Prior Authorizations & Medical Claims Follow-up Specialist Job Title: Prior Authorizations & Medical Claims Follow-up... Specialist Location: San Jose, CA- hybrid role is possible Job Type: Full Time Reports To: Billing Operations Manager...
Access Advocate II, III and Specialist Advancement tests. CHAA, CHAM or other industry equivalent certification preferred... discharge work queues are completed timely and efficiently to reduce denials and claim holds. Other duties as assigned...
Job Summary Under the direct supervision of the Economics Department Specialist, assists in a department office... and records support - Coordinate course equivalency requests and logs approvals and denials. Knowledge Skills and Abilities...
any claim rejections or denials. Conduct audits to ensure coding accuracy and proper documentation. Work closely... with providers and clinical staff to clarify documentation and coding issues. Monitor denials and rejections, identify trends...
MetroDoc Urgent Care is seeking a qualified individual to join their team as a Medical Collections Specialist. The... with patients and insurance companies. Research and resolve insurance denials and appeals. Maintain accurate records...
and compliance regulations. Works with Patient Financial Services to identify reimbursement issues, ensuring that claims, denials... Administrator Upon Hire required and CCS-Certified Coding Specialist Upon Hire required and AHIMA ICD-10 Trainer Certif - ICD-10...
Job Summary Under the direct supervision of the Economics Department Specialist, assists in a department office... and records support - Coordinate course equivalency requests and logs approvals and denials. Knowledge Skills and Abilities...
Access Advocate II, III and Specialist Advancement tests. CHAA, CHAM or other industry equivalent certification preferred... and efficiently to reduce denials and claim holds. Other duties as assigned Financial Accountabilities: Collects identified...
details or authorizations and information for denials as needed. Uses medical terminology and scheduling knowledge to select correct procedure..., and authorization functions, follow ups on denials and no response claims. Communicates with departments/physicians for special...
areas for strategic audits, coding education and improvement. Supports denials management process and other initiatives...: Certifications: Certified Coding Specialist - American Health Information Management Association, Certified Professional Coder...
room, Urgent Care, consult space, or a Financial Resource Specialist office. Licensure, Registration... related to denials and appeals processes. Basic medical coding knowledge. Understanding of insurances, billing and denials...
Specialist office. Licensure, Registration, and/or Certification Required: None Required. Education Required: High... Advocate, either virtually or in person. Has solid knowledge of how various types of insurances operate related to denials...
payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior... Specialist I competencies required. Benefits (For full time or part time positions): Premium pay for eligible employees...
. Experience in Provider Enrollment or Credentialing highly preferred. Certified Provider Enrollment Specialist Certification... required with 18 months. Certified Provider Credentialing Specialist (CPCS) preferred. High proficiency in Microsoft Office...
(i.e., Insurance Denials) Communicates effectively with physicians, physician extenders, physician offices, members of the coding team... Professional Coder (CPC) through the American Academy of Professional Coders Certified Coding Specialist (CCS) through the...
of patient accounts to maximize reimbursement (i.e., Insurance Denials) Communicates effectively with physicians, physician... Specialist (CCS) through the American Health Information Management Association (AHIMA) Certified Coding Specialist-Physician...
resolution to third party payer requirements prior to date of service. Minimizes third party payer denials by verifying... Certification: Successful on-the-job completion of NCH Patient Access Specialist I competencies required. Benefits (For full time...
/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials, and other key...), Certified Coding Specialist (CCS) Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT...
/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials, and other key...), Certified Coding Specialist (CCS) Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT...
in order to expedite payments. The Specialist will research and interpret medical policies regarding denials based on medical...The Pathology Department is seeking an AR Revenue Cycle Specialist II to be responsible for the collection of unpaid...