- University of Rochester (Rochester, NY)
- …edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts ... for provider signature. + Manages provider(s) documentation and information. + Composes and types of non-routine correspondence providing factual information. + Arranges travel, conference registration, and hotel accommodations. Interfaces with organizations,… more
- Avera (Sioux Falls, SD)
- …completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling ... pre-operative physical, and reviewing surgery information with patients. Responsible for scheduling, maintaining, and disseminating an accurate surgery schedule, including acquisition, retention, and organization of documentation, and will provide clerical… more
- New York Health Care (Valley Stream, NY)
- …necessary adjustments, while communicating these changes to the contract and filing appeals when necessary. + Correct system issues pertaining to billing, patients ... and or caregivers as directed by management. + Requirements: + Previous collections experience with proven results. + Strong analytic skills with advanced problem solving ability. + Excellent organizational skills with attention to detail. + Intermediate… more
- Avera (Sioux Falls, SD)
- …of unpaid, overpaid/over adjusted and denied claims. + Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance payers. + ... Communicates with internal and external customers involved in the claims resolution process to ensure timely claims processing.) Identifies the need to rebill claims through account review and completes claim refiling as well as submits secondary claims not… more
- Trinity Health (Fort Lauderdale, FL)
- …Business Service (PBS) centers, including analysis of clinical documentation, assisting in appeals , root cause analysis and tracking as needed. 6. Educates clinical ... staff on need for accurate and complete documentation to ensure revenue optimization and integrity. Educate clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity. Perform outpatient clinical documentation… more
- Robert Half Finance & Accounting (Madison, NJ)
- …to clients. + Submit e-bills and manage electronic billing platforms. + Handle appeals and billing rejections; monitor and follow up on open balances. + Collaborate ... with attorneys and legal support staff on billing-related tasks. Requirements Qualifications: + Minimum 2+ years of law firm billing experience required. + Familiarity with SurePoint preferred. + Bachelor's degree required. + Strong attention to detail,… more
- Robert Half Finance & Accounting (Chicago, IL)
- …client requirements + Works closely with billing partners on bill appeals Skills/Qualifications: + Detail-oriented, with excellent organizational skills + Working ... knowledge of various Ebilling platforms, including: ASCENT, LSS, TyMetrix, Legal-X, Legal Tracker, etc. + Working knowledge of PCLaw or similar billing application + Ability to work well under pressure, ie, managing conflicting and fluctuating deadlines, and… more
- University of Utah Health (Salt Lake City, UT)
- …reimbursement based on contract terms. + Resolves denials through CARC analysis and appeals . + Acts as patient advocate in the resolution of balances. + Prepares ... and monitors high dollar spreadsheets and/or payer escalations spreadsheets, as assigned. + Escalates claim's issues internally to other key Depts. (including Coding, billing, Charging, Contracting, etc. **Knowledge / Skills / Abilities** + The ability to… more
- Swedish Health Services (Seattle, WA)
- …government agencies, medical service bureaus, and insurance companies. Submit claims appeals with supporting documentation as necessary and resolve aged insurance ... balances. Act as resource for billing office staff. Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on… more
- University of Rochester (Rochester, NY)
- …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims. This includes compiling all necessary information and ... drafts for provider signature. - Manages provider(s) documentation and information. Composes and types non routine correspondence providing factual information. - Arranges travel, conference registration and hotel accommodations. Interfaces with organizations,… more