, A/R adjustments, denials, write offs, and refunds. Reviews and makes appropriate adjustments to all postings in both HB... as required ensuring accounts are balanced and posts all write-offs and adjustments as requested by manager. Reviews and makes appropriate...
up with patient’s primary care physicians to exchange consult notes and progress records. Notifies Practice Manager.../Office Manager of any particular insurance issues or updates. Ensures all documents, records, test and lab results...
requirements and sound judgment to make lending decisions for the benefit of the membership; explains reasons for denials... all required related documentation. Responsible for quality and accuracy of all work performed. Assists Sales Manager to develop...
in new areas (outpatient CDI including the Emergency Department, same day stays, observation cases, clinic, denials, medical... improvement and quality measures as identified by department manager. Creates educational content and educates internal staff...
PM Summary: Reports to the Practice Manager, provides patient care that meets the psychosocial, physical, and general.... Collaborates with practitioners, nursing, and manager to meet the needs of the constant patient flow. Collects, reviews...
with support for CM/SW (case manager/social worker). · Additionally, Physician Advisors promote understanding and cooperation... to justify admissions and overturn denials as appropriate, including peer to peer communication with payors. · The Physician...
Reports and works under the direction of the Department Director/Manager/Supervisor. Reviews patient records using... necessity per diagnosis given by providers. Refers any questionable diagnosis issues to the Manager/Director or Clinic...
; approvals, appeals and denials and communicates these to the appropriate people (hospital staff, physicians, DCM, Case Manager... with the peer-to-peer coordination, and denials / appeals tracking. This position serves as a liaison between the Case...
/ compliance requirements, and electronic billing systems. Essential Functions Prepares reports of denials, credit balances... Supervisor/ Manager with quality checks for all payers and departments. Performs quality assurance tasks as needed to validate...
requirements and sound judgment to make lending decisions for the benefit of the membership; explains reasons for denials... all required related documentation. Responsible for quality and accuracy of all work performed. Assists Sales Manager to develop...
campaign-Case-Mgmt/MDS company_name-TGH-Behavioral-Health-Hospital industry-10460 is_manager-TGH-Behavioral-Health... process and follow-up and managing clinical denials and appeals. Coordinates closely with the hospital's interdisciplinary...
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...
Facility: VIRTUAL-GA Job Summary: Under direction of the Manager of Coding Assurance/Compliance, reviews chart... enhancement opportunities; * Trend and analyze denials, provide feedback and education to all entities ; * Identify, find solution...
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...
is also met. Reports denials and/or delays in the pre-certification process to physicians/other health care providers and the patient. May... provide information to the patient on the appropriate appeal procedures for denials. Responsible for coordinating resolution...
ESSENTIAL JOB FUNCTIONS include, but are not limited to: 1. Processes claims populating into Ambulatory Claims Manager (ACM... with notes on current status received and takes appropriate action. Refers delinquent responses and new denials to management...
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...
and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials... effectively with colleagues, supervisor, and manager. Ability to work independently. Strong organizational and time management...
and maintains system user accounts. Creates profiles for new users and providers. Terminates accounts as requested by manager... by Director, manager and senior administration. Creates workbench reports as requested in absence of manager, create novel reports...
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...