- Avera (Sioux Falls, SD)
- …up of unpaid, overpaid/over adjusted and denied claims. + Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance ... payers. + Communicates with internal and external customers involved in the claims resolution process to ensure timely claims processing.) Identifies the need to rebill claims through account review and completes claim refiling as well as submits secondary… more
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims, submit claims to secondary payers, and ensure accurate billing information is submitted. Answer all ... government agencies, medical service bureaus, and insurance companies. Submit claims appeals with supporting documentation as necessary and resolve aged insurance… more
- AnMed Health (Anderson, SC)
- …rules and regulations pertaining to compliance in billing. Responsible for researching denials and initiating appeals , when necessary. Scans and indexes all ... patient information accurately and in a timely manner. Balances cash, patient payments, and GL entries to accounting reports daily. Must be able to interact with patients and the general public respectfully and professionally. Maintains and exhibits a… more
- Logan Health (Kalispell, MT)
- …concerns. + Responsible for all Medicare, Medicaid, and Case Management insurance denials processing as applicable to assigned area(s). + Responsible for all ... insurance appeals and works with appropriate stakeholders to ensure completion as applicable to assigned area(s). + Serves as point of contact for quotes, equipment… 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… more
- Covenant Health Inc. (Knoxville, TN)
- …Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. ... Overview Coding Specialist , Centralized Coding, Outpatient Coder Full Time, 80...personnel to ensure qualifying diagnosis covers tests/procedures. + Analyzes denials and coordinates appeals . + Ensures corrective… more
- Community Health Systems (Franklin, TN)
- …ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, ... potential denials , utilizing input from the Utilization Review Clinical Specialist . + Monitors and updates case management software with documentation of… more
- HCA Healthcare (Aventura, FL)
- …+ Contacting the facilities, physicians' offices and/or insurance companies to resolve denials / appeals + Adhere to time and attendance policies + Adhere ... of related experience required. Experience in the following areas: appeals , denials , managed care, verifications/notification, precertification experienced… more
- Sharp HealthCare (San Diego, CA)
- …Communicate with appropriate clinical staff the status of ongoing payer requests, denials and/or potential denials for non-covered services and other problems; ... initiate communication with appropriate agencies and clinical staff for appeal of denials ; Conduct required follow-up on all initiated prior authorizations in an… more
- Garnet Health (Middletown, NY)
- …responsible for the day to day operation of the CDI department and DRG Denials appeals process. The Manager will develop, implement and evaluate processes, ... your career home with us as a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical...accuracy of medical record documentation. The Manager will evaluate denials and work closely with the outcomes manager and… more