- Banner Health (CO)
- …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
- Guidehouse (Birmingham, AL)
- …None **Clearance Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the ... Electronic Files + UB04's and 1500 Claim Files + Medical Record + Making outbound calls to Insurance Companies...Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals… 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
- Community Health Systems (Sarasota, FL)
- …+ Assists case workers with pre-certification and authorization issues related to appeals , providing necessary data for resolving inpatient/clinical denials . + ... **Job Summary** The Appeals Specialist I is responsible for reviewing patient...Our team members enjoy a robust benefits package including medical insurance, dental insurance, vision insurance, PTO, 401K, sick… 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
- Houston Methodist (Houston, TX)
- … appeals when necessary. Engages the coding follow-up team for any medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + ... At Houston Methodist, the Account Representative position is responsible for resolving all outstanding...This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional… more
- Atrius Health (Chelmsford, MA)
- …to: responding to payer correspondence, contacting payers for claim status, submitting appeals for denied claims including administrative denials for health plan ... and welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Medical Claims Follow-Up Representative * **Location:** *Chelmsford MA… 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** **:**...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
- Robert Half Accountemps (Monrovia, CA)
- …and resolution of claim issues. Requirements Medical Billing, Medical Collections, Medical Appeals , Medical Denials , HMO PPO, Call Center ... billing, the complete revenue cycle management process, and possesses extensive knowledge of appeals and denials management. (This role is Hybrid Remote: 3 days… more
- Cardinal Health (Albany, NY)
- …receivables performance and client satisfaction. + Resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. ... all Medicaid states on paper and online. + Oversees appeals and denials management to maximize revenue...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… 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
- Cardinal Health (Atlanta, GA)
- …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
- HCA Healthcare (Chattanooga, TN)
- …+ 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
- Sidney Health Center (Sidney, MT)
- …patients set up a payment plan + Keep an organized record of all claims, denials , and appeals Minimum Qualifications: + 1 year Previous Office Experience + ... Financial Services Representative ~ Patient Financial Services Department: PATIENT FINANCIAL...Us Sidney Health Center is a not-for-profit community based medical center that has been serving people in the… more
- Robert Half Accountemps (Sacramento, CA)
- …The drug department also addresses any drug related insurance claim denials or outstanding accounts receivable balances. Additionally, the drug department is ... billing questions * Composing effective appeal letters for initial and second level appeals * Assessing account balances and make determination on further actions *… more
- Fairview Health Services (St. Paul, MN)
- …regarding questions/account issue resolution. Mentors and trains staff in the PFS Representative 1 and 2 positions. Maintains the best practice routine per ... at zero + Correspondence worked daily + Timely claims processing and timely appeals Demonstrate a high degree of proficiency in billing and/or collection of multiple… more
- Intermountain Health (Austin, TX)
- …with an overall goal of account resolution + Post correspondence, zero payments, denials and any other additional items received from insurance to patient accounts + ... standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + Reading + Billing… more