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...
across all lines of business, including review of denials and appeals. Supervise a grant-funded outreach team working with community... fellowship or specialized training in HIV care. Qualified as an HIV Specialist per NYSDOH AIDS Institute standards...
Overview: Coding Specialist, Centralized Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health... quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Provides assurance...
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...
with Physician 95% of the time. Per provider request. Per departmental audit standards. Investigates claim denials from third... Associate (CCA) or Certified Coding Specialist-Physician-based (CCS-P) required. Skills/Knowledge/Abilities Ability to note...
Coordinate descriptions of information and training to resort staff about the offering Evaluate incoming specialist proposals... and accurately track denials and pending status Coordinate arrangements for demos as pertains to new offerings and potential...
: A minimum of 5 years of experience as a medical biller/claims follow-up specialist or collections specialist in an outpatient medical... of payor guidelines, industry billing, and coding standards, and Medi-Cal denials reason codes. Computer database management...
staffing, work assignments, and team performance to ensure efficient operations. 8. Pre-AR and Denials Management - Oversee.... Identify root causes of denials and implement corrective actions to minimize future occurrences. * 9. Strategic Initiatives...
and management coding as well as patient requests for denials on services provided at the facility. After review, responsible... Coding (CPC) certificate, Certified Coding Specialist (CCS) certificate, or Certified Coding Specialist Physician Office (CCS...
in Work Queues. Identifies and resolves Payor Denials as indicated. General Observes work hours and provides proper notice... minimum requirement and will subsequently have the option to meet with the Talent Acquisition Specialist to assess other positions...
and management coding as well as patient requests for denials on services provided at the facility. After review, responsible... Coding (CPC) certificate, Certified Coding Specialist (CCS) certificate, or Certified Coding Specialist Physician Office (CCS...
and modifier information to assist with appealing denials. Maycontact providers for peer-to-peer reviews Meets established... Coder (CPC) certification or Certified Coding Specialist (CCS). Zero (0) to two (2) years experience in a relevant role...
Pharmacist Specialist, or Clinical Coordinator is responsible for the interpretation, evaluation, preparation, and dispensing... of MAP technicians refill processing, prior authorization submissions, denials and appeals management, and coordination...
to analyze and resolve claim denials that are rejected by edits from the Revenue Cycle Department. Reviews and responds... Management (Required)Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Registered...
, 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...
SPECIALIST Upon Hire and (CMC) CERT MEDICAL CODER Upon Hire and Preferred Education Associate's Degree or Two years... reports (e.g., Charge Analyzer, Code Correct), denials, external audit findings, etc. Assists Sr. Professional Billing...
with physicians performing utilization management activities to avoid denials reduce avoidable delays and control costs... to avoid third party payor denials and problems solves with the health care team when denials are received. Manages...
ability to comprehend EOB's and route denials and underpayments to appropriate A/R staff Must have the ability to work A/R issues... Team Knowledge of Excel is a plus Large medical group seeking an experienced Medical AR Specialist/Payment Poster...
utilization management activities to avoid denials reduce avoidable delays and control costs where possible and by facilitating... party payor requirements. Collaboratively institutes prevention plans to avoid third party payor denials and problems...
Specialist is responsible for a range of training services and support at various levels within the organization... to explain common coding metrics (such as level of service bell curves, most common coding denials, provider audit results...