Job Description: Job Summary Provide timely, effective, and accurate administrative support to the staff, manager... department website as needed. Compute denials and approvals in Clintrac system as it relates to patients hospital stays. Process...
claims 100% of the time to ensure proper adjudication and prevent claim denials. Informs Team Lead or Manager of claim edit...
communities we serve. JOB TITLE: Coding Specialist - Surgical SUPERVISOR: Business Services Manager HOURS PER WEEK: 40hrs....* 3. Gather information regarding denials and recurring coding problems to give feedback to particular providers and the...
claims, front in authorizations as well as back end denials. Calls insurance companies and uses carrier websites... Abide by all HIPAA, Confidentiality and Privacy laws Other duties as assigned by the Manager as applicable...
in eating disorders, Psychologists, Nurse Manager, RNs, Medical Assistants, Social Workers, and collaboration with incredible... that meets insurance company requirements; appeal all denials in a timely manner. Participates in inpatient and outpatient...
to ensure prior-authorizations have been obtained to secure payment and prevent denials Complete and/or process patient... by department supervisor or manager Minimum Requirements Education High School diploma or equivalency Experience...
/ resubmitting claims in the OP dispensing system. . KEY RESPONSIBILITIES Clarify and trend pharmaceutical denials... and financial impact of program to enhance reimbursement. Assists billing manager and documents regulatory compliance related...
to a lower level of care. Interviews patients and/or families to assist the Case Manager with the identification of potential...-specific barriers. Will communicate relevant patient specific findings or concerns to the Case Manager and assist the Case...
. Review and pre-approve all delays and denials. Review all newly set up indemnity claims for adherence to Best Practices.../maintenance of logs. Provide timely excess claims reporting management to the Reinsurance Manager. Oversee Claims Examiners...
campaign-Sales/Marketing/Bus.Dev. company_name-Lifepoint-Rehabilitation industry-10460 is_manager-Lifepoint... Chief Medical Officer, Clinical Consultants, and Denials Management Department Participate in team meetings...
efforts, and assisting the Denials Manager in identifying high-priority claims for follow-up. Utilize tools like OneNote... analysis on underpayments, overpayments, denials, and workflow deficiencies impacting reimbursement. Analyze hospital accounts...
. Review and pre-approve all delays and denials. Review all newly set up indemnity claims for adherence to Best Practices.../maintenance of logs. Provide timely excess claims reporting management to the Reinsurance Manager. Oversee Claims Examiners...
with Cash Posting staff and performs other functions as directed by the Cash Applications Manager. The Cash Posting Specialist..., denials and adjustments to patient accounts in a timely manner. He/She will alert management team of any significant cash flow...
campaign-Therapy-(PT,-OT,-SLP-&-Assistants) company_name-Lifepoint-Rehabilitation industry-10460 is_manager-Lifepoint... analysis and submitting them to management Consult with corporate Chief Medical Officer, Clinical Consultants, and Denials...
campaign-Sales/Marketing/Bus.Dev. company_name-Lifepoint-Rehabilitation industry-10460 is_manager-Lifepoint... to management Consult with corporate Chief Medical Officer, Clinical Consultants, and Denials Management Department Participate...
: Reports to the Practice Manager, provides patient care that meets the psychosocial, physical, and general aspects of care..., nursing, and manager to meet the needs of the constant patient flow. Collects, reviews, and communicates pertinent patient...
and paperwork, reconciling resident accounts, submitting billing and researching denials and payments for Medicaid State payers... of state/MCO refunds. Other duties as assigned based upon business need by manager/supervisor...
or payment denials by coordinating payor peer-to-peer reviews and gathering necessary information to support denial appeals... PTCB certification, preferred Experience working in a health plan, medical group, or pharmacy benefit manager Pharmacy...
Manager will have an opportunity to work with a multidisciplinary team across the Brown University Health system to assist... BUH system. The Care Navigation Manager will work closely with the BUH Capacity Management and Access Center to review...
direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the... with incorrect documentation and software inability to complete functions to Manager or Supervisor of Hospital Coding as needed. 9...