- Johns Hopkins University (Baltimore, MD)
- …types of insurances. Contacts insurance carriers for clarification of coverages to avoid denials of payment. + Monitors and responds to assigned work queues. + ... EPIC documentation and workflows needed to improve communication errors adding to ultimate denials . + Reviews with patients all pre / post procedure instructions and… more
- BrightSpring Health Services (Columbia, MD)
- …to meet the needs of the pharmacy. + Identifies and resolves issues of denials or follow-up of claims. + Maintains current knowledge of Medicaid claim regulations ... and processes. + Produces reports and keeps management informed of unpaid claims and claims pending follow-up. + Understands all dispensing systems used in the pharmacy and their implications for data entry. + Processes prescriptions by triaging and inputting… more
- Intermountain Health (Annapolis, MD)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review, audit… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …service, Tricare Select, be connected to Beneficiary Counselor and Assistance Coordinator ). + Contacts product line nurse/clinic when appropriate for accommodation ... 2 years of experience in Utilization Management, Referral Management, Authorization/ Denials , or Medical Claims Processing/Insurance Referral. Additionally, qualified candidates… more