with supervisor; lead; co-workers; and offices. Provide backup for other team members; as needed. Evaluate account balances... to determine patient liability. Review accounts for collection agency submittal. Process EOB and R/A payments/denials...
payer memos and create communication on changes to support teams Respond to claim denials from insurance companies.... Direct Reports (incl, titles) Patient Acct Reps, Sr Patient Acct Reps, Lead Patient Acct Reps, and Patient Acct Supervisors...
reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Medical Coder...-specific regulations and policies pertaining to documentation, coding, billing, and denials with demonstrated...
will lead the organization-wide patient-friendly workflows and processes throughout the revenue cycle that maximize revenue.... Accounts receivable management, including but not limited to: denials, bad debt and collections, appeals processing. Payment...
acquisition options for specific patients enrolled in GPS. Collaborates with Patient Support Specialist (PSS) to identify... education on navigating the appeals process as well as denied and partially paid claims. Takes lead in completing Business...
professionals including an Orthopedic Surgeon, Neurosurgeon, Pain Management Specialist, Neurologist, chiropractor, and amazing... claim disputes. Monitor outstanding PIP claims and assist in resolving claim denials or payment delays. Staff Leadership...
patient information for preexisting conditions and other health concerns. The Certified medical billing/coder specialist... in a timely manner. Review/Audits insurance denials related to coding questions in a timely manner, providing remedy...
results. Ensure quality of registration process by reviewing registration denials and provides feedback to staff. Lead... (Required) Minimum Work Experience 2 years of progressive experience in a healthcare setting (Required) 2 years of supervisory/team lead...
. Leadership and Team Management - Lead and manage teams responsible for charge capture, coding, or revenue cycle audits. Oversee... staffing, work assignments, and team performance to ensure efficient operations. 8. Pre-AR and Denials Management - Oversee...
that directly address documentation and coding related denials at healthcare organizations revenue cycle and health information.... Serve as a subject matter expert (SME) to product development team to help drive product growth for Case Management, Denials...
Certified Clinical Coder Nurse, Lead/Consultant will report to the Senior Manager, Facility Compliance Review. In this role... or as clinically appropriate Lead duties for small clinical coder team including: managing day to day activities of the team...
. We are looking for someone with experience in one of these areas and with the willingness and openness to learn and lead any of these areas as company needs.... What are your job responsibilities? Based on your experience, you will initially lead one or more of the areas below and cross train to support...
eKidzCare is seeking an experienced medical billing and collection specialist for our office in Sewickley, PA. The... specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim...
eKidzCare is seeking an experienced medical billing and collection specialist for our office in Meadville, PA. The... and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims...
submission. Monitor denials, returned claims, claim edits, and payer claim processing behavior to assist with identifying... as required or requested Reviews denial and underpayment trends in collaboration with PFS Manager, Contract Specialist, and Compliance...
with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients enrolled in GPS. Responds to HCP... claims. Takes lead in completing Business Reviews and Claims Reviews for practices. Provides education on specialty...
, and constructive feedback as needed. Deliver praise, positive feedback/reinforcement when applicable. Lead productive and timely team... opportunities on behalf of owning area. * Codes/abstracts/audits accounts and resolve inpatient and outpatient coding denials...
Specialist (CCS) or Certified Coding Specialist - Physician (CCS-Phy) or Certified Professional Coder (CPC) or Registered Health... Clinical Documentation Specialist- (CCDS) or CIRCC-AAPC or Radiation Oncology Certified Coder (ROCC): Preferred Essential...
, change management, and the ability to implement processes. The Director will focus on optimizing revenue, reducing denials... experiences. Duties and Responsibilities Lead, mentor, develop a high performing provider enrollment team, fostering a culture...
of registration process by reviewing registration denials and provides feedback to staff. Lead performance improvement initiatives... (Required) 2 years of supervisory/team lead experience required (Required) Functional Accountabilities Grow Encourage...