- Glens Falls Hospital (Glens Falls, NY)
- …status protected under law. **Job:** **Allied Health - Health Information Management* **Title:** * Coding Reimbursement Appeals Supervisor - Health ... Director, is responsible for compliant, complete and optimal facility coding , and in collaboration with Coding leadership...and DRG's that include all MCC's and CC's for reimbursement . In collaboration with Hospital External Review Team (HERT)… more
- UNC Health Care (Chapel Hill, NC)
- …managed that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position provides mentoring ... by updating the coding and send for rebilling if required. 5. Generate coding appeals for insurance denials with sound arguments and based on coding… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Performs coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job ... Texas Medicaid policies. Demonstrate knowledge of compliance documentation and coding standards, seeking guidance from supervisor as...School graduate or equivalency and five (5) years of coding and reimbursement experience of which one… more
- HCA Healthcare (Nashville, TN)
- …is a high-level coding expert responsible for investigating and resolving coding related denials from payers, preventing lost reimbursement and promoting ... payer websites + Escalates problem accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities +… more
- Ally Pediatric Therapy (Chandler, AZ)
- …payer requirements, coding regulations, and company policies. Denial Management & Appeals : + Analyze and oversee the resolution of claim denials, rejections, and ... Job Summary: The Full Cycle RCM Supervisor for ABA Services oversees the entire revenue...revenue capture. + Manage the preparation and submission of appeals , working with payers to overturn denials and secure… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …wide variety of prosthetic and orthotic devices. Works in collaboration with supervisor to oversee the operation of the Prosthetic, Orthotic and Optical ... completes requests for prosthetic equipment and services. Works in collaboration with supervisor and senior staff to plan, draft, develop, and prepare budget… more
- Baystate Health (Springfield, MA)
- …charge corrections as needed, based on findings from Reimbursement Issues and Appeals and or Coding . **6)** Accurately records and files all third party ... **Summary:** Under the direction of the Receivables Supervisor and Lead; identifies medical insurance denials/ appeals...payer information, reimbursement inquiries and appeals in process. **7)**… more
- Houston Methodist (Houston, TX)
- …appropriate billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any ... medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Stays current on collection procedures of various payors and industry… more
- Johns Hopkins University (Middle River, MD)
- …(medical reports, authorizations, etc) as needed and submits to third-party payers. + Appeals rejected claims and claims with low reimbursement . + Confirm credit ... for the collection of unpaid third-party claims and resolution of non-standard appeals , using various JHM applications and JHU/ PBS billing applications. Will… more
- Zelis (Morristown, NJ)
- …policy documents: interpret and document the configurations to be applied to Zelis coding and clinical reviews + Translate client reimbursement policies into ... detailed review of hospital itemized bills for identification of billing and coding opportunities for all payor's claims including restricted list + Review client… more
- Tufts Medicine (Tyngsboro, MA)
- …payor rules, regulations, guidelines and requirements for billing, collection and reimbursement appeals . 4. Technical Savvy with utilizing billing and ... on performing the following Patient Financial Services duties: Facilitates the reimbursement for clinical services provided to patients. Submits claims to health… more
- R1 RCM (Jenkintown, PA)
- …coding , CPT coding and EDI billing. Reads and interprets expected reimbursement information from EOB's and learns legal parameters pertaining to all State and ... keeps staff educated on all current trends in the appeals arena. Utilizes computer systems/programs, processes, policies and procedures...in a timely manner. Performs duties as given by supervisor to fill in where needed: covering phones, sorting… more
- Catholic Health Initiatives (Omaha, NE)
- …payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The ... advices, researching denial reasons and resolving issues through well-written appeals . Work requires proactive troubleshooting, significant attention to detail and… more
- e CancerCare (Nashville, TN)
- …Work an average of 40 to 80 denials per day based on supervisor requirements and accounts assigned. Works closely with insurance carriers for reimbursement ... timely payment Reviews outstanding AR accounts and contacts insurance for reimbursement explanation. Provides clear and accurate documentation of all contacts with… more
- University of Rochester (Rochester, NY)
- …activities of peers and lower-level staff as directed by the Operations Supervisor and Assistant Director, PFS. **Typical Duties** : Under general direction and ... coordinate hospital and departmental procedures relative to charges, billing, reimbursement , and accounting functions associated with Dialysis billing. + Maintain… more
- Elderwood (Waverly, NY)
- …with Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology? We want to talk with you! RN - MDS Coordinator Position ... Medicare required assessments setting the completion date to maximize reimbursement and RUGs categories for each individual assessment. +...for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix… more
- Elderwood (Amherst, NY)
- …(RN) with Medicare experience? Do you consider yourself knowledgable in assessment and reimbursement methodology? We want to talk with you! Elderwood at Amherst is ... Medicare required assessments setting the completion date to maximize reimbursement and RUGs categories for each individual assessment. +...for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix… more
- Alabama Oncology (Birmingham, AL)
- …and take the appropriate action, including completion of submissions, reconsiderations, appeals , or re-working denials, to ensure payment is received timely. ... reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks. + Identifies problems on...a timely manner. + Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or… more
- BrightSpring Health Services (Valdosta, GA)
- …claim appeals with insurance companies to ensure maximum entitled reimbursement preferred* Responsible use of confidential information.* Must be able to read. ... assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.* Provide any additional research for… more