) to appropriately appeal medical claims that have been denied. Conducts and refers patient accounts when requested by payers, audit...Job Description: Responsible for researching and appealing denied medical claims. Responsible to proactively identify...
. Advanced analysis of paid claims and identification of audit findings including documentation for training and knowledge... methodologies to research and substantiate claims outside the audit concept. Enlists others internally or externally to help...
and interprets various benefit plan documents to ensure compliance, respond to inquiries and resolve issues - Assists benefit plan... and graphic announcements for benefits and wellness related materials - Lead regular benefits audits, annual 401k audit - Act...
compliance for E-rate. 12. Prepare required state and federal reports. 13. Receive, analyze, and process P-1, P-2, Annual... and deductions. 21. Process stipends and overtime payments; maintain records on all seasonal employees. 22. Audit timesheets; post...
and interprets various benefit plan documents to ensure compliance, respond to inquiries and resolve issues - Assists benefit plan... and graphic announcements for benefits and wellness related materials - Lead regular benefits audits, annual 401k audit - Act...
eligibility. Duties Description Supervise the processing of Legislative grant claims to ensure timely review and processing... of payments to grantees. Review and supervise staff in auditing contract related payments while ensuring compliance with New...
, payment variances, and no response claims and acts to resolve claims/accounts, including drafting and submitting technical... and clinical appeals. Provides support for all denial, no response, and audit activities. Examines denied and other non-paid...
for audit response, contract adherence, and regulatory compliance functions. Prioritizes key project tasks and deliverables... that impact claims adjudication. Performs review of current and newly implemented processes to ensure accurate reports...
a clear and concise manner into the AR system. Compliance with State and Federal Regulations. Audit, research accounts... and specialty payer accounts receivable inventory to ensure timely follow up and claims resolution. Adhere to quality...
in a clear and concise manner into the AR system. Compliance with State and Federal Regulations. Audit, research...: Monitor commercial and specialty payer accounts receivable inventory to ensure timely follow up and claims resolution. Adhere...
and medical benefit plans and programs for effective application and compliance. Facilitate, audit and coordinate the daily work... effective compliance. Report on key LOA metrics and provide management reporting and analytics from the Kronos LOA system...
) to appropriately appeal medical claims that have been denied. Conducts and refers patient accounts when requested by payers, audit...Job Description: Responsible for researching and appealing denied medical claims. Responsible to proactively identify...
, compliance, provider relations or professional billing preferred. Knowledge of claims review and analysis. Working knowledge.... Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts, including...
Compliance with HIPAA regulations. Follow up on Denied / Rejected Insurance Claims Train Front Office Teams on Required Images..., Narratives, and Supporting Documentation to Process Claims. Post Insurance Checks Audit Patient Accounts Reduce adjustments...
and activities in order to ensure data integrity and compliance of process guidelines. ESSENTIAL DUTIES 1. Conducts needs... to physician and physician office personnel in regard to revenue cycle, as required. 4. Performs audit functions in a concise...
, and audit activities. Examines denied and other non-paid claims to determine reason for discrepancies. Communicates... reimbursement and response. Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims...
Vulcan Way: doing the right thing, the right way, at the right time. What You’ll Do: Ensure Compliance. Ensure compliance... a strong understanding and comprehension of all applicable state and federal DOT regulations that impact our businesses. Audit and Inspect...
), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC..., equipment and work environments achieve safety effectiveness and compliance. Required to be visible in the field 80 percent...
), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC..., equipment and work environments achieve safety effectiveness and compliance. Required to be visible in the field 80 percent...
) and audit requests Process unemployment compensation claims and employee verification requests Update/Maintain seniority lists..., vacation, emergency time in computer daily. Complete daily, bi-weekly and monthly payroll reports. Audit attendance hours daily...