- TeamHealth (Louisville, TN)
- …Representative is responsible for providing support in all aspects including Denials , Appeals and Accounts Receivable teams. Essentials Duties and ... Responsibilities Processes enterprise task manager (ETM) worklist in Accounts Receivable, Denials and Appeals Reviews rejections to identify trends and carrier… more
- Equiliem (Livermore, CA)
- …payer websites. Accurately document accounts collection notes. Responsible for processing appeals and researching of claims. Follow specific payer guidelines for ... appeals submission. Prioritize and manage accounts to resolve high...calculators, fax machines and devices-level of competency 90%. Working Denials in a timely manner that results in cash… more
- ECMC (Buffalo, NY)
- …all billing and claims for the facility and performs analysis to identify denials , appeals and corrective actions to maximize reimbursements. Work is performed ... or professional billing functions, collecting and accounting for monies received, and denials prevention analysis in the Hospital Billing Department for the Erie… more
- UHS (Riverside, CA)
- …9. Communicate with insurance companies, payers, and other relevant parties to resolve denials and obtain information needed for appeals and/or resubmission. 10. ... the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and… more
- Radiation Business Solutions (Lewistown, PA)
- …daily and ensure payments reconcile to client(s) *Manage A/R by working denials and delinquent insurance balances *Evaluate, prioritize, and perform A/R follow-up ... work through phone calls, appeals , claim corrections and re-files as needed to resolve...and Work Environment: The physical demands described here are representative of those an employee encounters while performing the… 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
- Humana (Bismarck, ND)
- …a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties… 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
- TEKsystems (Philadelphia, PA)
- …denied claims or underpaid claims and resolving the denial and filing appeals , as necessary. Ensuring all information pertaining to collection activity is fully ... denial trends for timely resolution. Works to identify internal and external causes of denials for timely resolution. Ability to work independently or as a member of… more
- TEKsystems (Philadelphia, PA)
- …denied claims or underpaid claims and resolving the denial and filing appeals , as necessary. Ensuring all information about collection activity is fully and ... denial trends for timely resolution. Works to identify internal and external causes of denials for timely resolution. Ability to work independently or as a member of… 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
