- Northwell Health (Melville, NY)
- …and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care ... current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness… 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 (Helena, MT)
- …a part of our caring community and help us put health first** The Appeals Representative 4 Investigates and resolves member and practitioner issues. manages ... client denials and concerns by conducting a comprehensive analytic review...a grievance, appeal or further request is warranted. The Appeals Representative 4 + Review documents +… more
- Ochsner Health (New Orleans, LA)
- …payors and checks claim status as needed throughout the payment process. + Appeal denials when needed throughout the payment process and determines when appeals ... status. **Physical and Environmental Demands** The physical demands described here are representative of those that must be met by an employee to successfully… more
- Humana (Baton Rouge, LA)
- …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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment.… 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** **:**...None **What You Will Do** **:** The Patient Account Representative (PAR) is expected to perform specific billing processes,… more
- Guidehouse (Lewisville, TX)
- …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** **:**...None **What You Will Do** **:** The **Patient Account Representative (PAR)** is expected to perform specific billing processes,… 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 medical ... you join our team, they will. Responsibilities The Associate Accounts Receivable Representative will work in the Accounts Receivable, or A/R department, within our… more
- UNC Health Care (Chapel Hill, NC)
- …for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials , and re-bills of insurance claims, and all ... insurance claims follow up for no response from payors, and/or claim denials . + Works physician claims ("professional billing"). + Maintains A/R at acceptable… more
- Houston Methodist (The Woodlands, 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
- 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
- Primary Health Care (Des Moines, IA)
- …and fiscal intermediaries to effectively file claims and research and resolve denials . The billing representative is responsible for completing daily and ... in Ames, Des Moines, & Marshalltown. As a Billing Representative - Self Pay you will be responsible for...compliance with established goals. + Researches returned dental/medical claim denials to identity billing issues. Obtains the corrected claim… more
- Surgery Care Affiliates (Boise, ID)
- …change. If you join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow up ... Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures. + Works all … more
- UNC Health Care (Smithfield, NC)
- …procedures and practices necessary to collect carrier accounts receivable and resolve denials . Participates and assists in special projects. Assists new or existing ... teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals… more
- Cardinal Health (Columbia, SC)
- …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...changes that may need to be made. + Processes denials & rejections for re-submission (billing) in accordance with… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Business Office Representative Department: Location: Hours Per Week: Schedule: Sign-On Bonus: SUMMARY: Ensure full reimbursement is received by RRH for ... sent 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
- Robert Half Accountemps (Palo Alto, CA)
- …file appeals when necessary. + Review and resolve claim denials and rejections. + Process bad debt transfers, adjustments, and contractual write-offs. ... Description We are seeking a Patient Account Representative to join a fast-paced and collaborative Patient Financial Services (PFS) team. The Patient Account … more
- Intermountain Health (Juneau, AK)
- …with an overall goal of account resolution + Post correspondence, zero payments, denials and any other additional items received from insurance to patient accounts + ... Ability to read and understand Explanation of Benefits (EOB's) or interpret denials , required + Basic understanding of accounting procedures such as debits/credits,… more
- Garnet Health (Middletown, NY)
- …a must, with knowledge in Revenue/CPT Code descriptions and the ability to write appeals for denials is required. Should know the statutes and CMS regulations ... your career home with us as a Patient Accounting Representative on our Patient Financial Services team at/in Garnet...claims to all payers in timely and accurate manner. Representative serves as primary contact for patient reimbursement issues… more