- Blanchard Valley Health System (Findlay, OH)
- …Collections Managers & Supervisors, Patient Financial Services Educator & Compliance Specialist , Patient Financial Services Director and Revenue Cycle Director on ... all denial , billing and collection functions within the Patient Financial...Services Division. Duty 9: Establishes, in conjunction with the PFS Director, Revenue Cycle Director, HIS Director and Revenue… more
- Blanchard Valley Health System (Findlay, OH)
- … denial work queues/tasks, and documents, tracks and communicates findings to Denial Avoidance Specialist and/or PFS educator to collaboratively resolve ... PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial… more
- Beth Israel Lahey Health (Burlington, MA)
- …by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2. Ability to ... order to identify paid claims or root cause of denial when assessing physician inpatient denials. 3. Responds to...carrier or others and uses information learned to educate PFS and office staff to reduce future denials and… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Job Type:** Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that ... monthly or sooner as needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior to leadership approval 18.… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** The Supervisor of Denials- PFS is responsible for reviewing all denial material and ensuring ... regulations of affiliated payors through coordination with Contract Reimbursement Specialist .Centralizing and reviewing all denial material (correspondence,… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital denied accounts ... also includes review and rework of all types of PFS denials. Good writing and analytical skills are a...Analyzes work queues and other system report and identifies denial /non-payment trends and reports them to the supervisor. 3.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2) Ability to ... order to identify paid claims or root cause of denial when assessing physician inpatient denials. 3) Responds to...carrier or others and uses information learned to educate PFS and office staff to reduce future denials and… more
- Beth Israel Lahey Health (Burlington, MA)
- …by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2. Responds to ... carrier or others and uses information learned to educate PFS and office staff to reduce future denials and...in a timely fashion. 5. Observes irregularities in the cash/ denial posting process and reports them immediately to the… more
- University of Virginia (Charlottesville, VA)
- …of the Central Billing Office assigned team(s). Performs area specific billing, denial , follow up and customer service functions of a complex and specialized ... Lead representative will train and mentor colleagues in billing, denial and follow up teams with the skills of...representative will also respond knowledgeably to revenue cycle colleagues, PFS team members and other department inquiries. The goal… more
- Bozeman Health (Bozeman, MT)
- …or requested + Reviews denial and underpayment trends in collaboration with PFS Manager, Contract Specialist , and Compliance as appropriate and follow up ... the hospital executive team in collaboration with the Patient Financial Services ( PFS ) manager. Oversees and coordinates the insurance billing function for Bozeman… more
- Banc of California (Santa Ana, CA)
- …and shadow underwriting the (sub)merchant applications that are submitted by the PFs /ISOs. This individual may also assist with the initial and ongoing due ... to support the Payments business - + Oversee the (sub)merchant applications of PFs /ISOs to ensure strict adherence to PF/ISO policies and procedures and the Banc's… more
- University of Rochester (Rochester, NY)
- …in EPIC + Works in assigned EPIC follow up workqueue(s). + Review reason for claim denial - reason code or denial codes in EPIC. + View Payer Website link ... Communicates with other URMFG, HIM, Revenue Integrity, Registration and Insurance Management, PFS , EPIC Single Billing Office, and SMH departments. + Coordinate with… more
- Banc of California (Santa Ana, CA)
- …responsible for overseeing and shadow monitoring of the Payment Facilitators ( PFs )/Independent Sales Organizations (ISOs) transactions on a daily basis. This ... activities using different risk monitoring tools and reports provided by the PFs /ISOs. + Monitor and investigate the processing, chargebacks, refunds, and fraud on… more
- AdventHealth (Altamonte Springs, FL)
- …is responsible for processing and documenting clinical requests, authorizations/approvals and denial communication from payors via fax (Vyne), email or phone. The ... Coordinator is responsible for timely escalation of barriers to the UM Specialist or Supervisor, as appropriate, and will assist in payor communication/coordination,… more
- WellSpan Health (York, PA)
- …claims, resolves claim edits, performs insurance account follow-up, researches claim denial for resolution and submits disputes and appeals. Represents the System ... and acts as a first line of support to PFS I billing staff in resolving billing issues. +...within 1 year Required or + Certified Revenue Cycle Specialist within 1 year Required or + Certified Patient… more
