billing discrepancies and denials. Compliance and Reporting: Stay updated on changes in Medicare billing regulations... Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification. Call Center Experience Hoag...
billing discrepancies and denials. Compliance and Reporting: Stay updated on changes in Medicare billing regulations... Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification. Call Center Experience Hoag...
with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients enrolled in GPS. Responds to HCP... changes, claim denials, underpayments, etc.) and engages payer team appropriately when patient access may be jeopardized...
Job Description: JOB SUMMARY The Payment Posting team is responsible for posting payments, adjustments, and denials... responsibilities of a Payment Poster Specialist are to accurately and efficiently enter remittance information provided from the...
Job Description: Responsibilities The Utilization Management Specialist is responsible for executing the... organizations, external reviewers, and other payers. Assures that good customer service practices are utilized. Maintains denials...
Job Description: Responsibilities The Utilization Management Specialist is responsible for executing the... organizations, external reviewers, and other payers. Assures that good customer service practices are utilized. Maintains denials...
required: Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT... to achieve compliant coding and optimize appropriate reimbursement and minimize payor denials. Understands and applies...
for coding compliance and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring... WQ [Denials] Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits...
for coding compliance and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring... WQ [Denials] Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits...
Specialist is responsible for conducting utilization and quality assurance activities in accordance with Utilization Review... submission of claims and to minimize denials. Communicates at all levels to ensure timely and accurate compliance...
Specialist is responsible for conducting utilization and quality assurance activities in accordance with Utilization Review... submission of claims and to minimize denials. Communicates at all levels to ensure timely and accurate compliance...
to maximize revenue and reduce denials. Review and train practices on local and national coding and reimbursement policies... denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts...
) and/or Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator... appropriate reimbursement and minimize payor denials. Understands and applies recognized coding guidelines and billing...
. Provide support for existing billing specialist including billing, coding and insurance claims processing. Primary work... networks - Assist with following up on unpaid claims and denials The College of Education and Human Sciences respects people...
, Charge Description Master (CDM), Denials Management, Charge Integrity, Financial Analysis Associate's/Technical Degree... in auditing in clinic and/or facility revenue cycle: Preferred Certified Coding Specialist (CCS) or Certified Coding Specialist...
and management coding as well as patient requests for denials on services provided at the facility. After review, responsible... Coding (CPC) certificate or Certified Coding Specialist Physician Office (CCS-P) certificate required. Registered Health...
and management coding as well as patient requests for denials on services provided at the facility. After review, responsible... Coding (CPC) certificate or Certified Coding Specialist Physician Office (CCS-P) certificate required. Registered Health...
accurate reporting of HCC diagnoses via claims. Works to resolve claims denials and reports denial trends to leadership... Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P) or the American...
. Assists with medical necessity denials and performs appeal with medical staff assistance. Coordinates the transitional.... Makes appropriate referrals to social work based on risk criteria and to Complex Discharge Specialist as indicated. Collects...
accurate reporting of HCC diagnoses via claims. Works to resolve claims denials and reports denial trends to leadership... Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P) or the American...