- Guidehouse (Birmingham, AL)
- …**:** None **Clearance Required** **:** None **What You Will Do:** **The PFS Team Lead** assists in overseeing the daily operations of assigned project(s). ... specific refresher training sessions + Performs functions assigned by Supervisor/ Manager to ensure team /project objectives are met. +...equivalent + 8 years of experience in the medical billing field + The successful candidate must not be… 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 ... specific billing /collection guidelines. Responsible for the collection of outstanding balances...EOB-s & R/A-s to ensure payment or to identify denials or non-payment. Responsible for follow up with payor… more
- Tidelands Health (Pawleys Island, SC)
- …a results-oriented PFS department with particular emphasis on collections and billing , both hospital/acute and ambulatory. + At least three (3) years direct ... supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- Tidelands Health (Georgetown, SC)
- …to managed care, denials , and reimbursement issues. * Terminology for hospital billing . * CPT and ICD-10 coding. * Hands-on knowledge of the Experian Health, ... **Position Summary:** The Patient Financial Counselor reports to the Vendor Relationship Manager and will be responsible for the following: * Working with all… more
- Beth Israel Lahey Health (Charlestown, MA)
- …making a difference in people's lives.** Under oversight of the Director, the Manager , BILH Patient Financial Services Hospital Billing is responsible for ... healthcare system with future expansion anticipated. Responsible areas within PFS Hospital Billing Revenue Cycle may include...ensure targets are being met. With Director oversight, the Manager sets, monitors and reports on work unit and… more
- Bozeman Health (Bozeman, MT)
- …working relationships + Identifies payer trends and communicates with PFS Manager for escalation + Ensures timely billing and proactively investigates and ... executive team in collaboration with the Patient Financial Services ( PFS ) manager . Oversees and coordinates the insurance billing function for Bozeman Health… more
- Beth Israel Lahey Health (Burlington, MA)
- …for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and ... and identifies denial/non-payment trends and reports them to the Billing Supervisor. 2. Responds to incoming insurance/office calls with...carrier or others and uses information learned to educate PFS and office staff to reduce future denials… more
- Trinity Health (Livonia, MI)
- …Registration, Benefit Advocacy, Pre-Registration, Notification, Verification and Authorization (NoVA), Billing and Follow-up, Customer Service, Denials , and ... Registration, Benefit Advocacy, Pre-Registration, Notification Verification and Authorization (NoVA), Billing and Follow-up, Customer Service, Denials , and… more
- Hackensack Meridian Health (Edison, NJ)
- …with appropriate Revenue Cycle leaders and makes recommendations to prevent future denials and payment variances. Disciplines include but are not limited to Patient ... & Reports on Weekly Graph & Workflow meetings on Denials trending for the Network. Identifies and performs root...Identifies problems in process flow or changes in payer's billing rules and regulations and governmental guidelines that slows… more
- Beth Israel Lahey Health (Burlington, MA)
- …specific facts, unique charging scenarios and tips to process and appeal denials . 10. Responsible for researching payer billing guidelines for specific ... problems. 18. Educates/shares information with the Physicians, Coders, Clinical staff and PFS staff regarding billing operations and 3rd party regulations. 19.… more
- Beth Israel Lahey Health (Burlington, MA)
- …to: 1. Reviews and completes continuous daily work queue volume of all PFS related denials . 2. Proactively identifies problems or opportunities for improvements ... 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure...also includes review and rework of all types of denials , as well as analysis and education to reduce… more
- Bozeman Health (Bozeman, MT)
- …Monitor coding key performance indicators (KPIs), ie accounts receivable days, candidate for billing , coding edits and external errors, and denials + Develop ... to Align with Business Needs Position Summary: The System Manager of Coding is responsible for assisting other leaders...coordinates all functions that relate to coding and applicable billing activities for Bozeman Health and all related entities.… more
- Bozeman Health (Bozeman, MT)
- …of claims to support reimbursement, including timely filing requirements + Monitor PFS billing and payment key performance indicators, ie collection rates, ... payers to mitigate underpayments and facilitate timely reimbursement + Conduct research regarding billing denials as directed + Maintain knowledge of State and… more
- University of Rochester (Rochester, NY)
- …maintains billing for these claims on a daily basis. Assists the PFS Revenue Cycle Manager and multiple department administrators with planning and problem ... Manager administer and coordinate hospital procedures relative to billing , reimbursement, and accounting functions for various services. + Complete collection… more
- Carle (Urbana, IL)
- Manager of Revenue Integrity - Remote + Department: Patient Financial Services + Entity: Champaign-Urbana Service Area + Job Category: Professional + Employment ... industry, regulatory, and payer policies that impact charging and billing practices. This position is responsible to track system...leadership. This position is responsible for ensuring reduction of denials and bad debt write offs and top decile… more
- Bozeman Health (Bozeman, MT)
- …respond to key performance indicators (KPIs), ie accounts receivable days, candidate for billing , denials , CC/MCC capture rates, query and response rates, etc. + ... Remote States to Align with Business Needs Position Summary: The System Manager of Clinical Documentation Improvement (CDI) is responsible for assisting with… more
- Kaleida Health (Buffalo, NY)
- …24040 - KH Patient Financial Services **Job Description:** *Long Term Care* The Manager PFS Claims & AR is responsible for establishing policies and ... procedures that support Patient Financial Services and maintain strong billing and collection practices and compliance with all regulatory requirements. Manages the… more
- Tidelands Health (Murrells Inlet, SC)
- …point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences ... for benchmarking. + Works closely with Patient Financial Service ( PFS ) to review documentation and serve as department expert...information required to produce a clean claim including special billing procedures that may be defined by a payer… more
- Guidehouse (Los Angeles, CA)
- …Job Functions** + Comprehensive knowledge of healthcare access management, HIM, billing , finance and accounting principles for both Hospital and Physician revenue ... action plans + Provides and implements plans to improve billing performance + Establishes and develops collaborative relationships with...Works with EBO and Client to research and resolve denials + Upon identification of issues, research issues to… more
- UR Medicine Home Care (Rochester, NY)
- …and work queues. + Collaborates with Clinical Operations (CHHA, Hospice, LHCSA) and PFS on resolving clinical documentation issues that impact timely billing . + ... requests by third party payers to respond to claim denials for medical justification including but not limited to...Responds to and resolves clinical documentation issues resulting in billing inquiries. + Documentation expertise in all areas of… more