- 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 ... Required - 1 year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling,… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding ... needed for workflow or identification of trends. Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding ... AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend… more
- Guidehouse (El Segundo, CA)
- …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** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- Guidehouse (Lewisville, TX)
- …Be Nice To Have** **:** + 1+ year's medical provider experience working with UB04, appeals & denials . + Hospital or EOB claims emphasis + PC skills in a ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance… more
- Robert Half Accountemps (Monrovia, CA)
- …and resolution of claim issues. Requirements Medical Billing, Medical Collections, Medical Appeals , Medical Denials , HMO PPO, Call Center ... billing, the complete revenue cycle management process, and possesses extensive knowledge of appeals and denials management. This role is Hybrid with 2 day in… more
- WellSpan Health (York, PA)
- …trend analysis to management, leadership, and insurance liaison.- Writes and submits appeals when needed to overturn claim denials .- Accesses external payer ... account follow-up, researches claim denial for resolution and submits disputes and appeals . Represents the System in a professional manner while interacting with… 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
- Surgery Care Affiliates (Indianapolis, IN)
- …Qualifications Requirements for our roles: + High School Diploma or GED + Denials and appeals experience + Familiarity with EOB and reading ... package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time… more
- Houston Methodist (Houston, TX)
- …on insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance ... At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case management… more
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