- Northwell Health (Melville, NY)
- …and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor representative ... regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal… more
- AdventHealth (Altamonte Springs, FL)
- …to the supervisor or manager if necessary. + Processes administrative and medical appeals , refunds, reinstatements, and rejections of insurance claims. + ... role you will contribute:** Responsible for billing, follow-up, and managing denials to timely collect on assigned accounts receivable. This position communicates… more
- Saratoga Hospital (Saratoga Springs, NY)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital, 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... people. About the Role We're looking for a dedicated Denials Assistant to join our team and help us...entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with… more
- HonorHealth (AZ)
- …statements on patient accounts; submits appeals to payers on patient account denials when appropriate; reviews medical records and other patient documents as ... Essential Functions Responsible for conducting reviews and responding to insurance denials . Writes concise, factual letters and provides medical record… 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
- Houston Methodist (Houston, TX)
- … appeals when necessary. Engages the coding follow-up team for any medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + ... At Houston Methodist, the Account Representative position is responsible for resolving all outstanding...This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional… more
- Robert Half Accountemps (Canton, OH)
- …detail and a thorough understanding of insurance claims, denial management, and appeals processes. Proficiency in using electronic medical record (EMR) systems ... in Canton, Ohio, is seeking a dedicated Patient Account Representative to join its team. This role is critical...quality. Ideal candidates will have a strong background in medical billing, claims follow-up, and payer relations and must… 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** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… 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