- TEKsystems (Newport News, VA)
- As the Medical Billing and Denials Representative If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth ... questions A day in the role + Investigate insurance denials and make necessary corrections to bring claim resolution....or secondary insurance was billed + Prepare and submit appeals and or medical records to insurance companies +… more
- 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
- 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... denials . They will submit facility and non-clinical appeals and facilitate resolution by referring the matter to… more
- Humana (Columbus, OH)
- …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
- 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 of ... 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
- 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
- Surgery Care Affiliates (Boise, ID)
- …the growing career opportunities for YOU. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow ... Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures. + Works all … more
- Catalpa Health, Inc. (Appleton, WI)
- Last Updated: November 2022 Revenue Cycle Representative Department: Administration Reports To: Revenue Cycle Lead Direct Reports: No FLSA Status: Full Time, ... OVERVIEW AND RESPONSIBILITIES OF THE ROLE The Revenue Cycle Representative reports to the Revenue Cycle Lead. The ...a financial write off or transfer in Epic. * Appeals - Draft and submit claim appeals … more
- Beth Israel Lahey Health (Charlestown, MA)
- …coding of CPT/HCPCS/ICD-9/ICD-10 codes. 6. Identifies, reviews, and interprets third party denials 7. Initiates corrected claims and appeals according to payer ... Billing Office. 16. Assists the supervisor with the resolution of claims issues, denials , appeals and credits. 17. Works with the cash team to resolve unapplied… 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** **:**...None **What You Will Do** **:** The Patient Account Representative (PAR) is expected to perform specific billing processes,… 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
- 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 - Patient Financial - Day Location:...researches claim denial for resolution and submits disputes and appeals . Represents the System in a professional manner while… more
- Guidehouse (Gardena, CA)
- …at ###_** **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
- 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
- Virtua Health (Mount Laurel, NJ)
- …open communication with management regarding billing and coding issues including documentation, denials / appeals , etc.* Follows up on assigned insurances on a ... and complete.* Analyzes, identifies and trends billing issues to proactively reduce denials and variances.* Works system generated reports such as residual balance,… 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 ... teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals… more
- Banner Health (AZ)
- …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 (Coupeville, 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
- Elevance Health (FL)
- …company interactions and all prior authorization information in system. + Reviews insurance denials and submit appeals as permitted by payor. + Contacts ... and personalized support throughout the consumer's treatment journey._ **Authorization Representative II** **Location:** This position will work a hybrid model… 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 ... to blend compassion and professionalism.. Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital role in delivering top-notch… more