- Guidehouse (Birmingham, AL)
- …None **Clearance Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the ... Medical Record + Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals . + Assisting… more
- Guidehouse (Birmingham, AL)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The Denials Patient Account Representative will manage, update and prepare a variety ... as needed with various projects and review and resolve denials . They will submit facility and non-clinical appeals... denials . They will submit facility and non-clinical appeals and facilitate resolution by referring the matter to… more
- R1 RCM (Boise, ID)
- …accounts. Responsibilities include calling insurance companies to resolve authorization and claim denials , writing appeals and letters to insurance companies to ... resolve denials , and following up on appeals to the point of exhaustion or payment. Essential...dialed | First name and last initial of the representative spoken to. (Ex. Aetna @ ### | John… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties… more
- RWJBarnabas Health (Oceanport, NJ)
- Patient Accounts Representative , Appeals , Remote, NJReq #:0000176998 Category:No Category Assigned Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... Corporate Services Department: Appeals Location: Remote, 2 Crescent Place, Oceanport, NJ 07757...Place, Oceanport, NJ 07757 Job Summary: The Patient Accounts Representative position supports the reduction of Accounts Receivables. The… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee environment.… more
- Robert Half Accountemps (Fort Wayne, IN)
- …for efficient execution of tasks. * Manage Insurance Denials and Payer Denials , and handle Medical Appeals . * Leverage expertise in Insurance Follow-up, ... and Medical Denials * Experience in handling Payer Denials * Knowledge of Medical Appeals process * Familiarity with Claim Adjudication * Proficient in… more
- Surgery Care Affiliates (Boise, ID)
- …the growing career opportunities for YOU. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow ... Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures. + Works all … more
- Banner Health (AZ)
- …be the perfect opportunity for you. The Claims Follow Up Patient Financial Services Representative CBO will be working out of a work que and will be responsible ... frequently used: NEXTGEN, FINTHRIVE **Experience in Registration, Billing Process and Denials desired. Workman Comp and/or Tricare experience is a plus.** **Monday… more
- Guidehouse (Lewisville, TX)
- …/ Written Communication Skills . Experience needed for insurance focused opportunities: + Appeals & Denials + Medicare/Medicaid + Commercial & Federal insurance ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...clients: 1+ year medical provider experience working with UB04, appeals & denials . . Strong customer service… more
- Guidehouse (Birmingham, AL)
- …all denials taking necessary actions to obtain account resolution. + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...None **What You Will Do** **:** The Patient Account Representative (PAR) is expected to perform specific billing processes,… more
- Guidehouse (Lewisville, TX)
- …all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non-clinical denials + Monitors all denials ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...None **What You Will Do** **:** The Patient Account Representative (PAR) is expected to perform specific billing processes,… more
- WellSpan Health (York, PA)
- …trend analysis to management, leadership, and insurance liaison.- Writes and submits appeals when needed to overturn claim denials .- Accesses external payer ... Patient Financial Services Representative II - Govt Billing - Days Location:...researches claim denial for resolution and submits disputes and appeals . Represents the System in a professional manner while… more
- Guidehouse (El Segundo, CA)
- …at ###_** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 1+ year's medical provider experience working with UB04, appeals & denials . + Hospital or EOB… more
- UNC Health Care (Chapel Hill, NC)
- …for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials , and re-bills of insurance claims, and all ... insurance claims follow up for no response from payors, and/or claim denials . + Works physician claims ("professional billing"). + Maintains A/R at acceptable… more
- Houston Methodist (Cypress, TX)
- …on insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance ... At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case management… more
- UNC Health Care (Smithfield, NC)
- …procedures and practices necessary to collect carrier accounts receivable and resolve denials . Participates and assists in special projects. Assists new or existing ... teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals… more
- Surgery Care Affiliates (Fort Worth, TX)
- …the growing career opportunities for YOU. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow ... Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures. + Works all … more
- Banner Health (AZ)
- …May be assigned to process payments, adjustments, claims, correspondence, refunds, denials , financial/charity applications, and/or payment plans in an accurate and ... assigned, reconciles, balances and pursues account balances and payments, and/or denials , working with payor remits, facility contracts, payor customer service,… more