guidelines. To provide support and help facilitate care coordination services provided by the Hospital Case Manager.... Assist the Hospital Case Manager by relaying information regarding patient demographics and the distribution of lists...
to claim clinical coding denials for improper coding or lack of preauthorization. Serves as resource and subject matter expert.... Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location...
Facility: VIRTUAL-GA Overview Under the direction of the Manager of Account Resolution, the Account Resolution... portfolio of ~ approximately $375M-$500M, including, but not limited to collaboratively working with their Team Lead, Manager...
appeal hearings Manage the FMLA cycle to ensure time tracking, notices, approvals and denials are completed timely..., Unlimited Paid Time Off (PTO), per policy, with manager’s approval. Equal Opportunity Employer Statement At TEL Staffing...
manager/social worker. Additionally, Physician Advisors promote understanding and cooperation between the medical staff... continuity of care and to reduce readmissions. Communication with payors to justify admissions and overturn denials...
to the Office or reporting denials to the Regional Operations Director/ Branch Manager Secure approval to assess on all new..., denials must be approved by Branch Manager or Regional Operations Director Discharge of a Client must be approved by the...
plan. Assists Practice Manager with data collection and analysis related to physician productivity and resource... utilization. Facilitates the resolution/prevention of billing errors and denials including obtaining pre-certifications...
all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials in IDX on a timely... and current billing concerns. -Mentors less experienced billing staff and assists Billing Manager/Revenue Cycle Manager in staff...
Seattle campus. Reporting to the Residency Team Manager and Residency Adviser, the Residency Adviser determines student... Residency Team Manager and Residency Adviser, the Residency Team Coordinator, and the Residency Team student team member...
center Referred Care Services Supervisor and Manager where applicable. Develops and administers the purchased patient... of denials. Educates patients regarding Referred Care Services processes and policies. Coordinates and utilizes third-party...
as necessary to ensure patient compliance with prescribed treatment plan. Assists Practice Manager with data collection... and denials including obtaining pre-certifications or referrals as needed. Registers patients and schedules or coordinates the...
resolution of concurrent payer denials through submission and coordination of appeals related to medical necessity (level of care...) and tracks all work related to denials/appeals. Educate internal members of the health care team on utilization management...
or denied prior authorization requests, providing additional information and appealing denials when necessary Verify insurance... Must have two (2) great manager or supervisor references. Proficient in Microsoft Office software We perform a background check...
and monitor claim rejections, denials, under and overpayment, and any additional issues. • Research and follow up with respective... with insurance companies and clients. • Develop balance reports to submit to the practice manager for billing at the end of the month...
for the review and reporting of DRG denials, Patient Safety Indicators (PSIs) and Hospital Acquired Conditions (HACs... with manager to assist with interviewing of new team members, posting of new requisitions, and coordination of onboarding...
general direction of the RCO Director and the assigned RCO Associate Director/Sr Manager/Manager/ Supervisor, the RCO... service to ensure maximum hospital reimbursement and mitigate insurance denials. Health system responsibilities for the FCA...
, and DRG, APC and/or HHRG updates and changes. Responsible for resolving any and all pre-bill edits, denials... guidelines and improve personal knowledge of medicine and treatment. Communicates issues to the EW Clinical Coding Manager...
of environmental Geology and project management. This position serves as the local Site Manager for the State Underground Petroleum... requirements. Issues approvals or denials as appropriate. Assist Cleanup Team Site Managers in the preparation of and conduct...
. 9. Assists Patient Access and Care Management with denials investigation and resolution. 10. Participates... in performance improvement initiatives as requested. 20. Works with supervisor and manager to develop and exceed annual goals. 21...
The Senior Medical Audit Analyst will assist the coding manager in overseeing the efficiency, accuracy, and quality... statistical data regarding coding trends, coding errors/edits, and coding denials Provide corrective in-service training...