- Robert Half Office Team (Minneapolis, MN)
- …Are you looking for a rewarding remote role in healthcare administration? This Clinical Appeals Representative position offers the opportunity to make ... a meaningful impact while working from the comfort of your home. As a Clinical Appeals Representative , you will play a key role in managing the intake and… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data ... coding determination made by the government or commercial payors, or their auditor representative . + Facilitate clinical chart reviews to assist with supporting… more
- Northwell Health (Melville, NY)
- …+ Ensures compliance with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect ... medical necessity for assigned case. + Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care… more
- Ochsner Health (New Orleans, LA)
- …make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... decisions. The position requires strong analytical skills and collaboration with clinical and revenue cycle teams to optimize financial outcomes. **Education**… more
- Guidehouse (Birmingham, AL)
- …Insurance Companies to resolve claim denials and account balances. + Performing Non- Clinical Appeals . + Assisting Supervisor/Manager as needed with various ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 0-2 years medical provider experience working with UB04, appeals & denials. **What Would Be Nice to Have**… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case management ... and routes issues to appropriate individuals, assists in resolution of non- clinical issues as needed + Facilitates and arranges acquisition of post-acute… more
- Guidehouse (Lewisville, TX)
- …+ Works 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 (Birmingham, AL)
- …+ Works 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
- Insight Global (Nottingham, MD)
- …role focuses on resolving underpayments, denials, and contract interpretation issues-not clinical denials or patient balances. The representative ensures ... is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the...billing experience * Experience with facility claims follow-up & appeals handling o Experience with UB04 forms o This… more
- Surgery Care Affiliates (Boise, ID)
- …do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement ... change. If you join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow up… more