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...
to enhance service and customer relations. Investigate authorization denials and assists with appeals. Troubleshoot escalated... in a dynamic and fast-paced environment Experience investigating denials. Ability to prioritize workload and meet deadlines...
&A activities, regulatory decisions, and product approvals or denials to anticipate partner needs Travel approximately 5-10...
. Assists in providing options to referral sources for all denials. Assures all processes are followed according to plan...
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...
will be responsible for the processing of payments, denials, refunds, secondary claims, filing and balancing monthly spreadsheets...
and claim denials with the guidance of the Revenue Cycle Lead. In this role, you will: Share CommQuest's mission Build...
utilizing our EPM system - Nextgen to determine appropriate action. Review explanations of benefits details on denials...
. Monitors CSU/WIC census and acuity and reports to leadership monthly. Reviews denials for appropriateness and analyzes trends...
Identify and reconcile claim denials, rejections, and underpayments to maximize revenue Process and submit claims reprocessing...
performed when: Claim edits and denials are researched and discrepancies resolved within 2 days of notification...
and criteria, regularly exercises clinical judgment in the review and assessment of audit related denials for outpatient...
Performance Indicators (example below) relating to POS cash collections, customer service, initial denials as a result... WorkQueues. Monitors and ensures maintenance of accounts, DNB/Denials, claim, patient, and other related Workqueues that impact...
, or denials for correction for submission or resubmission to patients and/or insurance carriers. Accurately perform actions...
. 9. Assists Patient Access and Care Management with denials investigation and resolution. 10. Participates...
for all prices; Print Medicaid for audits with corrections and claims submissions printout. Review denials; Resubmitting...
. Respond as able to in basket messages regarding the process and results. Schedule peer to peer calls, manage denials, handle...
and denials management activities as defined by the RN Discharge Coordinator and RN Utilization Reviewer. They assume a pivotal... and denials from the payors, indexing correspondence to the medical record, and faxing additional documentation...
and minimize denials through problem solving, collaboration and consensus. Accountable for administering the Carle Financial...