- Guidehouse (Birmingham, AL)
- …HS Diploma or equivalent. + 0-2 years medical provider experience working with UB04, appeals & denials . **What Would Be Nice to Have** **:** + Basic computer ... None **Clearance Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the… 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...3 years related or general knowledge of payor-specific or medical specialty billing **What Would Be Nice To Have**… 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
- HonorHealth (Scottsdale, AZ)
- …statements on patient accounts; submits appeals to payers on patient account denials when appropriate; reviews medical records and other patient documents as ... to appropriate departments Responsible for conducting reviews and responding to insurance denials . Writes concise, factual letters and provides medical record… 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 ... 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
- Robert Half Accountemps (Fort Wayne, IN)
- …Billing for efficient execution of tasks. * Manage Insurance Denials and Payer Denials , and handle Medical Appeals . * Leverage expertise in Insurance ... and Medical Denials * Experience in handling Payer Denials * Knowledge of Medical Appeals process * Familiarity with Claim Adjudication * Proficient… more
- Houston Methodist (Houston, TX)
- … appeals when necessary. Engages the coding follow-up team for any medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + ... At Houston Methodist, the Account Representative position is responsible for resolving all outstanding...This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional… more
- Surgery Care Affiliates (Boise, ID)
- …a patient account representative . + Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts, appeals , self-pay billing, Medicare ... Training, and Experience: + High school graduate. Previous Clinical, Accounts Receivable, Medical Billing appeals and patient billing and collection experience… 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)
- …insurance specific clients: 1+ year medical provider experience working with UB04, appeals & denials . . Strong customer service skills / customer service ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...Skills . Experience needed for insurance focused opportunities: + Appeals & Denials + Medicare/Medicaid + Commercial… 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** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… 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** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… 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)
- …Be Nice To Have** **:** + 1+ year's medical provider experience working with UB04, appeals & denials . + Hospital or EOB claims emphasis + PC skills in a ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance… 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
- TEKsystems (Nashville, TN)
- …within Medical Billing. They must be able to explain the process of appeals and denials , corrected claims, EOB'S. Preferred to have minimum 3-4 years ... experience within medical billing in a high volume, metric based facility....Party payer billing guidelines Ability to comprehend EOB's, work denials and knowledge of appeals process Knowledge… 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
- Surgery Care Affiliates (Fort Worth, TX)
- …a patient account representative . + Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts, appeals , self-pay billing, Medicare ... the growing career opportunities for YOU. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow… 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 ... reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd...claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in… more