. Processes and resolves denials that are technical in nature (i.e.: records required denials). Performs miscellaneous job related...
/denials and records outcomes. Reconciles all payer correspondences and runs daily department reports, taking action... if needed. Run daily department reports and take action if needed. Enter all denials received into Artiva, manage worklist...
: Significant experience in revenue integrity processes and practices (including CDM, charge capture, coding, billing and denials...
denials and remediates with staff as a group and/or individually as necessary. Completes reconciliation of daily deposit...
System (FMMIS) regarding provider eligibility and contract statuses. - Processing denials of new applications...
. Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner...
through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys; ensuring...
necessity and/or urgency of the patient case. Communicates status of authorization/FMLA disability forms (approvals, denials...
with retroactive insurance denials/appeals. Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC...
on unpaid claims and denials Maintain accurate and up-to-date patient account information Provide excellent customer service...
and research) as requested. Provides appropriate documentation that meets insurance company requirements; appeal all denials...
/FQHC. Working in the mental health/SUD setting. Troubleshooting AR denials. Working with claims trend analysis. Posting...
regarding claim denials and appeals. Stay updated on all relevant healthcare billing regulations (HIPAA, FQHC Medicare...
extensions throughout treatment Pull and submit medical documentation as requested by payer Work denials related...
debt, public benefits, housing denials due to criminal record, employment and occupational license denials, and consumer...
Submitting and monitoring insurance prior authorizations for various services at St. Luke's, and navigating pre-service denials...
ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform... and office equipment is needed. Must be multi-disciplined in billing, collections, denials, credit balances and/or the various...
appeals within established time frame to avoid write offs Identify root cause of denials and create optimal solutions... to prevent future denials; compose appeal letters for accounts denied and obtain necessary documentation. Complete cash...
and collection of charges. Work with Billing Department staff on timely responses to all billing denials, requests for additional...
and research) as requested Provides appropriate documentation that meets insurance company requirements; appeal all denials...