JOB DESCRIPTION DETAILS Job Summary: Management and oversight of clinical documentation integrity, denials...
and coding issues. Assists Business Office staff in the resolution of coding related denials guidelines and take corrective...
coding-related denials efficiently. Participate in special projects and perform other duties as assigned. Qualifications...
denials have accurate tracking and are reported to Utilization Management leadership. Discharge planning assistance... of clinical information and managing denials. Coordinates services to avoid under or over utilization of resources. Redirects...
Counseling, Call Center, Billing, Collections/Follow-Up, Self-Pay, Credentialing, Denials. Ensures the financial security...
of denials team members on Women's Care RCM policies and procedures. Conducts huddles or provides agenda for the manager... on cross functional projects related to denials and AR. Creates benchmarks/goals for the department and takes ownership of key...
to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans... and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives...
the ability to maximize the level of reimbursements and prevention of denials by accurate collection of demographics..., and minimize denials and avoidable write-offs, and ensuring that we are maintaining the integrity of the patients clinical...
. 9. Assists Patient Access and Care Management with denials investigation and resolution. 10. Participates...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory...
on claims and claim denials to ensure maximum reimbursement for services provided. Reviews accounts receivable activities...
, and other payers. Assures that good customer service practices are utilized. Maintains denials and appeals logs and reviews the...
. 9. Assists Patient Access and Care Management with denials investigation and resolution. 10. Participates...
insurance denials through written appeal, telephone call, web-based adjudication system, charge correction or write off request...
. In this role, you will be responsible for evaluating and responding to clinical and administrative denials referred to Case...
. 9. Assists Patient Access and Care Management with denials investigation and resolution. 10. Participates...
meetings and addressing system issues as an outcome; reviewing top edits and denials and providing recommendations. Implement...
and denials. Routinely reviews revenue cycle metrics to proactively identify and address issues affecting overall performance...
highly impacts the ability to maximize the level of reimbursements and prevention of denials by accurate collection... experience, maximize reimbursements, and minimize denials and avoidable write-offs, and ensuring that we are maintaining the...
potential of clinical disputes/denials or those eligible for clinical review. Demonstrates proficiency in use of medical... accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, denials...
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