- Robert Half Accountemps (Taunton, MA)
- …for Mass Medicaid, including researching issues and addressing approvals or denials . * Manage medical billing processes accurately and in compliance with ... high balance accounts and report problematic account activities to the Billing Manager . * Review aging reports regularly to ensure claims are submitted within… more
- Tenet Healthcare (Detroit, MI)
- …timely and accurately, payer communications are sent, and authorizations or denials documented and followed up, and that transition planning assessments are ... monitors physician "peer to peer" review process with payers to resolve denials or downgrades concurrently. * Promotes prudent utilization of all resources (fiscal,… more
- Trinity Health (Westchester, IL)
- …companies (including Medicare/Medicaid) to resolve outstanding balances, investigate claim denials , and take corrective actions. The position requires collaboration ... inquiries, and providing additional data when needed. + Research claim rejections and denials , make corrections, and take appropriate actions or refer claims to the… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …entity/general ledger account using designated adjustment codes. Processes payments and denials with the correct denial/remittance codes and applies denials ... equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides cost ... in denial prevention. Proactively intervenes with payers to prevent inpatient denials . Performs retroactive reviews on discharged patients as assigned. Communicates… more
- WMCHealth (Valhalla, NY)
- …related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. + Interprets and applies ... necessary information. + Compiles and updates the appeal log detailing denials , hospital's reply, and follow-up responses. + Provides information and responds… more
- Ventura County (Ventura, CA)
- …+ Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Coding Supervisor will assist in the ... rate, compliance rate with quality standards and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders based on… more
- Henry Ford Health System (Troy, MI)
- …Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager . Responsible for coordinating and leading a designated area within the CBO ... work queue volumes for Referrals, DNB's, Charge Review and Denials Facilitating communication between insurance representatives, clinicians, case management,… more
- Surgery Care Affiliates (Boise, ID)
- …Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures. + Works all ... denials and corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts. + Follow center… more
- Henry Ford Health System (Detroit, MI)
- …ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible ... receivables. + Expert knowledge in all claims processing, including claims submissions , denials , and follow up procedures used to train other team members +… more