- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, ... additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 10 **Position:** Supervisor Claims PFS **Union Code:** 00 - Non ... Union **Bi-Weekly Hours:** 75 **Weekend/ Holiday Requirement:** No Weekends or Holidays Required Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences.… more
- Trinity Health (Farmington Hills, MI)
- …problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Trinity Health (Farmington Hills, MI)
- …posting processes are followed. This position reports to the Supervisor Payment Posting. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates ... appropriate system(s). Tracks data on payment activity and related findings for supervisor . Adheres to proactive practices, including cash posting of all incoming… more
- Trinity Health (Farmington Hills, MI)
- …clinical best practices. The position will report directly to the Supervisor Clinical / Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, ... is paid/settled in the most timely manner possible: + Supports Supervisor Clinical/Coding Payment Resolution with communication and follow-up processes related to… more
- Trinity Health (Farmington Hills, MI)
- …customer complaints and issues. This position reports directly to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, ... Resolves or escalates issues affecting customer complaints and issues to the Supervisor PFS Customer Service. Performs communication and follow-up processes… more
- Trinity Health (Farmington Hills, MI)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, ... recommendations for resolutions of the issues and findings for the supervisor . Resolves independently or escalates issues affecting customer complaints and issues… more
- Tidelands Health (Pawleys Island, SC)
- …better lives through better health!** **Position Summary** **:** Under the general supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager ... and achieve high collections and low accounts receivable days outstanding. + Ensure claims are processed daily and within the timely filing guidelines where account… more
- Trinity Health (Farmington Hills, MI)
- …variances from expected reimbursement, and resolving or escalating issues to the Supervisor Payment Resolution for resolution. This position reports directly to the ... Supervisor Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and...payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the… more
- Trinity Health (Farmington Hills, MI)
- …received on denied accounts, and resolving or escalating issues to the Supervisor Payment Resolution Supervisor for resolution. Provides training and guidance ... problems as needed. This position reports directly to the Supervisor Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates… more
- Trinity Health (Farmington Hills, MI)
- …and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Supervisor Professional Billing & Coding follows Federal State & local regulatory collection guidelines as well as payor ... balances from all Commercial HMO PPO Medi-Cal & Managed Care payors professional claims . Responsible for identifying issues checking status of unpaid claims by… more
- Trinity Health (Farmington Hills, MI)
- …coding best practices. This position reports directly to the Supervisor Clinical/Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, ... HCPCS, Modifiers and CPT-4 procedural codes for CMS-1500 outpatient or inpatient claims , or other coding reasons and processing charge corrections based on medical… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Supervisor of Professional Billing & Coding, the Billing and Collections Rep receives charge batches for verification and ... Responsible for daily processing of claim edits for rejected claims processed through electronic claim vendors. Provides professional customer service… more
- Guidehouse (Birmingham, AL)
- …write offs, or transfers accordingly to resolve credit balances, resubmits claims and supporting documentation as needed, and communicates with third party ... Communicates issues to management timely. Performs other duties as assigned by direct supervisor . **What You Will Need** **:** + High school diploma or equivalent +… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the general direction of the Supervisor , Professional Billing & Coding and Director, Professional Billing & Coding, this position operates from ... Revenue Cycle Center to address coding issues related to professional billing claims . The incumbent is responsible for reviewing provider charges to ensure accuracy,… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** PFS General **Travel Required** **:** Up to 10% **Clearance Required** **:** None The **Project Supervisor ** is responsible for overseeing ... of the project staff inclusive of onsite Team Members when applicable. A Project Supervisor is an extension of a client's business office staff. This position is… more
- Bozeman Health (Bozeman, MT)
- …Needs Position Summary: The Hospital / Professional Insurance Billing Supervisor is responsible for assisting with planning, directing, organizing, monitoring ... the hospital executive team in collaboration with the Patient Financial Services ( PFS ) manager. Oversees and coordinates the insurance billing function for Bozeman… more
- University of Rochester (Rochester, NY)
- …contractual obligations on both primary and secondary levels. Trains new and existing PFS staff on new procedures and acts as point person for complex accounts. ... activities of peers and lesser-grade staff, as directed by the Supervisor . Independent judgment is necessary in escalating collection activities and determining… more
- University of Rochester (Rochester, NY)
- …+ Review and advise supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor /manager on communication to payer ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...bringing concerns to the attention of billing Manager and Supervisor . The Claim Resolution Rep III will represent the… more