with facility claims follow-up, researching high dollar claim denials and preparing/writing appeals to get claims paid. The ARD... Team is responsible for handling all Medicare Exhaust Claims, COB denials; and High dollar accounts exceeding $100K account...
Job Summary Utilization review specialist works to improve patient care through effective utilization and monitoring..., staff, physicians, and other departments. Assists with the denials process with focus on clinical reviews, peer-to peer...
, billing, denials, payment posting and collection follow up processes using HFMA data. Interface with and direct front end... quality of registrations, timeliness of billings, reduction of denials and completion of payment posting. Ensures adequate...
or Coding, Revenue Cycle Denials Management, Project Management and Healthcare Analytics - Preferred Experience 2-3 Years... Certifications such as COC, CPC, CCDS-O or Certified Revenue Cycle Specialist (CRCS) or Certified Revenue Cycle Representative (CRCR...
We are seeking a full-time Medical Billing Specialist II in our Patient Accounting Department. This department supports... years' experience third party billing for physician services;Substantial experience with denials, edits and rejections...
submission along with management of edits and denials. Processing claim edits. 4% of time spent Researching and processing...: Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) Must hold one of the following active...
and resolving issues or errors. Reviews claim denials pertaining to coding and medical necessity issues and collaborates with key.... REQUIRED CERTIFICATION: Certified Professional Coder (CPC) and or Certified Coding Specialist (CCS) through an accredited certification...
ACCOUNT RESOLUTION SPECIALIST Job Summary: The Account Resolution Specialist is engaged in the tracking of claims... revenue and determine best course of action to resolve outstanding accounts, including denials, edit analysis, rejections...
with coding updates, for example NCCI and MUE edits. Reviews and resolves coding denials. Participates in special projects... Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS), Registered...
with coding updates, for example NCCI and MUE edits. Reviews and resolves coding denials. Participates in special projects... Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS), Registered...
and a provider network with 19 regional locations. Summary As senior level coding specialist, assigns compliant, complete... departments in identifying root causes of denials and claim rejections, as they relate to documentation and coding processes...
appropriate DX and/or CPT-4 codes. Work with WQ or per supervisor instructions. Correct errors and denials from WQ... for any revenue cycle issues due to medical billing issues. 11. Correct error and denials from designated WQ. 12. Participate...
, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work.... Assists Specialist, Coordinator, Supervisor and/or Manager with departmental processes and/or special projects. Assist...
communicating with physicians performing utilization management activities to avoid denials reduce avoidable delays and control... payor requirements nbsp; Collaboratively institutes prevention plans to avoid third party payor denials and problems solves...
denials are received nbsp; Manages concurrent denial/appeal process in collaboration with the UR Specialist nbsp... performing utilization management activities to avoid denials reduce avoidable delays and control costs...
, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work.... Assists Specialist, Coordinator, Supervisor and/or Manager with departmental processes and/or special projects. Assist...
to join our Village as a Regional Registration Specialist! A Registration Specialist validates patient insurance information provided... registration Partner with facility and Insurance Management Team to resolve incomplete registrations Review registration denials...