- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 10 **Position:** Supervisor Claims PFS **Union Code:** 00 - Non ... Union **Bi-Weekly Hours:** 75 **Weekend/ Holiday Requirement:** No Weekends or Holidays Required Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences.… more
- Banner Health (Mesa, AZ)
- …If you're looking to leverage your abilities - you belong at Banner Health. The Claims Follow Up PFS Representative CBO will be responsible for verification of ... eligibility and work edits on claims that are preventing claim from releasing, rejecting. Systems...supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve… more
- Guidehouse (Birmingham, AL)
- …Up to 10% **Clearance Required** **:** None **What You Will Do** **:** **The** ** PFS Supervisor - Clinical Trials** an extension of a client's business office ... closely with other areas to ensure timely submissions of claims to the payers. Ensure all claims ...required. + Complete annual evaluation of staff. + Take " supervisor " calls when a team member needs assistance with… more
- Tidelands Health (Pawleys Island, SC)
- …better lives through better health!** **Position Summary** **:** Under the general supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager ... and achieve high collections and low accounts receivable days outstanding. + Ensure claims are processed daily and within the timely filing guidelines where account… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …which is subject to renewal.** JOB SUMMARY: Under the direction of the Supervisor of Professional Billing & Coding, the Billing and Collections Rep receives charge ... Responsible for daily processing of claim edits for rejected claims processed through electronic claim vendors. Provides professional customer service… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the general direction of the Supervisor , Professional Billing & Coding and Director, Professional Billing & Coding, this position operates from ... Revenue Cycle Center to address coding issues related to professional billing claims . The incumbent is responsible for reviewing provider charges to ensure accuracy,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk (Commercial Claims Follow-up) Full-Time M-F 9AM to 5PM East 42nd Street** Under the supervision of the Patient Financial ... Supervisor /Manager, performs a variety of patient accounting functions, including...from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House and other direct payers.… more
- Bozeman Health (Bozeman, MT)
- …Needs Position Summary: The Hospital / Professional Insurance Billing Supervisor is responsible for assisting with planning, directing, organizing, monitoring ... the hospital executive team in collaboration with the Patient Financial Services ( PFS ) manager. Oversees and coordinates the insurance billing function for Bozeman… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** PFS Billing **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Medical Biller** is expected to ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...denials for trends and issues and reports finding to supervisor . + Bills or re-bills as necessary. + Ensures… more
- University of Rochester (Rochester, NY)
- …contractual obligations on both primary and secondary levels. Trains new and existing PFS staff on new procedures and acts as point person for complex accounts. ... activities of peers and lesser-grade staff, as directed by the Supervisor . Independent judgment is necessary in escalating collection activities and determining… more
- UNC Health Care (Durham, NC)
- …focus groups for quality improvements and improved throughput of accounts. 3. Assists PFS manager in the he design, coordination, and implementation of policies and ... daily and weekly meetings to review issues and keep staff involved with PFS and Healthcare's goals. Coordinates team time off requests to ensure adequate staffing… more
- Hackensack Meridian Health (Hackensack, NJ)
- …for the Northern Region. **Responsibilities** A day in the life of a Supervisor of Revenue Cycle & Reconciliation with Hackensack Meridian Health includes: + Develop ... Minimum of 4 years experience in Healthcare billing, or health insurance claims environment. Familiar with medical billing practices, concepts, and procedures. +… more
- University of Rochester (Rochester, NY)
- …+ Review and advise supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor /manager on communication to payer ... independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Maintain a detailed knowledge of billing… more
- Mount Sinai Health System (New York, NY)
- …fee schedule linkage, and facilitation of the resolution of escalated operational and claims issues. The Director, Hospital Contract Support is a key member of the ... Develop and maintain excellent relationships with key stake holders eg Finance, PFS , Appeals Management, Clinical Operations, UM/CM, Legal etc., functioning as a… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to...customer calls and written requests in Patient Financial Services ( PFS ) and responds in a timely manner to challenging… more
- University of Rochester (Rochester, NY)
- …coordinate activities of peers and lower-level staff as directed by the Operations Supervisor and Assistant Director, PFS . **Typical Duties** : Under general ... correct dollar amount charged) to create compliant and billable claims for service. For professional billing: + Verify that...correct dollar amount charged) to create compliant and billable claims for service. + Work with hospital PBB manager,… more
- Catholic Health Services (Melville, NY)
- …Island's Top Workplace! Job Details Under the direction of the Hospital RRC Supervisor / Manager, the Hospital Patient Financial Services ( PFS ) Representative is ... escalates carrier or revenue cycle system issues to the Team Lead and/or Supervisor . Participates in projects and audits as directed by leadership; collects and… more
- Medtronic (Northridge, CA)
- …both written and verbal communication. In this role, you will support the PFS Management team by promptly addressing and resolving inquiries related to refunds. You ... Escalates complex accounts as necessary to the appropriate department or supervisor . + Assists as assigned with correspondence, e-mails, voicemails, write-offs, and… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** PFS General **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Team Lead** assists in overseeing ... job-related duties as assigned. + Supporting of staff / supervisor to be successful and work as a team...customer service. + Working knowledge of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service.… more