- Mount Sinai Health System (New York, NY)
- …collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . *Please note that this is NOT a ... payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials ...+ Mentors less experienced billing staff and assists Billing Manager /Revenue Cycle Manager in staff training. +… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The manager of provider education, working in a remote environment will lead the provider ... and code selection accuracy along with appropriate, compliant reimbursement. This manager serves as a resource for clinical documentation education, coding,… more
- Masonicare (Wallingford, CT)
- …claims processing. Brings problems and delinquent responses to the attention of Manager . Process- corrections - and generate- claims for re-processing. - - Reviews ... denials and zero pay claims from payor remittance advices,...receive- payment from payor. Work- under the direction of Manager to oversee timely collection- - -. - Maintains… more
- Texas Health Resources (Bedford, TX)
- …Code 44 intervention, HINN letters, Second IMM, Observation letter, etc. Potential denials , avoidable days, alternate level of care days, etc. Medical necessity ... financial data (eg, LOS data, avoidable days, adverse determinations, and denials /appeals) and makes recommendations to improve performance. Achieves and maintains… more
- Guthrie (Sayre, PA)
- …Insurance Billing Specialists I and related support staff. Works closely with Director, Manager , Supervisor and Application Analyst on day to day priorities and to ... and skills for the position. Essential Functions: 1. Identifies and evaluates denials for assigned payers and/or specialties to determine specific issues and… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of payer performance. ... The Manager facilitates a unified and accurate presentation of data...major payers via monthly payer scorecards reconciliation reports, payment denials , claims projects, claim events, and senior leadership payer… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Improvement Manager Full-Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... be named a Forbes "Best Employer" seven times. Position Summary: The Manager of Clinical Documentation Integrity develops, implements and oversees all activities of… more
- Community Health Systems (Franklin, TN)
- …policies. This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate ... insurance companies to secure coverage approvals and mitigate concurrent denials by submitting reconsiderations or coordinating peer-to-peer reviews. + Communicates… more
- Hackensack Meridian Health (Neptune City, NJ)
- …for accuracy and alignment with payer contracted rates to reduce denials . Transmit billing batches electronically via clearinghouse and confirms acceptance of ... timely manner. + Complete and process all hard copy denials into the EMR system within 48 hours of...adjustments timely and with the authorization from the Administrative Manager . + Process all recertification Certificates of Medical Necessity… more
- Mount Sinai Health System (New York, NY)
- …to ensure timely charge entry. 6. May run and work missing charges, edits, denials list and process appeals. Posts denials in EPIC/IDX on a timely ... billing concerns. 16. Mentors less experienced Billing staff and assists Billing Manager /FPA Manager in training new staff. 17. May approve EPIC work queue for… more