- Actalent (Atlanta, GA)
- …Technician Job Description Join our team as a Pharmacy Technician in the Appeals department, where you will work primarily with Medicare patients. Your main ... information, and collaborate with Pharmacists to determine the outcome of appeals . Responsibilities + Handle denied Prior Authorizations for Medicare and Medicaid… more
- BrightSpring Health Services (Valdosta, GA)
- …month for assigned Operations. + Timely follow up on insurance claim denials , exceptions, or exclusions. + Maintain open communication with Billing Specialist, Cash ... patients, and providers. + Works in Waystar to identify denials and timely resolution. + Timely follow up of...Billing Portal sites, preferred. + Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement… more
- Highmark Health (Atlanta, GA)
- …workflow within the department. + Prioritize requests for drug authorizations or denials . + Review of prior authorization criteria for drug products. + Recommend ... for guidance and assistance as necessary. + Document all authorizations and denials completely, accurately, and in accordance with timelines as defined by state… more
- Akumin (Atlanta, GA)
- …coding and documentation teams to improve accuracy and minimize rework or denials . + Continuously evaluate and improve billing workflows, policies, and controls to ... aging AR and improving DSO. + Implement proactive denial management and appeals processes. + Oversee timely and accurate cash application and reconciliation… more
- Intermountain Health (Atlanta, GA)
- …levels, providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides ... in-depth coding review, audit findings, and appeal strategies. + Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and… more
- Cardinal Health (Atlanta, GA)
- …identifies trend that inhibit timely payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with ... recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. + Works / Understands electronic… more