- Beth Israel Lahey Health (Burlington, MA)
- …information that impacts the resolution of current or potential future claims. 4 . Establishes relationships and maintains open communication with third party payor ... carrier or others and uses information learned to educate PFS and office staff to reduce future denials and...claims issues, denials, appeals and credits. 17. Works with cash team to resolve unapplied cash . 18.… more
- Sharp HealthCare (San Diego, CA)
- …Cycle Representative (CRCR) - HFMA; HS Diploma or Equivalent; Certified Specialist Managed Care (CSMC) - Healthcare Financial Management Association **Hours** ... **Shift Start Time:** 8 AM **Shift End Time:** 4 :30 PM **Additional Shift Information:** **Weekend Requirements:** No Weekends **On-Call Required:** No **Hourly Pay… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital denied accounts are thoroughly ... also includes review and rework of all types of PFS denials. Good writing and analytical skills are a...impacts the resolution of current or potential future claims. 4 . Maintains open communication with third party payor representatives… more
- Beth Israel Lahey Health (Burlington, MA)
- …coding corrections via paper or electronic submission to the Follow up Team. 4 . Reports coding trends and issues to the coding supervisor for education within ... party payor representatives in order to resolve claims issues. 4 . Reviews claim forms for the accuracy of procedures,...carrier or others and uses information learned to educate PFS and office staff to reduce future denials and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …information that impacts the resolution of current or potential future claims. 4 ) Establishes relationships and maintains open communication with third party payor ... carrier or others and uses information learned to educate PFS and office staff to reduce future denials and...claims issues, denials, appeals and credits. 17) Works with cash team to resolve unapplied cash . 18)… more
- Beth Israel Lahey Health (Burlington, MA)
- …Type:** Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied ... tools available to validate proper coding of CPT/HCPCS/ICD-9/ICD-10 codes. 4 . Assists in the development of reporting mechanisms to...as needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy… more