- Surgery Care Affiliates (Boise, ID)
- …Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures. + Works all ... denials and corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts. + Follow center… more
- Albany Medical Center (Albany, NY)
- …for services provided by hospital of Albany Med Health System by competing appeals , phone calls, and account review. Qualifications: High school diploma or GED is ... and compelling appeal letters to payors regarding payment variances and denials .Able to communicate effectively and successfully with team members, providers,… more
- Houston Methodist (Houston, TX)
- …on insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance ... as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/case manager of the patients' available benefits through insurance/managed care provider.… more
- Baylor Scott & White Health (Dallas, TX)
- …file handling Responsibility for the preparation of summaries and files for denials , appeals , medical opinions, subrogation and litigation.1. Collection of ... Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review,...and Coordinate training with HR team4. Work with Claims Manager for improvements in processes to increase proficiency and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Degree 2 years of experience - hospital billing, processing claim edits, denials , appeals and managing accounts receivable. Experience with Epic Resolute ... CHFP (Certified Healthcare Financial Professional) CPAM (Certified Patient Account Manager ) CPAT (Certified Patient Account Tech) **The current salary range… more
- University of Rochester (Albany, NY)
- …Receivable Management. **ESSENTIAL FUNCTIONS** With general direction of the Manager /Supervisor/Lead: + 40% Follows department policies and procedures and maintains ... assigned URMFG physician services. + 25% Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections received thru… more
- Robert Half Accountemps (Dallas, TX)
- …unpaid claims starting from the 45th workday after the date of service. * Submit appeals using approved templates and forward medical or coding denials to the QA ... with privacy laws, including HIPAA regulations. * Collaborate with the Manager and Compliance Committee to uphold the organization's Compliance Program. Requirements… more
- University of Rochester (Rochester, NY)
- …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... improve patient compliance which includes provider template oversight, reporting to manager any obstacles to timely scheduling. Ensures ancillary testing and other… more
- Rush University Medical Center (Chicago, IL)
- …letters to Managed Care payers and submit charts when needed with these appeals . Works with Rush University Medical Center and Rush Oak Park Hospital departments ... works with their staff to identify rationale and resolve denials . 4. Manages assigned work queues in Epic. Assigns...for resolution of escalated issues internally. Escalates issues to manager or payers as needed. 6. Documents activity in… more
- Omaha Children's Hospital (Omaha, NE)
- …management for insurance and government collections to include claims, A/R follow-up, denials and appeals . This includes supervising, monitoring, and analyzing ... practices, policies, regulatory, and legal requirements. * Assisting the department manager in the implementation of the strategic direction within the department… more