- Glens Falls Hospital (Glens Falls, NY)
- …week, can be foundhere. **Job:** **Allied Health - Health Information Management* **Title:** * Coding Reimbursement Appeals Supervisor - Health ... Director, is responsible for compliant, complete and optimal facility coding , and in collaboration with Coding leadership...and DRG's that include all MCC's and CC's for reimbursement . In collaboration with Hospital External Review Team (HERT)… more
- Trinity Health (Farmington Hills, MI)
- …the claim is paid/settled in the most timely manner possible: + Supports Supervisor Clinical Payment Resolution or Manager Clinical/ Coding Payment Resolion with ... May facilitate coordination information with payers in order to secure appropriate reimbursement ; + Supports Supervisor /Manager as the liaison to members of… more
- Trinity Health (Farmington Hills, MI)
- …May facilitate coordination information with payers in order to secure appropriate reimbursement ; + Supports Supervisor Clinical/ Coding Payment Resolution as ... warranted appeals for defined populations as directed by the Supervisor Clinical / Coding Payment Resolution, Interprets data, draws conclusions,… more
- Trinity Health (Farmington Hills, MI)
- …from expected reimbursement , and resolving or escalating issues to the Supervisor Payment Resolution for resolution. This position reports directly to the ... Supervisor Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and...of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews,… more
- Trinity Health (Farmington Hills, MI)
- …received on denied accounts, and resolving or escalating issues to the Supervisor Payment Resolution Supervisor for resolution. Provides training and guidance ... problems as needed. This position reports directly to the Supervisor Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates… more
- TEKsystems (Plano, TX)
- …resolve issues on accounts. Including but, not limited to Managed Care, Reimbursement , Clinical, Admissions, Facility Business Office Manager, Coding , Case ... Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for A/R,… more
- University of Virginia (Charlottesville, VA)
- This position analyzes accounts receivable and takes appropriate action to resolve coding and global denials. + Posts denials/rejects into EPIC billing system. + ... time specified by the contract using their knowledge of coding and utilizing various tools of CPT and ICD-10...follow up strategy to resolve the accounts to obtain reimbursement . + Must be aware of carrier policies and… more
- Trinity Health (Albany, NY)
- …and reimbursement requirements. + Knowledge of ICD-9 and ICD-10 coding and documentation requirements. + Proficient in Microsoft Office applications including ... Full time **Shift:** Day Shift **Description:** **Authorization and Denial Supervisor - Hybrid - Must be local to Albany,NY**...competencies and quality of work. + Leads oversight of appeals denied claims for elated services, drugs, treatments and… more
- New View Alliance (Williamsville, NY)
- …highly preferred + Medical billing experience and knowledge of ICD 10, CPT coding , APG. modifiers as well as medical reimbursement methodologies required. ... Job Title: Supervisor - Medical Billing Position Summary: The ...and co-insurances, and prepare secondary insurance billing. Process all appeals promptly, generally within 48 hours of denial. Respond… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling… more
- Houston Methodist (Houston, TX)
- …appropriate billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any ... medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Stays current on collection procedures of various payors and industry… more
- Covenant Health Inc. (Knoxville, TN)
- …of deficiency. + Attends meetings and provides input as it relates to coding , medical documentation, and reimbursement issues specific to medical billing and ... Overview Supervisor Health Information Management, Medical Staff Services Full...to a lack of diagnosis. Monitors to ensure transcription, coding , release of information, and HIM clerical activities are… more
- Beth Israel Lahey Health (Burlington, MA)
- …computer systems and Excel spreadsheets. Working knowledge of third party payer reimbursement , coding guidelines, and government and payer compliance rules ... for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement . The role also includes review and rework of all types of denials, as… more
- Johns Hopkins University (Middle River, MD)
- …(medical reports, authorizations, etc.) as needed and submits to third-party payers. + Appeals rejected claims and claims with low reimbursement . + Performs ... escalates non-standard appeals to a higher-level specialist. + Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment… more
- Guthrie (Towanda, PA)
- …management to develop and train internal rejection protocols. Keeps current with coding knowledge, reimbursement policies, payer guidelines and other sources in ... Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a… more
- Universal Health Services (Riverside, CA)
- …of management, formally, or informally, either verbally or in writing). 1. Assist the supervisor as requested. 2. Review, adjust and or mail out all assigned tracer ... claims 3. Initiate claims review or appeals , as indicated on assigned explanation of benefits. 4....Review Explanation of Medical benefits to verify accuracy of reimbursement . C. Verify insurance coverage D. Initiate necessary account… more
- MD Anderson Cancer Center (Houston, TX)
- …and further delay in payments. Makes recommendations for resolution. 5. Pursues appeals when available. Initiates communication with coding team and clinical ... staff when coding related and medical necessity appeals are warranted. 6. Consistently reviews processes and recommends any areas of opportunities with assigned… more
- Universal Health Services (Tredyffrin, PA)
- …established performance targets (productivity and quality). Initiates and follows-up on appeals . Exercises good judgement in escalating identified denial trends or ... and reprocesses claims for payment in a timely manner. Proceeds with appeals process as needed. Performs eligibility and claim status follow-up inquiries utilizing… more
- e CancerCare (Nashville, TN)
- …Work an average of 40 to 80 denials per day based on supervisor requirements and accounts assigned. Works closely with insurance carriers for reimbursement ... timely payment Reviews outstanding AR accounts and contacts insurance for reimbursement explanation. Provides clear and accurate documentation of all contacts with… more
- Independent Health (Buffalo, NY)
- …office required. + Strong working knowledge of CPT, ICD-9-CM, ICD-10-CM and HCPCS coding preferred. + Experience in Compliance regulations, appeals and grievance ... of health standards. + Responsible for escalating issues as needed to supervisor . + Log all contacts into appropriate systems and maintain accurate documentation… more