- Robert Half Office Team (Palm Springs, CA)
- …provider information updates for compliance audits or inspections. Data Management and Record Keeping: Maintain accurate databases for provider credentialing ... timeframes. Facilitate appeals and resolution of disputes related to provider denials or credentialing errors as per California laws and managed care… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Summary Description: Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and ... skills. . Strong work ethics and confidentiality. . Time management skills and attention to detail. Required Experience +...+ 2 + years of relevant healthcare AR and denials experience required. + Experience working with claims billing… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Patient Accounts All Locations: 151 Orleans Street Position Summary: Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts ... work queues, including but not limited to: Insurance verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure… more
- ProMedica Health System (Toledo, OH)
- …5. Accurately and timely input of billing information into the practice management system for payment. 6. Accurately reviews and updates demographic and insurance ... information in the practice management system. 7. Perform a variety of registration, billing,...Process financial assistance applications. 11. Post payments ,adjustments and denials to patient accounts. 12. Review accounts for outside… more
- Vibe Credit Union (Novi, MI)
- …on loan approval or denial, providing precise and clear explanations for loan denials , counseling declined members on the necessary steps to potentially qualify for ... a mortgage in the future, and offering guidance on money management and financial matters. + Complete weekly follow-up with all loan applications in process. + Join… more
- UPMC (Pittsburgh, PA)
- …quality assurance benchmark standards and maintain productivity levels as defined by management . + Demonstrate knowledge of the current functionality of the patient ... ability to recommend corrective action steps to eliminate future occurrences of denials . Assist in claim appeal process and/or perform follow-up in accordance with… more
- ConvaTec (Oklahoma City, OK)
- …global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, ... and guidelines, including authorizations and limitations. + Investigates insurance claim denials , exceptions, or exclusions. Takes necessary action to resolve claim… more
- AdventHealth (Maitland, FL)
- …physicians/providers Follows established criteria for utilization of services to ensure denials are avoided Utilizes nursing data base to initiate discharge planning ... / psych facilities Reviews patient medical records for PI / Risk Management per established criteria and provides appropriate documentation of adverse patient… more
- ProMedica Health System (Toledo, OH)
- …billing changes to ensure appropriate reimbursement. 7. Conducts reviews of coding denials or other payer requests; performs appropriate follow up including appeals ... REQUIRED QUALIFICATIONS Education: Associate degree, preferably in a health information management or related field. Skills: Extensive knowledge of ICD-10, CPT and… more
- NHS Management, LLC (Northport, AL)
- …and tasks, including but not limited to: + + Resolution of rejections, denials and PA's associated with all adjudicated Medicaid, Medicare D or Private Insurance ... Communicates progress toward goals and ongoing obstacles to supervisor and company management team, verbally and/or in writing or as dictated. + Provides training… more