- 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
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties… more
- AdventHealth (Tampa, FL)
- …position certifications **The role youll contribute** **:** The Patient Account Representative is responsible for maintaining patient accounts by assisting Physician ... Office to resolve issues related to Revenue Cycle. The Patient Account Representative may provide training to the Physician practices to facilitate resolution of… 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
- Robert Half Accountemps (Monrovia, CA)
- …billing, the complete revenue cycle management process, and possesses extensive knowledge of appeals and denials management. This role is Hybrid with 2 day ... and resolution of claim issues. Requirements Medical Billing, Medical Collections, Medical Appeals , Medical Denials , HMO PPO, Call Center Customer Service, Call… 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
- Virtua Health (Mount Laurel, NJ)
- …open communication with management regarding billing and coding issues including documentation, denials / appeals , etc.* Follows up on assigned insurances on a ... and complete.* Analyzes, identifies and trends billing issues to proactively reduce denials and variances.* Works system generated reports such as residual balance,… more
- Banner Health (AZ)
- …May be assigned to process payments, adjustments, claims, correspondence, refunds, denials , financial/charity applications, and/or payment plans in an accurate and ... assigned, reconciles, balances and pursues account balances and payments, and/or denials , working with payor remits, facility contracts, payor customer service,… 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: Location: Hours Per Week: Schedule: Sign-On Bonus: SUMMARY: Ensure full reimbursement is received by RRH for ... 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
- HCA Healthcare (Richmond, VA)
- …+ Contacts the facilities, physicians' offices and/or insurance companies to resolve denials / appeals + Schedules patient tests, and/or procedures in a prompt, ... an organization that invests in you as a Precertification Representative ? At Parallon, you come first. HCA Healthcare has...a difference. We are looking for a dedicated Precertification Representative like you to be a part of our… 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
- Garnet Health (Middletown, NY)
- …a must, with knowledge in Revenue/CPT Code descriptions and the ability to write appeals for denials is required. Should know the statutes and CMS regulations ... your career home with us as a Patient Accounting Representative on our Patient Financial Services team at/in Garnet...claims to all payers in timely and accurate manner. Representative serves as primary contact for patient reimbursement issues… more