- Robert Half Finance & Accounting (Morristown, NJ)
- …e-bills and manage billing portals + Resolve billing issues, including rejections and appeals + Track outstanding balances and follow up as needed + Collaborate with ... attorneys and legal staff on billing matters + Assist with new matter setup and other billing-related tasks Requirements What You'll Bring: + 2+ years of legal billing experience + Bachelor's degree required + Familiarity with SurePoint or similar billing… more
- Option Care Health (Madison, WI)
- …Assists with Billing and Collection Training and completes "second level" appeals to payers. **Job Description:** **Job Responsibilities:** + Submits timely, ... accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …reports every morning. Calling insurances to follow up on payment status or appeals due to denials or incorrect payments. Calling patients for insurance information ... and arrange payment plan if one is needed. This position requires timely response to inquiries from both the payer and the patient. This position has high contact with patients, employees, physicians, and other members of the community. Occasional stress… more
- University of Utah Health (Salt Lake City, UT)
- …+ Resolves clinical and/or authorization denials through CARC analysis and appeals - including clinical documentation review and coordination with UR and/or ... attending physician. + Acts as patient advocate in the resolution of balances. + Prepares and monitors high dollar spreadsheets and/or payer escalations spreadsheets, as assigned. + Escalates claim issues internally to other key departments including Coding,… more
- Queen's Health System (Honolulu, HI)
- …meetings with payors to resolve payment and denial issues. * Writes and submits appeals to payors on denied accounts. * Audits payments to ensure QMC has received ... contracted payment in accordance with contract terms (including outlier accounts), including performing zero balance analysis. Creates, reviews and distributes accounts receivable reports on denials, audits, payment trends, and AR status. * Meets with… more
- UCHealth (Denver, CO)
- …interpret, understand, and apply complex Medicare guidelines regarding claims denials and appeals as well as third-party vendor requirements for review of denials. + ... Problem-solves claims issues or software tracking issues and reports recurring or unusual issues to supervisor. + Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work… more
- AnMed Health (Anderson, SC)
- …pertaining to compliance in billing. Responsible for analyzing denials and initiating appeals , when necessary. Must be able to interact with patients and the ... general public respectfully and professionally. Maintains and exhibits a positive, supportive and safety conscious attitude to promote a good work environment. Duties & Responsibilities + Knowledge of Government, State, HIPPA, and Commercial Insurance/Managed… more
- Trinity Health (Livonia, MI)
- …errors accordingly. Epic experience desired. Experience and knowledge of working on appeals for insurance denials and identifying root cause. Knowledge of Hospital ... and/or Physician group practice revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors. Ability to organize and to prioritize work in a diverse, fast-paced… more
- Trinity Health (Hartford, CT)
- …of medical chart documentation for the purposes of bill resubmissions and appeals . Analyzes EOB's (Explanation of Benefits) from payers to determine the accuracy ... of their reimbursement to the occupational medicine program. **What you will do** + Communicate effectively on a continual basis with the Collections Manager + Review EOB denials and identifies denial trends along with solutions for resolution + Run accounts… more
- Commonwealth Care Alliance (Boston, MA)
- …issues. + Collaborate closely with Provider Relations, Contracting, Payment Integrity, Appeals & Grievances, and Configuration teams to validate and resolve ... reimbursement concerns. + Conduct retrospective audits to identify systemic payment issues and recommend resolution pathways. + Interpret and apply MassHealth fee schedules, All-Payer Rate Setting regulations, and CMS payment methodologies (eg, DRG, APC,… more