- Northwell Health (Melville, NY)
- …medical necessity for assigned case. + Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care ... current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness… more
- Rochester Regional Health (Rochester, NY)
- JOB TITLE: Collections and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM ... SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process,...accurate account resolution in line with payer requirements. + Appeals & Reimbursement Review: Conduct detailed reviews of denied… more
- Ochsner Health (New Orleans, LA)
- …make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials ... + Experience in healthcare or revenue cycle - specifically insurance claim denials . + Strong analytical and organizational skills. + Excellent communication and… more
- St. Luke's University Health Network (Allentown, PA)
- …needed for workflow or identification of trends. Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and ... a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all… more
- Beth Israel Lahey Health (Charlestown, MA)
- …lives.** Identifies, reviews, and interprets third party payments, adjustments, and denials . Initiates corrected claims, appeals and analyzes unresolved third ... the Supervisor, Billing with the resolution of complex claims issues, denials , appeals and credits. 18. Completes projects and research as assigned. **Minimum… 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 (San Marcos, CA)
- …from home._** **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
- TEKsystems (Farmington, CT)
- Insurance Follow‑Up Representative (Hybrid) Shift: 7:30 am - 4:00 pm Employment Type: Full-Time Schedule: Monday - Friday Pay Rate: $25-27/HR Hybrid Schedule (After ... A leading academic health system is seeking an experienced Insurance Follow‑Up Representative to support its hospital billing operations. This role focuses on… more
- New York State Civil Service (Albany, NY)
- …Yes Agency Attorney General, Office of the Title Senior Consumer Frauds Representative or Consumer Frauds Representative Trainee (NY HELPS) Occupational Category ... including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and medical devices; incorrect… more
- Houston Methodist (Houston, 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 (Boise, ID)
- …change. If you join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow up ... Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures. + Works all … more
- Robert Half Accountemps (Palo Alto, CA)
- …with the payers either by phone or via websites. Works payer denials based on claim process adjudication; Review accounts for possible underpayments; research ... contracts, guidelines and resolve payment with payer. Perform appeals with payer. Performs bad debt request transfers as applicable. Performs or requests adjustment… more
- Banner Health (WY)
- …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
- Whidbey General Hospital (Oak Harbor, WA)
- JOB SUMMARY The Patient Financial Services Representative supports the mission of providing quality healthcare to the patients of WhidbeyHealth by performing a ... support the financial health and well-being of the organization. The PFS Representative may be responsible for coordinating patient referrals and subsequent follow… more
- Access Dubuque (Dubuque, IA)
- …resolve billing issues. Handling EOB's, submitting physician notes for protests and appeals , resubmitting corrected HCFA's, protesting denials and follow-up to ... Customer Service Representative **Medical Associates** 1 Positions ID: ok7YyfwH Posted...Medical Associates Business Office is hiring a **Customer Service Representative ** to answer patient questions via phone on a… more
- Intermountain Health (Salem, OR)
- …with an overall goal of account resolution + Post correspondence, zero payments, denials and any other additional items received from insurance to patient accounts + ... Ability to read and understand Explanation of Benefits (EOB's) or interpret denials , required + Basic understanding of accounting procedures such as debits/credits,… more
- State of Colorado (Denver, CO)
- Tax Solution Representative Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167151) Apply Tax Solution Representative Salary $25.43 ... of appropriate tax collection procedures and making authorizations or denials of refunds or assessments. Moreover, the Tax Examiner...the official appeal form signed by you or your representative . This form must be completed and delivered to… more
- Corewell Health (Grand Rapids, MI)
- …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... Practice and Culture This Patient Service Representative position is responsible for creating a welcoming...- 2 pm. Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital role… more
- Huron Consulting Group (Boston, MA)
- …payer requirements, and/or initiates notifications of admission + Resolves authorization denials by providing additional information, documentation, and appeals ... and employee engagement across the enterprise. + The Pre-Service Financial Representative supports the Revenue Cycle by financially clearing urgent and/or elective… more
- Cardinal Health (Doral, FL)
- …to check claim status, request reprocessing or escalate issues. + Analyze denials and underpayments to determine appropriate action ( appeals , corrections, ... resubmissions). + Track and follow up on all submitted appeals until resolution. + Analyze explanation of benefits (EOBs) and remittance advice to determine the… more