capture. The Physician Documentation Specialist will assist the Manager of Physician Auditing & Documentation with developing..., coding improvement, and revenue capture. Under the direction of the Manager Physician Auditing & Documentation, provides...
. Conduct legal and health research to appeal Medicare denials; understand technical Medicare coverage, including Local Medical... requirements and are forwarded to the hiring manager. If the hiring manager selects you to advance in the hiring process...
for resolving any and all pre-bill edits, denials, etc. for assigned accounts. Participates in all departmental in-services.... Communicates issues to the EW Clinical Coding Manager , as appropriate. Maintains at least a 95% accuracy rate. Maintains...
notes and progress records. Notifies Practice Manager/Office Manager of any particular insurance issues or updates..., procedures, diagnostic tests and medications. Works with insurance companies regarding denials and appeals process...
Claims Production Manager and Supervisor, the Claims Processor Level II will be processing outpatient professional... including COB, denials, and reduction in service notifications. Meet Regulatory Compliance Regulations on turnaround times...
payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior... to the date of service. Meet monthly cash collection goals as determined collaboratively by Department Director/Manager...
settlements—within defined authority. Escalates litigated or complex claims to the Claims Manager. Provides ongoing claim... course of action and to appropriately settle the claim. Issues denials, when appropriate. Uses discretion and considers...
for resolving any and all pre-bill edits, denials, etc. for assigned accounts. Participates in all departmental in-services.... Communicates issues to the EW Clinical Coding Manager , as appropriate. Maintains at least a 95% accuracy rate. Maintains...
with patients, physicians, office staff and manager to resolve issues that may result in a denied or delayed authorization request... being authorized Provides the supervisor and manager with immediate feedback on issues affecting workflow, reimbursement...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory... as requested. 20. Works with supervisor and manager to develop and exceed annual goals. 21. Maintains confidentiality...
departments and reducing payor coding denials. Core Responsibilities and Essential Functions: Job Functions - Ensure charging... requirements as assigned by the department Manager or Supervisor Management â Professional Development - Provide individual...
for resolving any and all pre-bill edits, denials, etc. for assigned accounts. Participates in all departmental in-services.... Communicates issues to the EW Clinical Coding Manager , as appropriate. Maintains at least a 95% accuracy rate. Maintains...
and deliverables. Areas of responsibility include claim denials, ABNs, authorization issues and subsequent medical necessity... in conjunction with the administrative manager. Supports and coordinates a wide scope of concurrent projects throughout the D-H...
for resolving any and all pre-bill edits, denials, etc. for assigned accounts. Participates in all departmental in-services.... Communicates issues to the EW Clinical Coding Manager , as appropriate. Maintains at least a 95% accuracy rate. Maintains...
deposits and reconciliation, refunds, posting of cash and adjustments, scanning, collections, working AR including denials... · Prepares deposit for Office Manager's review and daily deposit · Balances ERA's with the bank statement as needed · Works...
and authorization denials. Work with manager to research and resolve missing charges. Provide input to manager...This position reports to the Clinic Operations Manager or Practice Manager. Responsible for ensuring workflow in the...
Manager. Prepares and distributes resident and community communications such as rule reminders, violation notices, rent.... Reviews and codes invoices and statements for Community Manager approval. Schedules clubhouse rentals and processes rental...
company_name-Starr-Regional-Medical-Center is_manager-Starr-Regional-Medical-Center job_type-Full-time custom_fields... claim issues and denials. Core competencies include, but are not limited to the following: Plan, schedule and maintain...
for the review and reporting of DRG denials, Patient Safety Indicators (PSIs) and Hospital Acquired Conditions (HACs... with manager to assist with interviewing of new team members, posting of new requisitions, and coordination of onboarding...
physicians with the general manager, patient care administrator and/or team manager. Orient team physicians as to clinical... in team meetings. Ensure proper team physician support to the VITAS nurse, team manager, and other clinical team members...