option Summary Facilitates the denial and appeal process through exercising clinical expertise and clinical by reviewing...
. Minimum of two years Epic Revenue Cycle experience Job Description The Sr. Patient Account Specialist will be responsible... for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital...
accounts experience. Minimum of two years Epic Revenue Cycle experience Job Description The Sr. Patient Account Specialist... will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional...
Job Summary The Sr Appeals Specialist investigates appeals and grievances in accordance with established policies... and regulations. The Appeals Specialist is also responsible for the preparation of case files for both clinical and/or administrative...
to lead nationally in innovating equitable whole-person health. The Sr. Appeals Specialist investigates appeals... and grievances in accordance with established policies and regulations. The Appeals Specialist is also responsible for the...
, third party follow up, cash posting, denial appeal and recovery, underpayments, audit defense and recovery, and patient...
range of benefits and perks that appeal to the variety of needs across our diverse employee base! Other rewards may include variable..., misrepresentation or omission of any facts in these documents may be cause for denial of employment or immediate termination...
The DRG Specialist provides expert level coding consultation and guidance for complex medical records that require... in the orientation and education of the coding staff. Provides all levels of appeal to DRG based denials of payment...
The DRG Specialist provides expert level coding consultation and guidance for complex medical records that require... in the orientation and education of the coding staff. Provides all levels of appeal to DRG based denials of payment...
Position Purpose: The Senior Insurance and Claims Specialist is responsible for compliant billing and system..., as well as improved payment turnaround. Nature and Scope: The Senior Insurance and Claim Specialist is responsible...
downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial... Certified Clinical Coder Nurse, Lead/Consultant will report to the Senior Manager, Facility Compliance Review. In this role...
Authorization and pre-certification, utilization review and denial management, Care Coordination, Collaborative treatment... of hospital admissions, discharge planning, and length of stay. Serve as content specialist for staff in the areas of utilization...
. Coordinating access approval or denial process with appropriate access approval authority. Preparing documentation to notify... appropriate personnel of access approval or denial. Conducting program debriefings and processing of relevant documentation (e.g...