Shore Drive Job Description K.S.A.'s: 1. Minimum 5 years in hospital billing, collection and denials avoidance... for follow up on outstanding accounts or denials. 5. Handles escalation situations and processes those situations requiring...
Ensure accurate rebilling of claims to avoid denials Communicate billing errors that can be prevented to Department Manager... to resolve coding related denials Work with Utilization Review to resolve authorization related denials and appeals Use various...
. Under the direction of the Coding Manager, the ProFee Coder is responsible for the assignment of codes to the professional fee... negatively impact productivity, quality or revenue to mitigate claim denials. Maximize opportunities to enhance front end, coding...
required by payor for appropriate claims processing. Evaluates and researches claims billing denials and reject reports in a timely... education programs when necessary. Communicates regularly with the Patient Financial Services (PFS) Supervisor or Manager...
/denials and other educational programs. The Supervisor will keep the Manager/Director apprised on issues involving operations.... Responsibilities Reporting to the Director or Manager, Practice, the Supervisor, NP/PA is responsible for supervising Physician...
for areas of improvement identified through utilization review, clinical records audit, claim denials, patient satisfaction... of stay, type of treatment, and time of treatment, and reporting recommendations to the Manager....
patient flow to provide seamless admissions, transfers, and discharges to minimize diversions, delays, or denials of patients... issues that arise after hours. Communicates issue and problem resolution actions to department manager....
errors and claim denials. Oversees direct reports day-to-day functions and escalate recommendations to the Coding Manager.... WHAT YOU CAN EXPECT Assist the Corporate Manager of Hospital Coding by directly overseeing inpatient and outpatient hospital...
ICD-10-CM, CPT and HCPCS codes. Assists Coding Compliance Manager. The Financial Coordinator is responsible for reporting... if needed Initiates proactive measures to decrease denials prior to their occurrence Member of audit team Performs internal quality...
Financial Services staff for reporting problems and denials on individual claims. Assist in researching coding issues, provide... actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement. Claim issues...
of improvement identified through utilization review, clinical records audit, claim denials, patient satisfaction surveys... recommendations to the Manager....
of improvement identified through utilization review, clinical records audit, claim denials, patient satisfaction surveys... recommendations to the Manager....
and articulate patterns and issues from provided denials data. Can clearly provide alternative solutions with regards to denial... manager data sources and payer contracts as needed for reimbursement analysis. Has the ability to effectively network...
in the inpatient arena to improve coding accuracy, ensure compliance, provide education, and minimize payor denials... team and at the broader CHOA organization. Assists manager with employee performance evaluations and hiring decisions...
, transfers, and discharges to minimize diversions, delays, or denials of patients. Functions as on-site administrative... to department manager....
including emailing communications, google folders organi]ations, authorizations, reauthorizations, billing claims, and denials... to schedule meetings, and trainings with operation manager, and clinical staff participance in hr meetings, and company trainings...
charges for accuracy and alignment with payer contracted rates to reduce denials. Transmit billing batches electronically via... all hard copy denials into the EMR system within 48 hours of receipt. Process adjustments timely and with the authorization...
charges for accuracy and alignment with payer contracted rates to reduce denials. Transmit billing batches electronically via... all hard copy denials into the EMR system within 48 hours of receipt. Process adjustments timely and with the authorization...
Utilization Review Nurse will also be responsible for issuing pre-authorization approvals/denials, notifying providers/enrollees... of denials verbally and in writing. They will also coordinate pending cases for a review determination with Health Solutions...
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...