Team Site/SharePoint Knowledge of existing technology Collaborate with manager to complete staff performance reviews... to ensure efficient workflows Analyze and identify opportunities to reduce denials from a coding perspective Assists...
position that requires residency in KY or IN Research denials or audits from all commercial and governmental payors. Performs... or broader healthcare environment. Escalates issues to Manager and Director when a department is not responsive to suggestions...
account balances for ENT, Rheumatology, Neurology, and Allergy divisions as designated by the manager. Utilize the claims... claim denials identified by the payment specialist. Respond to incoming billing-related phone calls. Perform pre-bill...
to, ABNs, standing orders, charge master, and denials audit findings, communicate to and recommend corrective strategies... of Insurance and local carriers in each state. Participate in compliance updates and education at manager meetings, phlebotomy...
standards. Maintains accurate productivity logs and provides this information to the Coding Manager in a timely fashion... related to errors and compliance issues). Communicates with the Coding Manager to find solutions and implement changes...
to, ABNs, standing orders, charge master, and denials audit findings, communicate to and recommend corrective strategies... of Insurance and local carriers in each state. Participate in compliance updates and education at manager meetings, phlebotomy...
to, ABNs, standing orders, charge master, and denials audit findings, communicate to and recommend corrective strategies... of Insurance and local carriers in each state. Participate in compliance updates and education at manager meetings, phlebotomy...
to, ABNs, standing orders, charge master, and denials audit findings, communicate to and recommend corrective strategies... of Insurance and local carriers in each state. Participate in compliance updates and education at manager meetings, phlebotomy...
to, ABNs, standing orders, charge master, and denials audit findings, communicate to and recommend corrective strategies... of Insurance and local carriers in each state. Participate in compliance updates and education at manager meetings, phlebotomy...
. Submits authorizations and clinical information to the appropriate payer/benefit manager in a timely fashion in compliance.... Work with all necessary parties to ensure patients are rescheduled/ notified of denials promptly. Responsible...
to, ABNs, standing orders, charge master, and denials audit findings, communicate to and recommend corrective strategies... of Insurance and local carriers in each state. Participate in compliance updates and education at manager meetings, phlebotomy...
with Prior authorizations and denials. Stay informed of regulations, retail pharmacy best practices, and knowledge of specialty... with all regulatory standards. Works with the Pharmacy Director and Operations/Clinical Manager to identify and develop processes to meet...
routine office work and administrative responsibilities of the resort, working closely with the Resort Manager and other team..., suggestions, and complaints to the Resort Manager. Check guests in and out for their reservations. Perform general...
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...
, monitoring length of stay, seeking necessary care authorizations and utilizing the InterQual Program; appealing denials... pertains to staff-specific workflow. Denials/Appeal Process Completes assessment of denial within 1 week providing...
to, ABNs, standing orders, charge master, and denials audit findings, communicate to and recommend corrective strategies... of Insurance and local carriers in each state. Participate in compliance updates and education at manager meetings, phlebotomy...
, and denials / appeals tracking. This position serves as a liaison between the Case Management department, payers, post-acute... and tracks payer responses / requests of completed clinical reviews, including; approvals, appeals and denials and communicates...
system. Coordinates work in area of responsibility. Acts as a resource to coworkers and manager. · Acts as a liaison... with IS Department. · Manages work group insurance denials. · Compiles, codes and posts professional charges. · Research medical...
Qualifications 1 Year experience in the acute patient care, SNF, home health, or hospice settings. Experience as a case manager... admission review of the case manager and reviews with the Case Manager Lead, as needed. Keeps SRS Leadership informed...
with computerized revenue cycle systems. Interfaces with multiple departments. Reports to Practice Manager/Billing Manager. ESSENTIAL... coding and third party payer insurance and billing processes. Ability to audit denials and perform root cause analysis...