, denials, and processing appeals as needed. Responsibilities: Reviews clinical note, x-rays, and account ledger for cohesion..., an Urgent Weekly Report goes to the dental office. Files corrected claims triaged from the AR Specialist based on returned...
Overview: The Insurance Pre-Authorization Specialist is responsible for processing submissions for insurance prior... authorizations (PA) and coordinating any denials follow up, as indicated. Responsibilities: Analyzes information required to complete...
to providers to improve documentation to maximize revenue and reduce denials. Review and train practices on local and national... Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC...
opportunities on behalf of owning area. * Codes/abstracts/audits accounts and resolve inpatient and outpatient coding denials... to) Attend and provide notes back to the Manager for meetings: OCC, Denials, etc. Support other roles within the department...
records and flag to specialist recommendation queue or referral center queue as urgent or routine. 5. Compile statistical... home providers, hospitals, and specialty care providers for management of client referrals, approvals, denials...
Sentara Healthcare is hiring for an Accounts Receivable Specialist II. This is a full-time day shift position Monday... edits and/or resolve more complex denials and payment delays. Demonstrates a strong knowledge of insurance regulations...
, denials, and processing appeals as needed. Responsibilities Reviews clinical note, x-rays, and account ledger... follow up report, an Urgent Weekly Report goes to the dental office. Files corrected claims triaged from the AR Specialist...
Experience Required - 3 years coding experience Certifications Required - Certification as a Certified Coding Specialist..., Denials and Claim Edits. Verifies correct discharge disposition based on medical documentation. Other related duties...
, and accuracy of billing within areas of responsibility/specialty. Reviews and resolves denials. Participates in special... Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P) or the...
denials. Participates in special projects and completes other duties as assigned. Qualifications Education and Licensure... Association (AHIMA) as Certified Coding Specialist (CCS) OR Certified Coding Specialist Physician Based (CCS-P)OR the American...
coding experience to a team who resolves complex denials, identifies trends, and provides solutions to help support mid... care setting, requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding...
, documentation, and accuracy of billing within areas of responsibility/specialty. ï· Reviews and resolves denials... Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist...
and services, answering questions and advising on any insurance billing updates. Investigates claim denials from third party...) or Certified Outpatient Coder (COC) or Certified Coding Associate (CCA) or Certified Coding Specialist-Physician-based (CCS-P...
the use of proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials, billing edits... to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings...
daily. Works rejections in Zirmed daily. Follow-up on current aging denials and payor issues to assist collector.... Maintains working relationship with billing coordinator, collection specialist, and scheduler to ensure charges are correct...
/professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty... to other departmental staff in identifying and resolving coding issues or errors Ability to analyze and resolve claim denials...
Care Access and Monitoring Support Specialist (Remote – Contract Role) Pay Rate: $22.75 per hour- Contract Length: 6... months (Benefits Available) Our client is looking for a remote Care Access and Monitoring Support Specialist...
to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials... American Academy of Professional Coders Certified Coding Specialist (CCS) through the American Health Information Management...
will be assigned to and support one or more of the following departments: Billing & Follow Up - Denials Accounts Receivable... Specialist Collectors Medicaid/Medicare and Managed Care Billing Required Qualifications High school graduate...
to Billing Specialist. Verifies benefits with insurance companies. Updates documentation on authorization policies... for authorizations and insurance verification issues. Reviews denials and implements timely appeal solutions as requested by Billing...