- Ochsner Health (New Orleans, LA)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... status as needed throughout the payment process. + Appeal denials when needed throughout the payment process and determines...when needed throughout the payment process and determines when appeals should be sent for further research and/or review.… more
- Fallon Health (Worcester, MA)
- …regarding the grievance/appeal. + Acts as the initial investigator for provider appeals related to filing limit, claim denials , claim payment, retrospective ... information, visit fallonhealth.org. **Brief Summary of Purpose:** Fallon Health's (FH) Appeals and Grievance process is an essential function to FH's compliance… more
- Surgery Care Affiliates (Boise, ID)
- …Effectively and independently manages second level reimbursement issues, contracted and non-contracted denials and appeals . + This is a demanding environment, ... join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient...by working with insurance providers to resolve issues. + Denials and Claims: + Handle denials and… more
- TEKsystems (Philadelphia, PA)
- … Follow-Up Core Experience: + AR Follow Up Experience (2-5 years) + EPIC + Working Denials + Claims Appeals + Home Health Claims *huge plus* Pay and Benefits The ... As the AR Follow Up Representative If you're ready to explore the next...or underpaid claims and resolving the denial and filing appeals , as necessary. + Ensuring all information pertaining to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment.… more
- Saint Luke's (Kansas City, MO)
- …resubmitting medical claims denied by insurance companies. Resolving claim edits, working denials and appeals . **Shift Details:** Monday- Friday Full Time Day ... **Job Description** The Patient Account Representative will be responsible for reviewing and auditing...coverage to identify and resubmit claims to fix coverage denials . * Research and outline documentation needed for respective… more
- Guidehouse (Lewisville, TX)
- …all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...None **What You Will Do** **:** The **Patient Account Representative (PAR)** is expected to perform specific billing processes,… more
- Guidehouse (Lewisville, TX)
- …from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 1+ year's medical provider experience working with UB04, appeals & denials . + Hospital or EOB… more
- UNC Health Care (Chapel Hill, NC)
- …for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials , and re-bills of insurance claims, and all ... insurance claims follow up for no response from payors, and/or claim denials . + Works physician claims ("professional billing"). + Maintains A/R at acceptable… more
- TEKsystems (Philadelphia, PA)
- …denied claims or underpaid claims and resolving the denial and filing appeals , as necessary. Ensuring all information pertaining to collection activity is fully ... denial trends for timely resolution. Works to identify internal and external causes of denials for timely resolution. Ability to work independently or as a member of… more
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