. Displays an understanding of third-party payor regulations related to managed care, denials and reimbursement issues. 12...
to improve processes and reduce denials. Other projects and duties as assigned. Who You Are: High School diploma...
, approvals, denials, appeals, and grievances. Adept at performing moderately complex communication tasks, with experience...
and thorough follow-up on outstanding receivables, including appeals and disputes for denials and underpayments. Identify... in denials and reimbursement discrepancies. Assist leadership in developing denial prevention strategies and performance...
information to support clinical or medical determinations (e.g., previous diagnoses, authorizations/denials, case management...
. Primary Responsibilities: Focused efforts on increasing cash and reducing bad debt. Apply payments and denials to third... Party carriers to follow up on denied and unresponded claims. Analyze and apply denials. Process and review claims. May...
. This position contribution to employee engagement, improved financials through reducing denials and rework Experience...
and external clients. Processing denials and approvals. Processing change of structure requests (broker to correspondent and vice...
: Preferred Essential Functions: Communicates with ordering providers and nursing regarding insurance authorizations, denials...
, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Will also assist...
if services were approved or denied to reduce denials and facilitates peer to peer reviews when needed. Qualifications... and/or Nurses pre-authorization approvals or denials. Advocates for patients/providers by processing pre-auths in a time sensitive...
to ensure quality patient care and payment of hospital accounts. Collaborates with Appeals department to overturn claims denials... Patient Accounting by capturing accurate and compliant data elements to produce clean claims, preventing denials and delayed...
has an authorization number to prevent denials. Strong interpersonal skills and ability to communicate effectively with payors, staff...
reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents...
to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance...
, and permitting approvals have been properly satisfied Maintain accurate records of all permit applications, approvals, and denials...
authorizations and pre-certifications are correct to avoid denials and cancellations. Works error reports daily, enters accurate...
documentation. Resolve payor edits and denials and respond to other teams including, compliance, revenue integrity and billing...
hospital's cash flow (including management of denials). Ensures that company policies and procedures are effective...