assigned work queues daily/weekly to resolve claim denials in Cerner to ensure correct reimbursement and to avoid timely filing... denials or issues, identify if another department needs to be contacted to obtain correct charge/coding information...
, and obtain insurance authorizations. Monitor provider open charts, work on denials, and secure complex authorizations...
with discrepancies in payments, rejections and/or denials to ensure appropriate payer reimbursement · Handles calls and questions...
claim issues. Researches and reworks all claim kickbacks, rejections, and denials. Review medical records to ensure orders...
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...
documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. Duties...
, 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...
and process improvements. Performs follow up with insurance companies to ensure appropriate payment on claims, resolve 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...
action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up... is needed. Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers. Prior collections or medical...
will be assigned to and support one or more of the following departments: Billing & Follow Up - Denials Accounts Receivable...
and balancing problems. Perform accounts receivable trending on payors and denials, including calculation for days in accounts...
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... handle claim adjustments and coverage changes as needed. Review and process claim denials according to established processes...
to proper specialist, preparing paperwork, obtaining authorization from insurance company and handling denials and problems...
with working knowledge of insurance and appeals experience related to denials management in addition to heavy phone work preferred...
and consistently contribute to team goals, as well as how they support greater organizational goals. Enter and work all denials...
and sell campus insurances by engaging in orientations, campus events, and through direct communication. Denials Follow... up on insurance claim denials, exceptions, or exclusions Contact insurance companies if claims are inaccurately...
wide clinical revenue management activities in an attempt to prevent insurer denials, enhance revenue, and to recover... and/or peer to peer reviews for concurrent denials. Follows departmental policy to communicate internally with physicians, care...