- R1 RCM (Salt Lake City, UT)
- …claim denials , write appeals and letters to insurance companies to resolve denials , and follow up on appeals to the point of exhaustion or payment. To ... analytics, AI, intelligent automation, and workflow orchestration. As our Denials and AR Senior Analyst, you will help R1...will also need experience in writing appeal letters to insurance companies. **Here's what you will experience working as… more
- Catholic Health Initiatives (Omaha, NE)
- …pharmacology. Completion of ICD-10 or CPT coding course. 1+ years coding experience Insurance follow up experience CPC Certification **Pay Range** $18.74 - ... and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established… more
- Guidehouse (Birmingham, AL)
- …UB04's and 1500 Claim Files + Medical Record + Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing ... **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine...Non-Clinical Appeals. + Assisting Supervisor /Manager as needed with various projects. + Escalate payer… more
- RWJBarnabas Health (Oceanport, NJ)
- …Job Overview: The Supervisor is responsible for managing technical and clinical denials and works to resolve the denials and authorizations. They will ... Supervisor , Appeals, Remote, NJReq #:0000176996 Category:No Category Assigned...ensure the staff is properly validating clinical and technical denials to ensure appeals are accurately pursued. In this… more
- Hartford HealthCare (Farmington, CT)
- … follow up, appeals and resubmission actions. This position reports directly to the AR Follow UP & Denials Supervisor and works closely with other staff ... of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group...Relationships:_* . *This Job Reports To (Job Title):* AR Follow Up/ Denials Supervisor . *If… more
- Bozeman Health (Bozeman, MT)
- … billing function for Bozeman Health and all related entities, to include insurance follow -up related to no response, returned claims, denied claims, or ... Position Summary: The Hospital / Professional Insurance Billing Supervisor is responsible for...claim edits that are preventing timely claim submission. Monitor denials , returned claims, claim edits, and payer claim processing… more
- Baptist Memorial (Jackson, MS)
- …as needed in the execution of daily tasks. * Conducts account claim status and follow up and resolves claim payment denials . * Monitors assigned work queues at ... Summary The Accounts Receivable Follow Up Specialist performs all collection and ...accounts aged greater than 90 days, cash collections, and denials resolution in support of the team efforts in… more
- Banner Health (AZ)
- **Primary City/State:** Arizona, Arizona **Department Name:** Amb Billing & Follow Up **Work Shift:** Day **Job Category:** Revenue Cycle Great careers are built at ... options. Apply today, this could be the perfect opportunity for you. The Claims Follow Up Patient Financial Services Representative CBO will be working out of a work… more
- Hackensack Meridian Health (North Bergen, NJ)
- …staff with all care management processes, including LOS, throughput, patient flow and denials and appeals follow up. + Applies process improvement methodologies ... healthcare and serve as a leader of positive change. The ** Supervisor , Care Management** integrates and coordinates utilization management, care coordination,… more
- Insight Global (Nashville, TN)
- …. Skills and Requirements Minimum 2 years experience in Insurance follow -up Understanding of managed care contracts and ... inhibit timely payment Work average of 50 to 100 denials per day based on supervisor requirements...supervisor requirements and accounts assigned Works closely with insurance carriers for reimbursement requirements to ensure payment Reviews… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Supervisor (REMOTE) Location: Midtown Org Unit: AR - Billing Gov't Work Days: Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: ... billing processes . **Job Responsibilities** + Performs daily employee audits of AR follow up in practice management system for quality assurance. + Performs daily… more
- City of New York (New York, NY)
- …nature, issue notices of violation, and make recommendations for issuance or denials of childcare permits and/or closure of programs having imminent health hazards. ... - Conducts monitoring ( follow -up) visits and accompany field inspectors to programs to...State) in the absence of Director, Assistant Director, and/or Supervisor . Selected candidates will be expected to travel to… more
- Houston Methodist (Houston, TX)
- …Degree preferred **WORK EXPERIENCE** + Minimum five years' experience in commercial insurance follow -up **LICENSES AND CERTIFICATIONS - REQUIRED** + N/A ... Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance... Supervisor . + Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials … more
- Priority Health Care (Marrero, LA)
- …requests, and appeals, and monitoring day-to-day activities related to appeal follow -up and denials . Additionally, the Specialist is responsible for ... + Assist with the preparation and delivery of items required for annual audits. Denials Management and Accounts Receivable Follow -Up: + Manage and resolve A/R… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …+ Understands detailed billing requirements, denial reason codes, and insurance follow -up practices; provides information regarding implementation of ... and records maintenance. Work is heavily focused on following up on insurance rejections/ denials and accounts receivable to maximize revenues. An incumbent… more
- Houston Methodist (Houston, TX)
- …professional services. This position performs collections activities on simple and complex denials and on outstanding insurance balances in the professional fee ... by providing verbal and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk (Commercial Claims Follow -up) Full-Time M-F 9AM to 5PM East 42nd Street** Under the supervision of the Patient Financial ... Supervisor /Manager, performs a variety of patient accounting functions, including but not limited to financial verification, preparation of Medicaid applications,… more
- Bozeman Health (Bozeman, MT)
- …development and accurate submission of claims to third party payers to include insurance follow -up related to no response, returned claims, denied claims, or ... other prebilling insurance WQs and escalates systemic issues identified to supervisor + Assists Customer Service with claim processing questions + Identifies and… more
- Baptist Memorial (Memphis, TN)
- …of Baptist aging AR + Prepare and submit reconsiderations and appeals to timely filing denials and follow up with payors for outcomes. + Review all timely filing ... from potential write-offs due to lack of collections and overturns on payer denials through the appeals process. The role will collaborate with upper management to… more
- Penn Medicine (Philadelphia, PA)
- …of assigned work queues handling claim edit work queue resolution as well as follow up work queue denials transferred from Professional Billing Office that ... require department intervention. Individuals will be responsible for investigating claim denials and underpayments by insurance carriers and appeal for payment… more
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