carrier denials, appealing claims, contacting payors on open accounts, and responding to insurance carrier correspondence... and collections, including making telephone calls, accessing payer websites. Identify root cause issues for denials; categorize...
and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization. Must obtain...
will be assigned to and support one or more of the following departments: Billing & Follow Up - Denials Accounts Receivable...
(s). Assist billing department in research and follow up on all denials for payment. Provide back-up for call center including...
for all prices; Print Medicaid for audits with corrections and claims submissions printout. Review denials; Resubmitting...
: Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive knowledge of patient insurance...
. Collaborates with the Concurrent Denial RNs to determine the root cause of denials and implement denial prevention strategies...
plan billings based on requirements. Compile proper paperwork and conduct appropriate research to appeal claim denials... issues with carriers, (e.g. denials, partial payments, etc.) Review, modify, and re-bill rejected/denied claims. Assist...
companies, physicians and patients as required. Look through denials and submit appeals if requested by physician to get them...
client communications including loss of coverage, claim denials, unfavorable underwriting and other challenging renewal...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory...
of patient service. This position also follows up on pending unresolved coverage issues and claim denials and documents...
authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support...
in insurance processes and guidelines, including authorizations and limitations. Investigates insurance claim denials, exceptions...
position that requires residency in KY or IN The Revenue Cycle Specialist will research denials from all commercial...
and investigate claim discrepancies, denials, and errors, and take action to report issues internally. Communicate with other plans...
as required. Look through denials and submit appeals if requested by physician to get them approved from insurance companies. Document...
, denials, discontinuations and or case closures. Instruction is received on regulations and policies with supervisory...
admissions, transfers, and discharges to minimize diversions, delays, or denials of patients. Functions as on-site administrative...
Other Preferred Knowledge, Skills, and Abilities: Understanding of Revenue Cycle including admission, billing, payments, and denials...