- 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
- Trinity Health (Farmington Hills, MI)
- …Vision, and Values in behaviors, practices, and decisions. Coordinates denial management processes (Clinical and Administrative/Technical accounts, focusing upon ... key stakeholders across the various impacted departments + Coordinates rejection, denial and appeal activities with Ministry Organization (MO) based Utilization… 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
- 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