be sent for further research and/or review.… more
- St. Luke's University Health Network (Allentown, PA)
- …needed for workflow or identification of trends. Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and ... a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend… more
- Insight Global (Houston, TX)
- …A healthcare employer in Houston, TX is seeking an Insurance Follow Up and Denials Representative to join their team. This position is hybrid and will ... the initial training period has been completed. In this position the representative will be responsible for reviewing denied or rejected insurance claims,… more
- Guidehouse (Birmingham, AL)
- …all denials taking necessary actions to obtain account resolution. + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **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,… more
- Guidehouse (El Segundo, CA)
- …all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **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,… more
- Guidehouse (Lewisville, TX)
- …from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 1+ year's medical provider experience working with UB04, appeals & denials . + Hospital or EOB… more
- UNC Health Care (Chapel Hill, NC)
- …for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials , and re-bills of insurance claims, and all ... insurance claims follow up for no response from payors, and/or claim denials . + Works physician claims ("professional billing"). + Maintains A/R at acceptable… more
- Surgery Care Affiliates (Indianapolis, IN)
- …Qualifications Requirements for our roles: + High School Diploma or GED + Denials and appeals experience + Familiarity with EOB and reading medical ... you join our team, they will. Responsibilities The Associate Accounts Receivable Representative will work in the Accounts Receivable, or A/R department, within our… more
- Houston Methodist (Houston, TX)
- …on insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance ... At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case management… more
- Cardinal Health (Atlanta, GA)
- …in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + ... Processes denials & rejections for re-submission (billing) in accordance with...changes that may need to be made. + Processes denials & rejections for re-submission (billing) in accordance with… more
- Whidbey General Hospital (Coupeville, WA)
- JOB SUMMARY The Patient Financial Services Representative supports the mission of providing quality healthcare to the patients of WhidbeyHealth by performing a ... support the financial health and well-being of the organization. The PFS Representative may be responsible for coordinating patient referrals and subsequent follow… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Business Office Representative Department: Billing Location: Riedman Campus SUMMARY: Ensure full reimbursement is received by RRH for clinical services ... to primary and secondary insurances . Research and resolve denials and payer requests for information promptly and accurately...phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed… more
- Intermountain Health (Broomfield, CO)
- …with an overall goal of account resolution + Post correspondence, zero payments, denials and any other additional items received from insurance to patient accounts + ... Ability to read and understand Explanation of Benefits (EOB's) or interpret denials , required + Basic understanding of accounting procedures such as debits/credits,… more
- Rochester Regional Health (Rochester, NY)
- …accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in order to ... coverage changes as needed. + Review and process claim denials according to established processes. Research and resolve denial...phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed… more
- Corewell Health (Grand Rapids, MI)
- …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital...+ Ability to perform the role of Patient Services Representative , Associate when necessary. + Actively participates in safety… more
- Corewell Health (St. Joseph, MI)
- …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital...+ Ability to perform the role of Patient Services Representative , Associate when necessary. + Actively participates in safety… more
