denials for a specific population of charges and works in collaboration with the Production Coding team. Coordinates coding... rejections and recommendations to avoid future denials. Works with Professional Coding Leadership to develop monthly coding...
, subrogation, and eligibility criteria. Familiarity with Medicaid and Medicare claims denials and appeals processing..., and knowledge of regulatory guidelines for appeals and denials. Strong verbal and written communication skills....
from members, providers and internal KFHPW departments. Perfom and research complex issues related to authorization denials...
processing. Handle written and telephone inquiries from insurance companies. Research and resolve claim denials, preparing...
regarding denials. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable...
provided. Reviews all potential move-in denials prior to any communication with the prospective resident or family member...
denials or rejected credit cards. Collect credit cards from customers per machine instructions. Organize merchandise, order...
approvals and denials, communication, and coordinating with physicians, staff, and patient Process related incoming faxes...
Claims: Investigate and resolve claim denials or issues. Maintain Billing Records: Ensure all patient billing information...
denials and turn-ins, and maintains hand receipt files of temporary loans. Tasks also include complying with year-end...
of all documentation and forwards to payor as required. Maintains current logs and records of denials and appeals Performs other duties...
office to obtain pre-authorizations, manage patient co-insurances, deductibles, and cash payments. Track claim denials...
will include, but may not be limited to: - Stay up to date on billing protocols - Call and follow up on claim status and denials...
accurately with services billed. 4. Submit claims to insurance for appeals, denials and/or corrected claims. 5. Submit...
dealers with approvals/denials/recommendations on Warranty and Goodwill claims. Uses extensive systems knowledge...
including follow up on outstanding account receivables, reviewing denials and determining necessary action or appeal to achieve...
all denials in a timely manner Participates in outpatient consultations for specialty Qualifications Education: Medical...
. Verify patient insurance benefits and eligibility before appointments. Accurately post payments, adjustments, and denials... into the practice management system. Follow up on outstanding claims, appeals, and denials to ensure timely resolution...
to help develop and improve their skills in the follow up, denials and appeals process. Follows up on clean claim delays... Acceleration. Mentors AR Specialist team members to help develop and improve their skills in the denials and appeals process...
and professional growth and effective communication. Participate in insurance approvals and denials in conjunction with billing...