. Requirements: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews... insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the...
, strictly adhering to regulations, and promoting the clinical efficacy of cannabis. As Cresco grows, we will operate with the... building systems Managing real estate tax payments and supporting real estate tax appeals Submitting monthly or annual...
in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient... in evaluating outcomes of care support and coaching of clinical documentation efforts and serving as a clinical resource for coders...
. Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews... insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the...
, WA. Requirements: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical... expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance... appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical...
policy to evaluate and submit for appeals, as well as perform in-depth research to appropriately obtain coverage... integrity) Send corrected claims and appeals based on payer guidelines in a timely manner Manages write-offs or adjustments...
of Mears, MI. Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical... expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide...
and outcomes. Advocates for patients with County and State Social Service agencies by helping file appeals and other actions... or administrative experience in a clinical or social services setting. Excellent verbal and written communication skills with ability...
documentation, CCI/LCD, carrier policy and utilization of coding software applications. The appeals process may include... to formulate an appeal rationale based on clinical documentation, application of LCD, relative carrier policy and published Academy...
and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable... of benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals...
and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable... (CCM), Certified Clinical Medical Assistant (CCMA), or American Case Management Association (ACMA) certification strongly...
Your job is more than a job Reporting to the CBO Denials Manager, the Hospital Denials & Appeals Coordinator... is responsible for managing denied claims and submitting appeals to the appropriate carrier while identifying and mitigating root...
direction in the care management, clinical documentation improvement, coding, quality and/or compliance process. Review medical... resources and end of life care. Develop strategy and processes to reduce denials and audits. Assist with appeals. Utilize...
& Management coding levels are assigned the correct CPT or CDT code Provides expertise to the billing staff in addressing appeals... ticketing systems Working Environment and Physical Activities Office environment within a clinical setting. Enters data...
Financial Services (billing, insurance appeals, collections) procedures and policies Intermediate skill in Microsoft Office... our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare...
medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical... positive relationships with donors, Foundation staff, clinical and administrative leaders. The Specialist – Communication...
and outcomes. Advocates for patients with County and State Social Service agencies by helping file appeals and other actions... or administrative experience in a clinical or social services setting. Excellent verbal and written communication skills with ability...
) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims... coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical...
Manager works collaboratively with physicians, social workers, clinical nurses, home care services, and other members of the... interdisciplinary team. The Case Manager actively participates in specific clinical initiatives focused on reducing the length of stay...