Response/Billing Supervisor for unusual circumstances that may include adjustments, denials, fee schedules, claims... experience preferred with emphasis on research and claim denials in Accounts Receivable Demonstrated knowledge of physician...
claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly... in a system work queue. Accurately handle claim adjustments and coverage changes as needed. Review and process claim denials...
, denials, counteroffers, loan modifications, and debt restructuring based upon individual circumstances and data. Process..., terms, and amounts for individual borrowers. Recommend loan approval/denials, counter-offers, and deviations...
. Communicate claim decisions, approvals, and denials to all stakeholders promptly and professionally. Provide exceptional customer...
. Communicate claim decisions, approvals, and denials to all stakeholders promptly and professionally. Provide exceptional customer...
Triage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides...
regulations. Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable Licensure...
guidelines. Reviews and corrects coding edits and denials. May code ICD-10 from written documentation. May abstract CPT/HCPCS...
by Physician Coding leadership - Reviews and corrects coding related denials to maximize reimbursement - Identifies analyzes... and trends coding related denials to recommend areas of coding improvement for the organization - Works all patient coding...
for keying patient information into internal information system. Analyzes, works, and appeals denials from EOB.... Participates in special projects and/or assignments as requested by Manager /Director. Resolve insurance claim denials...
records, daily batches, denials, account analysis, and performing other duties as required or assigned. Requirements...
. Develops, revises and implements administrative policies, procedures, guidelines and job descriptions. Analyzes denials data... to identify trends and shares findings to drive process improvements. Communicates with staff to prevent future denials. Refers...
and balancing problems. Perform accounts receivable trending on payors and denials, including calculation for days in accounts...
. Assists in providing options to referral sources for all denials. Assures all processes are followed according to plan...
activities in an attempt to prevent insurer denials, enhance revenue, and to recover payment for services that have been denied... denials. Follows departmental policy to communicate internally with physicians, care coordination, utilization nurses. 4...
and acuity. This position highly impacts the ability to maximize the level of reimbursements and prevention of denials... or by phone. This responsibility is critical to ensure positive patient experience, maximize reimbursements, and minimize denials...
coverage determinations (NCDs) or payer guidelines. Researches and validates claim edits and denials appropriately. Obtains... or specialty. Coordinates special projects/teams (e.g. provider newsletter, denials teams). Follows Mercy's safety guidelines...
for keying patient information into internal information system. Analyzes, works, and appeals denials from EOB.... Participates in special projects and/or assignments as requested by Manager /Director. Resolve insurance claim denials...
. This position highly impacts the ability to maximize the level of reimbursements and prevention of denials by accurate collection.... This responsibility is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write...
with denials and appeals for Prior Authorizations. Efficient communication and correspondence with the Home Infusion team...