- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for ... all open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Responsibilities include… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** **Financial Representative - Oncology Claims Follow-Up/Billing Corporate Full-Time Days** Analyses accounts and billing(s) to ensure accurate ... Beth Israel and MS Downtown, AVR - Patient Accounting Revenue Enhancements-Com - BI, Mount Sinai Beth Israel **Responsibilities**...a timely manner, to immediate supervisor for handling or resolution + Utilizes trial balance and other reports 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 ... - - - 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
- Peoples Health Centers Family of Companies (St. Louis, MO)
- People's Health Centers Job Description Job Title : Director of Revenue Cycle Department : Finance Reports To : Chief Financial Officer FLSA Status : Exempt Prepared ... improvement work to optimize people, processes and technology throughout the entire revenue cycle and must have in-depth knowledge of Missouri Federally Qualified… more
- Surgery Care Affiliates (Boise, ID)
- …collection experience required. + Demonstrates a working knowledge of ICD, CPT, HCPC, and Revenue codes and the ability to create claims and assess and resolve ... change. If you join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow up… more
- Fresenius Medical Center (Kennesaw, GA)
- …that patient accounts are correctly billed to the appropriate payer and that revenue is properly recognized. + Monitoring daily deposits via cash posting department ... sub-systems and providing the accounting department with cash deposits, projected revenue , aging, bad debt, physicians' compensation, patient mix and various… 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
- Intermountain Health (Columbus, OH)
- …of the staff. **Essential Functions** . Oversees the day to day revenue cycle functions including claims processing, denials, payments, customer service, ... **Job Description:** The Revenue Cycle Supervisor oversees all processes and procedures... claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution ,… more
- R1 RCM (Oklahoma City, OK)
- …As our Billing Representative II, you will work to bring accounts to resolution by tracking claims through the billing process to identify problem areas to ... combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology...and determine best course of action to resolve aging claims . * Interact with third parties representative … more
- Fairview Health Services (St. Paul, MN)
- …questions/account issue resolution . Mentors and trains staff in the PFS Representative 1 and 2 positions. Maintains the best practice routine per department ... non-government) billing and collection practices. + Works with multiple payer's provider representative on issue resolution including claim resolution … 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
- 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 (Davenport, IA)
- …Range: $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
- University of Virginia (Charlottesville, VA)
- The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct ... reimbursements from the insurance companies. They are responsible of ensuring that all claims billed are in compliance with all federal and state requirements and… 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 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
- Fairview Health Services (St. Paul, MN)
- …the billing and insurance processing of their healthcare services. The CSC Representative will counsel patients on financial solutions available to them either ... or screening for qualification for assistance programs. The CSC Representative will manage both hospital and physician accounts in...will have detailed knowledge of the Functions within the Revenue Cycle and how they interact in the life… more
- Houston Methodist (Cypress, 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