- Trinity Health (Farmington Hills, MI)
- …clinical and comprehensive payer and appeals knowledge in reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and appealing ... colleagues responsible for identifying and determining root causes of clinical denials . Participates in payer meetings and supports the review and resolution… more
- Trinity Health (Farmington Hills, MI)
- …ethical, and professional behavior. **MINIMUM QUALIFICATIONS** **Experience with hospital billing , follow-up, and denials and appeals needed** **Experience ... Position (Pay Range: $39.8218-$59.7327) Manages and oversees a team responsible for billing and follow-up activities on government and non-government accounts at an… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Supervisor Professional Billing & Coding follows Federal State & local regulatory collection guidelines as well as payor ... specific billing /collection guidelines. Responsible for the collection of outstanding balances...EOB-s & R/A-s to ensure payment or to identify denials or non-payment. Responsible for follow up with payor… more
- Tidelands Health (Pawleys Island, SC)
- …a results-oriented PFS department with particular emphasis on collections and billing , both hospital/acute and ambulatory. + At least three (3) years direct ... supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- Tidelands Health (Georgetown, SC)
- …to managed care, denials , and reimbursement issues. * Terminology for hospital billing . * CPT and ICD-10 coding. * Hands-on knowledge of the Experian Health, ... **Position Summary:** The Patient Financial Counselor reports to the Vendor Relationship Manager and will be responsible for the following: * Working with all… more
- Bozeman Health (Bozeman, MT)
- …working relationships + Identifies payer trends and communicates with PFS Manager for escalation + Ensures timely billing and proactively investigates and ... executive team in collaboration with the Patient Financial Services ( PFS ) manager . Oversees and coordinates the insurance billing function for Bozeman Health… more
- Beth Israel Lahey Health (Burlington, MA)
- …for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and ... and identifies denial/non-payment trends and reports them to the Billing Supervisor. 2. Responds to incoming insurance/office calls with...carrier or others and uses information learned to educate PFS and office staff to reduce future denials… more
- Guidehouse (Birmingham, AL)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** **The** ** PFS Supervisor -Physician Billing ** is an extension of a client's business ... or exceeding the Operational goals of our clients and Company. This includes billing , collecting and working closely with other areas to ensure timely submissions of… more
- Sharp HealthCare (San Diego, CA)
- …on a regular basis to ensure efficient and effective interdepartmental work processes. PFS Manager acts as a liaison between vendors and hospital departments. ... follow appropriate billing requirements and receives necessary compliance training.Assures PFS billing products are accurate and patient friendly. Performs… more
- Beth Israel Lahey Health (Burlington, MA)
- …specific facts, unique charging scenarios and tips to process and appeal denials . 10. Responsible for researching payer billing guidelines for specific ... of America) Under the managerial oversight of the Senior Manager , the Revenue Performance Analyst serves as a primary...Educates/shares information with the Physicians, Coders, Clinical staff and PFS staff regarding billing operations and 3rd… more
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