- Northwell Health (Melville, NY)
- …and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care ... current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness… more
- AdventHealth (Altamonte Springs, FL)
- …contribute:** Under general supervision and direction, it's the responsibility of the Account Representative II to bill, follow-up, and manage denials to timely ... necessary information for accurate billing, collections, and correction of denials , accurately documenting the patient account. Actively prioritizes all outstanding… more
- Saratoga Hospital (Saratoga Springs, NY)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital, 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... people. About the Role We're looking for a dedicated Denials Assistant to join our team and help us...entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with… more
- HonorHealth (AZ)
- …between medical records documentation and billing statements on patient accounts; submits appeals to payers on patient account denials when appropriate; reviews ... for appeal is clearly presented. Prioritizes and organizes own work to meet appeals and grievance deadlines. Responsible for the denials process, including… more
- St. Luke's University Health Network (Allentown, PA)
- …needed for workflow or identification of trends. Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and ... a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment.… more
- Robert Half Accountemps (Canton, OH)
- …A healthcare organization in Canton, Ohio, is seeking a dedicated Patient Account Representative to join its team. This role is critical to maintaining the ... accounts receivable for assigned clients and payers. Insurance Claim Denials : Investigate and address denials for both...for both electronic and paper claims, ensuring timely resolutions. Appeals Management: Prepare and submit appeals to… more
- Guidehouse (Lewisville, TX)
- …all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **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,… more
- Guidehouse (Birmingham, AL)
- …all denials taking necessary actions to obtain account resolution. + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **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,… more