- Performance Optimal Health (Stamford, CT)
- …through exceptional care, service, and teamwork. We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This role combines all ... authorizations/pre-certifications as required by payers. + Resolve billing issues, denials , and underpayments by following up with insurance companies, patients,… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …clarify documentation and ensure code accuracy. + Monitor and respond to coding-related denials , rejections, and edits; assist with appeals and identify areas ... Associate degree preferred. + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required. + Minimum of 1 year… more
- United Therapeutics (Melbourne, FL)
- …information + Able to effectively handle questions pertaining to prior authorizations, denials and appeals + Essential telephone and electronic communication ... which transplant is not currently an option. The Access & Support Specialist provides limited reimbursement support services to healthcare providers and patients in… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... complex or uncollectible accounts to management for further action. + Submit appeals /claim corrections as needed within timely filing limits. + Utilize billing… more
- Trinity Health (Hartford, CT)
- …of medical chart documentation for the purposes of bill resubmissions and appeals . Analyzes EOB's (Explanation of Benefits) from payers to determine the accuracy ... effectively on a continual basis with the Collections Manager + Review EOB denials and identifies denial trends along with solutions for resolution + Run accounts… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …completeness of documentation included with paper claims prior to submission + Initiate appeals and/or refile claims for all denials + Request refunds according ... to LBJI policies and guidelines + Act as internal resource for staff questions + Have an in-depth understanding of insurance rules and regulations, CPT/ICD10 coding information, explanation of benefits and company billing procedure(s) + Develop and establish… more
- AnMed Health (Anderson, SC)
- …etc., rules and regulations pertaining to compliance in billing. Responsible for analyzing denials and initiating appeals , when necessary. Must be able to ... interact with patients and the general public respectfully and professionally. Maintains and exhibits a positive, supportive and safety conscious attitude to promote a good work environment. Duties & Responsibilities + Knowledge of Government, State, HIPPA,… 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
- 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
- McLaren Health Care (Grand Blanc, MI)
- …**4 years of utilization management, case management, clinical documentation, and/or denials / appeals experience in an acute healthcare facility** **.** American ... **Position Summary:** Responsible for assisting the Corporate Director Denials Management in providing regional management of day-today operation and workflow of the… more