timely and accurate insurance authorizations for scheduled services. This position plays a key role in minimizing denials... of denials and initiate improvements. Support VIM customer service and maintain a patient-first approach. Assist with hiring...
manner to various insurance providers. Tracks and follows up on delinquent insurance collections and denials. Prepares...
related to coding, medical records/documentation, precertification, reimbursement, and claim denials/appeals.Uses medical...
/EOMB's for proper reimbursement. Resolves electronic claim rejections and Explanation of Benefits denials in a timely...
. Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers Maintain...
, resolution of aged accounts, and working denials for Hospital and/or Physician Billing. If you are skilled managing a team...
, changes, denials, discontinuations and or case closures. Instruction is received on regulations and policies with supervisory...
department website as needed. Compute denials and approvals in Clintrac system as it relates to patients hospital stays. Process...
for timely follow-up and prompt resolution of denials or other complex account resolution. Assists in continuously improving the...
challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident...
from home. Essential Job Functions Hospital Claims Account Review Appeals & Denials Medicare/Medicaid Insurance... working with UB04, appeals & denials. Hospital or EOB claims emphasis PC skills in a Windows environment. Knowledge...
. * Supports the Managed Care Contract Administration, AH Central Denials team, and AH Regional PFS departments as applicable... verbal and written communication * Constructively discusses existing processes with Contract Managers, Central Denials, AH IT...
in revenue cycle operations (i.e. revenue cycle denials management and revenue cycle process improvement. Microsoft Office...
with a strong background in appeals, denials, utilization management, clinical review, and claims. Preferred Requirements: Active nursing... license Experience in appeals and denials Background in utilization management and claims review If you're detail...
is accountable for the supervision of billing, follow-up, denials, and pre-adjudication functions. Associate's Degree with 2 Years...
to resolve coding related denials Work with Utilization Review to resolve authorization related denials and appeals Use various... Ensure accurate rebilling of claims to avoid denials Communicate billing errors that can be prevented to Department Manager...
to answer clinical questions during the authorization process. 9. Scheduling and following up on peer to peers and denials...
Triage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides...
, nonresponsive, or unresolved accounts. Utilize data analytics tools to identify trends and patterns in claim denials, overpayments...
scanning and indexing insurance mail correspondence. Independently processes insurance denials and requests for documents...