- 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
- Humana (Tallahassee, FL)
- …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
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Appeals and Authorization Representative will perform activities to help facilitate ... limited to the following: Review providers' requests for services and coordinate appeals management review. Generate an appeal letter to substantiate the medical… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Grievances & Appeals Representative 2 manages client denials and concerns by conducting a ... and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 2 performs varied activities and moderately complex… 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
- City of New York (New York, NY)
- …the Mayor's ambitious and comprehensive housing framework. Your Impact: As the hearing representative for the Appeals Unit, you will review casefiles and ... Resources (DTOR). HPD's rental subsidies, Community Coordinators, are part of the Appeals Unit which conducts federally mandated informal hearings and reviews, which… 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
- TEKsystems (Atlanta, GA)
- …insurance primary, secondary, and tertiary payers, and clearing houses, and prepares all appeals and resolves all upfront edits and denials . Routinely monitors ... As the AR Follow-Up Representative If you're ready to explore the next...payers, secondary, and tertiary payers, and prepares all non-clinical appeals . Routinely monitors and processes monthly write-offs for assigned… 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 (Mitchell, SD)
- …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 (Mitchell, SD)
- …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)
- …(Manager, Talent Acquisition) at ###_** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 1+ year's medical provider experience working with UB04, appeals & denials . **What Would Be Nice… more
- Guidehouse (San Antonio, TX)
- …/ Written Communication Skills **Experience needed for insurance focused opportunities:** + Appeals & Denials + Medicare/Medicaid + Commercial & Federal ... **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
- 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 (Chesapeake, VA)
- …insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront edits and denials . + Routinely monitors ... As the LEAD AR Follow-Up Representative If you're ready to explore the next...Medical Terminology | Strong Communication Skills | Rejections and Denials Interpretation | Medical AR Follow Up | Time… more
- Carle (Urbana, IL)
- Accounts Receivable Representative 2 + Department: Patient Financial Services + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment ... a Friend Save Save Apply Now Position Summary: The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities.… 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
- Robert Half Accountemps (Los Angeles, CA)
- …Requirements UB04 form, Medical software, Medical Billing, Medical Collections, Medical Appeals , Medical Denials , Hospital Billing, Hospital Inpatient, Hospital ... Los Angeles is in need of a Patient Account Representative . The Patient Account Representative will be...the accuracy of patients' accounts. Responsibilities: - Review insurance denials and appeal. - Maintain and manage patient accounts,… more
- Guidehouse (Mitchell, SD)
- …/ Written Communication Skills + Experience needed for insurance focused opportunities: + Appeals & Denials + Medicare/Medicaid + Commercial & Federal insurance ... **Job Family** **:** Patient Account Representative , PFS Billing **Travel Required** **:** None **Clearance Required** **:** None **Patient Account Representative… more
- Access Dubuque (Dubuque, IA)
- Patient Financial Services Representative **Southwest Health** 1 Positions ID: 52134 Posted On 08/29/2024 **Job Overview** Requirements + High school diploma, GED, ... claims are submitted timely and received by insurance company. Appeals appropriately and works to find root cause of... appropriately and works to find root cause of denials . Thinks outside of the box to find solutions… more