and serves as a subject matter specialist regarding coding and documentation Supports and educates team members about coding... best practices and procedures to meet compliance and regulatory requirements Reviews payment denials, underpayments, and payment...
, with additional programs located in Orange, Marion, Hernando counties. JOB SUMMARY: The Outpatient Billing Specialist bills... all insurances for outpatient charges, reviews EOB's for denials, and updates information in system as needed. ESSENTIAL FUNCTIONS...
denials or independently resolves selected denials. Responsible to research, analyze and resolve routine pre-bill errors...) or Certified Coding Specialist (CCS) or Certified Coding Associate (CCA) by the American Health Information Management Association...
for proper billing codes to minimize denials and rejections. Collect co-pays, co-insurance, deductibles, and outstanding.... Supervisory Responsibility Medical Billing Specialist Work Environment This job operates in a professional office...
Job Summary: The Dental Billing Specialist/Insurance Follow Up Representative is a member of the Patient Accounting team. We rely... Supervisor of any billing errors, third party payer trends, denials or payment fluctuations to ensure accurate handling...
with average daily revenue of $2.5 million and will aim to reduce denials by 2.1% of new revenue. Additionally, this position... supervises Outpatient CDI colleagues, provides oversight for coordinating denied claims, communicating denials to leadership...
to the payers. This position will work with average daily revenue of $2.5 million and will aim to reduce denials... denied claims, communicating denials to leadership, tracking/trending denials, maintaining denial tracing system, providing...
and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services. Maintains 95% coding... Outpatient Coder (COC), Certified Coding Specialist (CCS), or other equivalent Coding Certification preferred. We are an equal...
to NVISION surgeons, NVISION Eye Centers is the Eye Doctors' #1 Choice®. The Referral Specialist position is primarily... approvals and denials, communication, and coordinating with physicians, staff, and patient Process related incoming faxes...
Specialist/Biller.” Ideal candidate will have 2+ years’ experience in a medical business office. Must be self-motivated, detail... including follow up on outstanding account receivables, reviewing denials and determining necessary action or appeal to achieve...
that directly address documentation and coding related denials at healthcare organizations revenue cycle and health information.... Serve as a subject matter expert (SME) to product development team to help drive product growth for Case Management, Denials...
downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial... activity and works with teams to create transparency and improvements to mitigate and prevent denials. Clearly communicates...
integrity issues. Responsible for completion of appropriate error/issues in Work Queues. Identifies and resolves Payor Denials... to meet with the Talent Acquisition Specialist to assess other positions available within the health system. PAS employees...
to our patients and families leading to successful, optimal outcomes. As the Patient Financial Specialist for the Heart Transplant... to avoid and/or resolve denials, financial hardships, or insufficient coverage for medically necessary treatment. PREFERRED...
and contract coding staff. Monitors denials for trends and provides education to coding team. Aids with coding questions... Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) required. Educational Requirements Bachelor’s or Associate...
Identifies clinical indicators to support validation of diagnoses. Formulates appeals and clinical responses to denials.... Educates physicians as appropriate on techniques to improve documentation to prevent future denials. Partners with CDI...
and commercial payors. Responsibilities: Assist various departments in ensuring all denials are captured & appealed in a timely..., including revenue realized Researches and communicates appropriate treatment of charges to clinical managers, CDM Specialist...
to facilitate medication refill and prior authorization approvals or denials. Staff pharmacists will also assist in training new... as requested by the Pharmacy Resolution Center Manager -Assist in the management of the Pharmacy Resolution Center Specialist team...
including ensuring timely follow up, resolution to underpayments, overpayments and claim denials Client Collections...: Oversee the client collections specialist and provide support with patient invoicing, patient follow up question, provide...
to any notifications provided. Reviews all potential move-in Memory Care denials prior to any communication with prospective resident.... Qualifications: Maintains current certification as a Dementia Care Specialist. Experience in assisted living, home health or long...