management system. Identify payments that are underpaid or denied in error. Follow-up and work any underpayments and denials... EOBs that are posted within 5 business days Work on special projects for A/R Manager and A/R Team Filing and other office...
Representative position is part of the Revenue Cycle Department and operates under the leadership of the Cash Posting Manager... and Supervisor. This individual may have responsibility for assisting with the posting payments and denials received primarily...
, Supervisor or Manager. Reviews health insurance claim to ensure accuracy of payment, denial, rejection received based upon... contracts on file, payer guidelines and Salud's policies/procedures. Processes Salud's aged receivables and claim denials...
information including co-pays, deductibles, co-insurance, contractual adjustments, and denials to verify accuracy of patient... balances Review EOB's and/or insurance correspondences in order to process or forward claims to the denials team Identify...
determination. The Utilization Management Case Manager is responsible for performing the initial and concurrent Utilization Reviews.... 5. Collaborates with UR coordinators, clinical appeals, and physician advisors to prevent and manage concurrent denials...
guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Takes appropriate action... of any concurrent denials.Prepares case reports;documents treatment plan, progress notes and discharge summary related information...
Manager. The Scheduling Assistant records absences in scheduling software and secures replacements as needed. The Scheduling... life on purpose! Responsibilities Under the direction of the Care Team Manager/ALM/BHM, maintains schedule for care...
denials or independently resolves selected denials. Responsible to research, analyze and resolve routine pre-bill errors... from Manager; Physician or other content expert(s) as needed. Other duties as assigned Position Requirements...
and qualifications. -The Revenue Cycle Manager is responsible for the RCM-revenue cycle management, process in a medical subspecialty... and be responsible for all revenue cycle activities, including billing, denials, accounts receivable, cash flow analysis and minimizing...
insurance denials and submit appeals as permitted by payor. Contacts physician offices as needed to obtain demographic... Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates...
on a daily basis. 3. Submits daily transaction files to CMS. 4. Ensures that all enrollments, denials and rejects meet Medicare..., and all other necessary compliance mailings. 10. Submits monthly reports to the Membership Manager, enrollment applications processed...
electronically and via mail. Follow up on outstanding insurance claims, appeals, and denials. Maintain up-to-date knowledge... environment. Problem-solving skills to navigate insurance claim discrepancies and denials. High level of professionalism...
payor denials, and patient accounting customer service. Communication skills and customer service skills are a must! 3-5... assessments, the hiring manager will not schedule an interview with you after the initial phone interview. Master Center...
diagnosis, procedure details or authorizations and information for denials as needed. Uses medical terminology and scheduling... verification, notification, and authorization functions, follow ups on denials and no response claims. Communicates...
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...
Work the self-pay report(aging report & work log) Follow-up on insurance denials Collect patient payments Any additional... task assigned by Site Manager or Front Desk Supervisor Requirements Demonstrated success in a revenue cylce...
, Supervisor or Manager. Reviews health insurance claim to ensure accuracy of payment, denial, rejection received based upon... contracts on file, payer guidelines and Salud's policies/procedures. Processes Salud's aged receivables and claim denials...
compliance and provide recommendations for process improvement. Review all denials to determine if properly denied or need... to appeal. Partners with Medicaid Eligibility Manager to perform and track Medicaid process and policy integrity audits...
everywhere. Apply today! Job Details Under the general supervision of an Operations Manager, the Patient Access Specialist will be providing advanced services... coverage research. o Appeals/Denials. o Intakes and reports adverse events as directed. Provides exceptional customer...
of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs, development... denials, documents avoidable days, and facilitates progression of care Collaborates with Utilization Management staff...