but are not limited to: A/R days, cash collection goals and posting, denials, underpayment and contract management activities related... to maximize operational efficiency and optimize reimbursement, as well as monitors denials and provides education and reporting...
denials, posting and reviewing payments, adjustments and processing refunds for both hospital and physician claims...
for payment Denials management and research and resolve issues that arise in the collection process. Thorough understanding...
all denials in a timely manner. Participates in inpatient and outpatient consultation for specialty, which may include on call...
and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization. Must obtain...
will also be responsible for addressing RAC and related payer denials and reviews. Coding of highly complex medical records as well as medical... appeals and review documentation needed for insurance denials to facilitate expedient resolution and reimbursement...
precertification denials. Assures fiscal compliance related to patient billing and coding. Correctly bill patients for services...
assessment Assist with navigation of insurance approvals, denials and appeals Assess service needs and refers to appropriate...
. Payor Regulations: This will have been satisfactorily performed when: Claim edits and denials are researched...
Training of new employees Act as an escalation point for denials, and other circumstances as needed Charge entry...
to minimize denials of payment. Performs prospective, concurrent and retrospective telephonic reviews for inpatient Mental Health...
records, determining insurance benefits, preauthorization for procedures, checking eligibility, working denials, submitting...
, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate... balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider...
, or Insurance Follow-Up/Denials. Epic experience strongly preferred. Working Knowledge: Must be proficient on a personal computer...
receivables Collaborate with other departments to resolve billing discrepancies and denials Work within healthcare systems...
, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate... balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider...
necessary paperwork for prior authorizations, and conducting retrospective utilization reviews on cases of payment denials... clinical pharmacists of denials or nonresponse. Facilitate enrollment of patients in patient assistance programs...
coverage research. Appeals/Denials. Intakes and reports adverse events as directed. Provides exceptional customer service... to management team (e.g. billing denials, claim denials, pricing errors, payments, etc.). Processes any necessary correspondence...
. Understanding of and experience with line-item denials for Medicare. as well as appeals. Basic computer and navigation skills...
that meets insurance company requirements; appeal all denials in a timely manner. Participates in inpatient and outpatient...