- Guidehouse (Birmingham, AL)
- …None **Clearance Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the ... Electronic Files + UB04's and 1500 Claim Files + Medical Record + Making outbound calls to Insurance Companies...Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals… 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 ... with clinical and other Humana parties. The Grievances & Appeals Representative 2 performs varied activities and...or related customer service experience + Previous grievance and appeals experience + Medical terminology experience +… more
- Robert Half Accountemps (Fort Wayne, IN)
- …Billing for efficient execution of tasks. * Manage Insurance Denials and Payer Denials , and handle Medical Appeals . * Leverage expertise in Insurance ... and Medical Denials * Experience in handling Payer Denials * Knowledge of Medical Appeals process * Familiarity with Claim Adjudication * Proficient… more
- Houston Methodist (Houston, TX)
- … appeals when necessary. Engages the coding follow-up team for any medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + ... At Houston Methodist, the Account Representative position is responsible for resolving all outstanding...This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional… 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... Terminology | Strong Communication Skills | Rejections and Denials Interpretation | Medical AR Follow Up… more
- Guidehouse (Lewisville, TX)
- …insurance specific clients: 1+ year medical provider experience working with UB04, appeals & denials . . Strong customer service skills / customer service ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...Skills . Experience needed for insurance focused opportunities: + Appeals & Denials + Medicare/Medicaid + Commercial… 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** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… 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** **:**...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- Guidehouse (San Antonio, TX)
- …insurance specific clients: 1+ year medical provider experience working with UB04, appeals & denials . + Strong customer service skills / customer service ... / Written Communication Skills **Experience needed for insurance focused opportunities:** + Appeals & Denials + Medicare/Medicaid + Commercial & Federal… more
- Guidehouse (Lewisville, TX)
- …of High School Diploma/GED. + 1+ year's medical provider experience working with UB04, appeals & denials . **What Would Be Nice To Have** **:** + Has active ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...at ###_** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance… 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... Terminology | Strong Communication Skills | Rejections and Denials Interpretation | Medical AR Follow Up… 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)
- …UB04 form, Medical software, Medical Billing, Medical Collections, Medical Appeals , Medical Denials , Hospital Billing, Hospital Inpatient, ... 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
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …RESPONSIBILITIES: + Extensive Insurance follow up for various insurance plans + Working denials , submitting appeals and corrected claims + Thorough knowledge and ... JOB DESCRIPTION JOB TITLE: Insurance Follow up Representative DEPARTMENT/DIVISION: Billing STATUS: Full-time, Non-Exempt REPORTS TO: Billing Manager POSITION… 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...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- Robert Half Accountemps (Los Angeles, CA)
- …of two years of experience in a hospital billing position. Extensive experience managing medical denials and appeals . Knowledge of billing procedures and ... Medical Center is seeking a Hospital Patient Account Representative . The Medical Regional Center offers a comprehensive range of healthcare services to… more