Supervisor of any provider appeals and follow directions as given to resolve the claim. Responsible to inform management... and efficient utilization of clinical resources and supplies. Performing quality assurance on various coding related reviews...
Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include: improving health record... physicians and clarifies coding versus clinical issues. Works closely with Registration and Business Office personnel to resolve...
delays/ problem aged account timely to Supervisor. Participate and attend meetings, training seminars and in-services... (billing, insurance appeals, collections) procedures and policies Intermediate skill in Microsoft Office (Word, Excel...
and clinical personnel to facilitate re-authorization tasks. Review & work pending re-authorization tasks daily Assist in the... appeals process for denied re-authorizations Travel as needed to provider’s office/clinic/hospital to obtain records for re...
. Provides clinical rational for standard and expedited appeals. Participate in peer-to-peer review with payors and/or complete... appeals as required to overturn denials. Provides assistance to initial clinical reviewers as needed to discuss cases...
and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation... in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical...
identified concerns to supervisor for resolution. Interacts with faculty and staff regarding billing and documentation policies... to support case denial appeals. Enter data electronically to process charges, payments, denials, and adjustments. Provides...
delays/ problem aged account timely to Supervisor. Participate and attend meetings, training seminars and in-services... (billing, insurance appeals, collections) procedures and policies Intermediate skill in Microsoft Office (Word, Excel...
facility. Provides direct care and works with supervisor to determine appropriate caseload in tandem with management... services. Ensures that all clinical documentation is complete, timely, and accurately reflects the services provided. Conducts...
liaison between clinical departments, Patient Financial Services, payers, and patients and maintains accurate information... reimbursement amounts and coding issues. Additionally, this position discusses and collects patient balances and assisting clinical...
facility. Provides direct care and works with supervisor to determine appropriate caseload in tandem with management... services. Ensures that all clinical documentation is complete, timely, and accurately reflects the services provided. Conducts...
facility. Provides direct care and works with supervisor to determine appropriate caseload in tandem with management... services. Ensures that all clinical documentation is complete, timely, and accurately reflects the services provided. Conducts...
for carrying out all assigned duties to provide both clinical and operational oversight to the delivery of rehabilitative services... facility Provides direct care and works with supervisor to determine appropriate caseload in tandem with management...
facility. Provides direct care and works with supervisor to determine appropriate caseload in tandem with management... services. Ensures that all clinical documentation is complete, timely, and accurately reflects the services provided. Conducts...
designated by supervisor. Including, but not limited to, all staff, stand up, HIM meetings, IDT, joint clinical and town hall.... Other duties as assigned or delegated by Supervisor. Prepares patient charts for review by Department of Appeals through Medicare...
, physicians, clinical staff, and insurance companies to obtain information and insurance verification to ensure quality patient... care and payment of hospital accounts. Collaborates with Appeals department to overturn claims denial. Provides...
, taking action on denied claims, and processing appeals. - Must be able to communicate effectively with patients, families... by submitting appeals, correcting account information, coordinating requests for medical records, and posting account adjustments...
, families, physicians, clinical staff, and insurance companies to obtain information and insurance verification to ensure... quality patient care and payment of hospital accounts. Collaborates with Appeals department to overturn claims denial...
delays/ problem aged account timely to Supervisor. Participate and attend meetings, training seminars and in-services... (billing, insurance appeals, collections) procedures and policies Intermediate skill in Microsoft Office (Word, Excel...
’s. Job Description Communicates with patients, families, physicians, clinical staff, and insurance companies to obtain information and insurance... verification to ensure quality patient care and payment of hospital accounts. Collaborates with Appeals department to overturn...