Specific Functions: Communicates with various insurance companies to verify benefits. Reviews and follows up on denials... to Supervisor / Fiscal Manager and makes recommendations as appropriate. Performs other job-related duties within job scope...
: Review assigned denials and Explanation of Benefits (EOBs) to identify necessary information for appeal filing and gather... and Reimbursement Manager. Participate in team and appeal meetings, sharing updates on cases worked. Serve as backup for answering...
to the Corporate Coding Manager or CFO of CMG as appropriate. Recruiter: Kathleen Rice || kkarnes@covhlth.com || 865-835... or physician practices to assist with coding and documentation questions. Performs coding audits with regards to payor denials...
with regards to audits and denials and subsequently adjusts to potential trends when reported. Attends meetings and provides input... regulations to ensure compliance. Keeps current on coding guidelines and communicates to Health Information Manager. Implements...
management system end of the day receipt report totals to Billing Manager at the close of each day. Open mail and distribute...(s). Assist billing department in research and follow up on all denials for payment. Provide back-up for call center including...
Under the supervision of a department manager or provider assumes responsibility for direct patient management and flow.../provider of denials. Must acquire certification within 3 months from date of hire and/or maintain current Medical Assistant...
practice management system end of the day receipt report totals to Billing Manager at the close of each day. Open mail...(s). Assist billing department in research and follow up on all denials for payment. Provide back-up for call center including...
: 37.5 Position Focus: Under the direction and supervision of the Associate Director and Team Lead/Manager, employee... will be responsible for insurance follow-up on carrier denials with a focus on coding denials for Yale Medicine. Employee...
Job Description: Summary: Under the supervision of a Clinical Social Work Manager, or the designated Social Worker... for hospitalization. Works closely with treating physician to address insurance denials and participates in denial process...
and status or as defined by management: Written Correspondence: Claims that have received denials for erroneous reasons... or as instructed. Assist with special projects as needed. Notify billing manager of any inconsistencies, changes or errors with payor...
. Trains Insurance Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor... and skills for the position. Essential Functions: 1. Identifies and evaluates denials for assigned payers and/or specialties...
Emergency Services (PES) and Inpatient clients. Researching Medi-Cal denials, unbilled services, and re-billing when... (OHC) denials and unbilled SMMC PES and Inpatient services including outstanding claims over 90 days. Applying payments...
and be able to speak to all aspects of Patient Access, from technology, processes and regulations. Investigate denials... of the department. Certified Healthcare Access Manager (CHAM) preferred Minimum of 4-5 years of prior leadership experience...
to ensure payment and proper processing. Proactively problem solve claims issues. Write appeals for denials. Identify trends.... Maintain excellent customer service to both our clients and our provider's patients. Other duties as assigned by manager...
that reflect payer summaries of claims filed and amounts to be collected for submission to the Business Office Manager. Transmits... applications and insurance company payments/adjustments. Evaluates denials in a timely manner for appropriate reconciliation...
Documentation Improvement nurses (inpatient) May assist Business Office with coding denials, corrections of various types Utilizes... and assists with resolution Assists Coding Manager with identifying problems or trends that need immediate attention Reports...
compliance with all state and federal billing regulations and reports any suspected compliance issues to the Billing Manager... Insurance protocols, delay tactics, systems, and workflows ERISA guidelines for denials and appeals Regulations related...
and be able to speak to all aspects of Patient Access, from technology, processes and regulations. Investigate denials... of the department. Certified Healthcare Access Manager (CHAM) preferred Minimum of 4-5 years of prior leadership experience...
Job Description: Under the supervision of the Office Manager or designee. Duties include registration, scheduling..., documentation, coding, charge entry, answering phone, filing, medical records, daily batches, denials, account analysis...
general direction of the RCO Director and the assigned RCO Associate Director/Sr Manager/Manager/ Supervisor the RCO Financial... to ensure maximum hospital reimbursement and mitigate insurance denials. Health system responsibilities for the FCA include...