applied Evaluates out-of-network and tertiary denials for accessibility within the network Performs a quality assurance...
applied Evaluates out-of-network and tertiary denials for accessibility within the network Performs a quality assurance...
as a contracted medical coding denials specialist. This position is remote. The ideal candidate must have at least 5 years of coding... experience in the professional, surgical realm. As well as 3 years’ experience with working denials, recoding/validating codes...
. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes... regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may...
for coordinating and appealing technical denials and working closely with the HIM Appeals Specialist responsible for clinical appeals... denials for accuracy. Stays abreast of payer updates for authorizations, eligibility, etc and communicates to Revenue Cycle...
for coordinating and appealing technical denials and working closely with the HIM Appeals Specialist responsible for clinical appeals... denials for accuracy. Stays abreast of payer updates for authorizations, eligibility, etc and communicates to Revenue Cycle...
responses for payor requests for additional information and documentation. Review of non-clinical denials including... identification of root cause. Resolve non-clinical denials which include researching and reviewing payor guidelines, writing...
per year About the Role: The Denials Management Billing Specialist is responsible for following payor guidelines..., legislation and regulations. They are responsible to track, trend and provide root cause analysis of denials received by payors...
1. Support, oversee, and manage the performance and productivity of the team as it relates to AR follow-up, denials... that all control processes are effectively minimizing denial appeal related timely filing denials. 9. Collaborate...
Job Description: Denials Specialist, Denials 40 hours per week, day shift JOB SUMMARY: Responsible for the... reporting, monitoring, analysis, and follow-up of denials. Identifies whether a denial can be appealed or if a write-off...
Responsibilities: · Working EOB denials · Contacting carrier on denied claims · Contacting carrier for post claim...
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: Manages the operations of the centralized Utilization review department for Sutter Health entities in a...
Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Responsible for analyzing the hospital and physician current accounts receivable for Managed Care, finding underpayments and rebilling the insurance carriers to maximize reimbursement under our contracts. Bills all special devices per contr...
Overview: Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare profess...
Job Description: Responsibilities Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation. Position will serve as liaison between Revenue Integrity ...
Responsibilities Follows up on unprocessed or denied insurance claims through extensive phone, fax, and written correspondence with payors and pricing agencies. Works with physician offices and billing office employees to resolve any outs...
Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Job Description Job ID#: 3830 Job Category: Finance Position Type: Full Time Details: Under the supervision of the Director of Revenue Cycle, the denial analyst will be responsible for timely billing and account receivable...