Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Overview: Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare profess...
Responsibilities Follows up on unprocessed or denied insurance claims through extensive phone, fax, and written correspondence with payors and pricing agencies. Works with physician offices and billing office employees to resolve any outs...
Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Benefis is one of Montana’s largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by ...
Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Job Description: JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claim...
Job Description: JOB SUMMARY Responsible for providing direct support to internal and subcontracted external legal resources engaged in the collection and recovery of managed care and/or Worker's Compensation claims. ESSENTIAL DUTIES ...
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The purpose of this position is to assist in managing the company’s outstanding receivables, through routine communication with all payers (e.g. commercial insurance, Medicare, private pay patients, etc.) to ensure that expected reimburseme...
Overview: Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare profess...
Responsibilities Files written letters of appeal on claims denied by the insurance carriers. Performs extensive telephone contact with the insurance companies to conclude payment on the denied claims. Utilizes Northside's contract summari...
on clinical and technical denials for his or her respective client, utilizing multiple analytics tools (including parsed 835 data..., Epic BDC records, Access databases/SQL) to identify patterns and trends relative to acute denials. The Denial Prevention...
health care team to prevent insurance denials and discharge delays. The focus is on care appropriateness and quality... of reimbursement principles. Certified Case Manager, Certified Professional Health Management, Certified Care Guidelines Specialist...
Supervisor and guidance of the Team Lead the Patient Accounts Specialist is highly involved in all aspects of medical billing... required Minimum of one years’ experience in health care denials Experience with the Revenue Cycle – registration, medical records, billing, coding...
Supervisor and guidance of the Team Lead the Patient Accounts Specialist is highly involved in all aspects of medical billing... required Minimum of one years’ experience in health care denials Experience with the Revenue Cycle – registration, medical records, billing, coding...
Job Description: Overview The Clinical Documentation Integrity (CDI)/ Denials Manager is responsible for the... strategic and operational planning, design, implementation, and oversight of UF Health Shands CDI Program and Denials Management...
. Skills / Requirements Job Summary The Care Manager Clinical Denials (CM-CD) is responsible for the management of clinical... audits and denials related to inpatient medical necessity and/or level of care, and coding. The CM-CD reviews patient medical...