- Rochester Regional Health (Rochester, NY)
- …the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed ... Job Title: Business Office Representative Department: Billing Location: Riedman Campus SUMMARY: Ensure...managing a receivable . Resolve edits to ensure accurate claims are sent to primary and secondary insurances .… more
- Owens & Minor (Indianapolis, IN)
- …The collections representative follows-up with insurance companies to resolve unpaid claims . The anticipated hourly range for this position is $12.21 - $17.04. ... insurance carriers or customers on delinquent payments. + Reviews unpaid and underpaid claims . Resubmits or appeals as necessary. + Verifies payment information… more
- TEKsystems (Philadelphia, PA)
- …Reviewing claims with no response. Reviewing denied claims or underpaid claims and resolving the denial and filing appeals , as necessary. Ensuring all ... could be assigned to hospital, professional, or home care claims . + Submits timely, accurate claims to...home care claims . + Submits timely, accurate claims to insurance carriers according to insurance payor guidelines… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Patient Account ... Representative (PAR) is expected to perform specific billing processes,...taking necessary actions to obtain account resolution. + Submits appeals , as appropriate, for all non-clinical denials + Monitors… more
- TEKsystems (Chicago, IL)
- About the Role We are seeking a highly skilled and detail-oriented Patient Account Representative to join our Revenue Cycle team. This role is critical to ensuring ... + Access payer websites to gather data and resolve claims + Communicate system access issues, payor trends, and...of medical collections experience including working with denials and appeals + Must sit in either the CST or… more
- St. Peters Health (Helena, MT)
- …and submission in compliance with payer guidelines, and manages the full claims lifecycle including charge entry, payment posting, appeals , and denials. ... Summary: The Patient Account Representative is responsible for ensuring accurate and timely...Medical Records, Registration, Authorization, and Finance to ensure clean claims and prompt payments. Work Conditions: - Primarily office-based… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Outcomes Coordinator** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 87867 + ... to contract performance that includes administration and management, client appeals and grievance systems, enrollee and provider communications, member service… more
- UNC Health Care (Smithfield, NC)
- …teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals ... ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or follow-up activity… more
- Molina Healthcare (TX)
- …+ Provides coordination and processing of pharmacy prior authorization requests and/or appeals . + Explains Point of Sale claims adjudication, state, NCQA, ... member and providers with initiating oral and written coverage determinations and appeals . + Records calls accurately in call tracking system. + Maintains specific… more
- Rochester Regional Health (Rochester, NY)
- …the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed ... effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials… more
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