- Northwell Health (Melville, NY)
- …to various government sites. + Manages work queue, aging lists, reports, and claims correspondence to assure accurate and timely payment of accounts. + Verifies ... accuracy of billing data and revises any errors. + Review and respond to third party, integrity, and special...demands, and to seek supervisory assistance as appropriate. + Review the status of the entire patient account and… more
- UNC Health Care (Smithfield, NC)
- …or other staffing-related issues. 3. Patient & Provider Follow-up: Will review , resolve and if necessary escalate to management patient-level issues stemming ... audits and/or medical records requests. 7. AR Reduction & Quality Review Projects: Identifies and project manages higher-level AR Reduction projects. Assists… more
- US Tech Solutions (Mount Pleasant, SC)
- …Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review ); Missing Guarantor. + Research and analyze denials, correct ... notes, pre-authorizations, hospital documents, etc. + Ensure charges drop for claims processing. Work closely with practice coder in resolution process. Respond… more
- US Tech Solutions (Charleston, SC)
- …Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review ); Missing Guarantor. + Research and analyze denials, correct ... notes, pre-authorizations, hospital documents, etc. + Ensure charges drop for claims processing. Work closely with practice coder in resolution process. Respond… more
- Interior, Bureau of Indian Affairs (San Juan Pueblo, NM)
- …development of Case Plans or Individual Self-Sufficiency Plans (ISP). Interview, review resources, and determine eligibility of clients applying for Financial ... services to clients and/or assist social workers; process client applications, review referrals and service requests; perform program automated data processing… more
- Sanford Health (Bismarck, ND)
- …Identify trends in credit balances and work with supervisor to resolve overpayments. Review credit balances on accounts to resolve by correction, refund or inquiry. ... knowledge of all insurance and government rules regarding payment, credit procedures, claims submittal and appeal processes. Comply with all regulatory bodies and… more
- Insight Global (Miami, FL)
- …to routine phone inquiries and written correspondence related to authorizations and claims status * Screens and routes complex cases to the appropriate manager ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- Robert Half Accountemps (Palo Alto, CA)
- …via websites. Works payer denials based on claim process adjudication; Review accounts for possible underpayments; research contracts, guidelines and resolve payment ... and resolves edits; Reviews and resolves electronic acknowledgement payer rejections/denials; Rebills claims based on requests from Follow Up reps due to denials… more
- Saint Francis Health System (Tulsa, OK)
- …upon the patient/account status (deceased patient, small balance, charity, etc.). Review past due self-pay balances for assignment to outside collection sources, ... financial assistance or payment plan opportunities. Monitors daily electronic claims transmission, researches and resolves electronic claim rejections, understands… more
- World Insurance Associates, LLC. (West Warwick, RI)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... markets and their appetites, underwriting guidelines, submitting and procedures + Review all applications, policies, endorsements and audits for accuracy +… more