- Catholic Health Services (Fort Lauderdale, FL)
- …identifying and communicating to Director root causes and trends resulting in denials (CBO; Facility; etc.) Obtains Medical Records from appropriate facilities ... (ie, authorizations, NOCA's, etc.) are received and included on claims, appeals are submitted within appropriate timeframe. This includes the overall compliance… more
- UHS (Orlando, FL)
- …reserve dollars has been entered and verified. Follows up on the status of denials and appeals . When notified of a denial through collection efforts, notifies ... accounts from discharge to final disposition of the account. The Patient Account Representative will bill the account to third party insurers, follow up with both… more
- Community Memorial Hospital (Hamilton, NY)
- …not limited to eligibility, pre-certification, charge capture, billing, collections, and denials management. Ensure accurate and timely submission of claims to ... Investigate and resolve complex billing and reimbursement issues, including appeals and disputes with payers. Maintain accurate documentation of revenue… more
- Saratoga Hospital (Saratoga Springs, NY)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital, 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... people. About the Role We're looking for a dedicated Denials Assistant to join our team and help us...entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with… more
- 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 ... Required - 1 year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling,… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding ... needed for workflow or identification of trends. Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and… 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 ... 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
- Guidehouse (Birmingham, AL)
- …all denials taking necessary actions to obtain account resolution. + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- Guidehouse (El Segundo, CA)
- …all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- Guidehouse (Lewisville, TX)
- …Be Nice To Have** **:** + 1+ year's medical provider experience working with UB04, appeals & denials . + Hospital or EOB claims emphasis + PC skills in a ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance… more
- Surgery Care Affiliates (Indianapolis, IN)
- …Qualifications Requirements for our roles: + High School Diploma or GED + Denials and appeals experience + Familiarity with EOB and reading ... package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time… 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
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …is responsible for completing or assisting with special projects related to the medical billing department. Biller will also resolve credit balances on account as ... and work performance. Functional Demand: FLSA: Nonexempt Department: Jennie Stuart Medical Group Reports to: Supervisor Supervises: None Physical Demands: Regularly… 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
- Intermountain Health (Broomfield, CO)
- …for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials , and re-bills of insurance claims, and all ... aspects of insurance follow-up and collections. + Submit requested medical information to insurance carrier. Responsible for the analysis and necessary corrections… more
- Cardinal Health (Washington, DC)
- …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...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… 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
- Rochester Regional Health (Rochester, NY)
- Job Title: Business Office Representative Department: Billing Location: Riedman Campus SUMMARY: Ensure full reimbursement is received by RRH for clinical services ... 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 (Houston, TX)
- …+ Contacts the facilities, physicians' offices and/or insurance companies to resolve denials / appeals + Schedules patient tests, and/or procedures in a prompt, ... you want to join an organization that invests in you as a Precertification Representative ? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- Robert Half Office Team (Columbus, OH)
- …claims, with a focus on commercial payers. + Identify root causes of denials and take appropriate follow-up actions ( appeals , corrections, resubmissions). + ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
