- 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 ... paced ever changing environment. + Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical… more
- 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 ... activities in collaboration with Manager. + Participates in activities for professional growth and maintains required knowledge and skills. Other related duties… more
- Catholic Health Initiatives (Omaha, NE)
- **Responsibilities** The Insurance Follow Up Rep is responsible for corresponding with both commercial and government health insurance payers to address and ... resolve outstanding insurance balances and non-coding denials in accordance with established standards, guidelines and requirements. An incumbent conducts follow… 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 ... complexity in support of Case Management operations. In addition, the CM Rep position performs independent actions necessary to provide competent and professional… more
- Catholic Health Initiatives (Chattanooga, TN)
- …reimbursement is received for all FMG providers. *Identifies potential trends in denials /reimbursement by payer or by type, denial reason, or coding issue and ... regulations as applicable to assigned function. *Establishes and maintains professional and effective relationships with peers and other stakeholders.… more
- University of Rochester (Rochester, NY)
- …Medicare Advantage issues. Involves in-depth communication, collaboration, and follow -up with patients, families, third-party payers, governmental agencies, ... case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from admission/arrival until the… more
- University of Rochester (Albany, NY)
- …Claims Resolution Representative III is responsible for working across the professional fee organization, handling follow -up activities designed to bring all ... open accounts receivable to successful closure. Responsible for effective claims follow -up on complex, multi-faceted accounts to obtain maximum revenue collection… more
- The Cigna Group (Bloomfield, CT)
- …Remote MA** The job profile for this position is Pharmacy Prior Authorization Senior Representative , which is a Band 2 Professional Career Track Role. **Excited ... **Pharmacy Prior Authorization Senior Representative - Remote AZ - Remote IL -...team + Insurance Inquiries/benefit checks. + Prior Authorization submission, follow up and appeals as needed. + Juggle multiple… more
- McLaren Health Care (Shelby Township, MI)
- …bill/claim edits. + Notify Analyst of edits that needs to be built and Denials Rep for denial trends. + Coordinates and monitors billing activities relating ... **Position Summary** : Under general direction, the Billing/ Follow -up Rep Facility (Remote) is responsible...Analyst of edits that needs to be built and Denials Rep for denial trends. + Resolves… more
- Atrius Health (Chelmsford, MA)
- …package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Medical Claims Follow -Up Representative * **Location:** *Chelmsford MA - ... system in the country. *SUMMARY* Under general supervision, is responsible for the follow up and resolution of denied medical billing claims for assigned payer(s).… more
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