- The Institute for Family Health (New Paltz, NY)
- …philosophy, standards, objectives and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing and ... Explanation of Benefits for designated accounts and posts payments and denials accurately upon receipt. + Provides clerical support to senior representatives… more
- Tufts Medicine (Tyngsboro, MA)
- …edits, claim edits, payer follow-up, correspondence review, corrected claims, appeals , reimbursement verification, and remittance for assigned scope of receivables. ... High school diploma or equivalent 2. Two (2) years of experience in a medical billing and collection environment for a medical services provider and/or… more
- Medtronic (MN)
- …+ Understanding of healthcare payment processes, reimbursement and coverage issues including medical necessity, denials , and appeals processes. + Familiar ... to address payer objections using provider documentation to support medical necessity. Submit appeals in accordance with...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Peak Vista (Colorado Springs, CO)
- …and accurately reported. + Provides expertise to Accounts Receivable Staff in addressing appeals for denials due to potential coding errors. + Support clinic ... programs and education. We provide integrated health care services including medical , dental, and behavioral health through our 21 outpatient health centers.… more
- RWJBarnabas Health (Oceanport, NJ)
- …background, skills and professional experience. Job Overview: The Patient Account Representative is responsible for managing and resolving all aspects of the ... the organization. The position supports the reduction of Accounts Receivables. The Representative may also perform a variety of duties including assisting patients… more
- University of Rochester (Albany, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the professional ... and routine action to resolve unpaid claims. The Claims Resolution Representative III reports to Accounts Receivable Management. **ESSENTIAL FUNCTIONS** With general… more
- Ochsner Health (Lafayette, LA)
- …in compliance management systems (CMS) regulations, compliance and quality metrics. Experience managing denials and appeals of all payer cases in a timely and ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- PeaceHealth (Vancouver, WA)
- …multi-specialty organization. **Essential Functions** + Resolves insurance claim rejections/ denials , and non-payment of claims by payors. + Identifies ... insurance accounts and identify delays in processing. + Drafts appeals to insurance companies for reimbursement of monies owed....capacity. + Formal training or college coursework from a medical coding accredited school, specific to medical … more
- UNC Health Care (Goldsboro, NC)
- …in-depth interviews and evaluates patient's case for potential eligibility for Medical Assistance Programs. 3. Performs analysis of patient's assets, income, ... In some cases, may act as the authorized patient's representative for the purpose of initiating an application for...of administrative and/or judicial, local and up to State appeals . 7. Gathers and provides necessary verification to establish… more
- Corewell Health (Grand Rapids, MI)
- …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... complex patient appointments, incoming/outgoing referrals, surgeries and tests, including medical record review of incoming referrals; builds provider schedule… more
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