- Spectraforce Technologies Inc (Atlanta, GA)
- …restrictions exist, the process in which they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate ... the results to the healthcare provider. Conduct follow up outreach to healthcare providers to collect information needed to evaluate for services. Evaluate patient… more
- Accounting Now (Tampa, FL)
- …comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate ... appeal processes and escalates timely filing requests to LeadershipCollaborates with Clinical Denials Nurse, Coding Denials Specialists, and Leadership in… more
- Creative Financial Staffing (Fort Wayne, IN)
- …balances. Stay updated on industry regulations, insurance guidelines, and coding changes. Qualifications of the Claims Follow -Up Specialist: High school ... to resolve claim issues. Maintain accurate and organized records of all claim follow -up activities. Collaborate with the billing and coding team to ensure… more
- Prestige Staffing (Knoxville, TN)
- …denial reasons, and payment discrepancies. Investigate and resolve claim rejections, coding errors, and other issues contributing to payment delays or denials . ... processing healthcare claims and invoices to ensure timely reimbursement from insurance companies and patients. Onsite: Knoxville Tennessee 37932 Contract to hire… more
- Blanchard Valley Health System (Findlay, OH)
- …and insurance terminology. Knowledge of revenue codes, CPT/APC/HCPCS, ICD/DRG coding , NCCI, HIPAA, and other applicable concepts. Knowledge of CMS 1500 forms, ... contracting terms and requirements to address underpayments, overpayments, and denials in accordance with regulatory and contractual obligations. This includes… more
- Rose International (Atlanta, GA)
- …role's responsibility is to seek out and maximize reimbursement from various insurance plans by resolving complicated denials , short payments, billing errors, ... including but not limited to in-depth research, appeals, rebilling, obtaining insurance authorizations or referrals, correcting coding , calling the payer… more
- Staffing Now (Bedford, MA)
- … and billing client located in Bedford Ma. Duties: Review accounts receivable reports follow up on unpaid claims, work denials on an explanation of benefits ... statement, send out appeals, submit required documentation to insurance companies, research claims for information to process on a timely manner, correct errors,… more
- University of Washington (Seattle, WA)
- …Faculty Practice Plane Services (FPPS) has an outstanding opportunity for an ** Insurance Follow -Up Coding Denials Specialist.** **WORK ... week + Day Shift + This position is Remote **POSITION HIGHLIGHTS** The Insurance Follow -Up Coding Denials Specialist (Patient Account Representative 2)… more
- St. Luke's University Health Network (Allentown, PA)
- …dealing with third party insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience helpful Please complete ... ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical...and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal.… more
- Beth Israel Lahey Health (Burlington, MA)
- …field. Must have experience in either a hospital related billing, claims follow up environment or hospital coding . Licensure, Certification & Registration: ... includes review and rework of all types of PFS denials . Good writing and analytical skills are a must....reports them to the supervisor. 3. Responds to incoming insurance /office calls with professionalism and helps to resolve callers'… more
- WellSpan Health (York, PA)
- Director-Utilization and Denials Management Location: WellSpan Health, York, PA Schedule: Full Time General Summary Supervises and oversees the operations of the ... and clinical services. Collaborates with interdisciplinary teams, such as Insurance Specialty Center, Payor Contracting, Compliance, IT, Finance, and Regulatory… more
- Fresenius Medical Center (Waltham, MA)
- …any issues. Performs Accounts Receivable collection duties as assigned by Denials Supervisor, ensuring collection of past due balances to maintain profitability. ... PRINCIPAL DUTIES AND RESPONSIBILITIES: + Monitors all work lists specific to the Denials Management Specialist Role. + Ensures escalation of any work listed items… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL ... following up on more complex or problem claims or insurance types as designated by the Director. Reviews payer... types as designated by the Director. Reviews payer coding policies and procedures to ensure that the department… more
- TEKsystems (Norfolk, VA)
- …| Attention to Details | Rejections and Denials Interpretation | Medical AR Follow Up | Insurance Authorizations | Insurance Payer Experience | Core ... As the Medical Coding Auditor If you're ready to explore the next...Strengths: Medical Coding | ICD-10 Codes | Coding Auditor | Audits | CPC | Insurance … more
- Boys Town (Omaha, NE)
- …unpaid claims related to clinical/facility charges. Reviews and completes daily workflow of denials and no response from insurance payers for HCFA/UBO4, chart ... payer fee schedules and timely filing appeal guidelines are followed. Resolves insurance billing issues to reduce account receivable days outstanding, increase cash… more
- Lancaster General Health (Lancaster, PA)
- …Acts as a resource for the service center personnel in follow -up of insurance denials for coding issues and with establishing new procedures/charges. ... productivity, billing, financial summary, etc + Manages and oversees insurance pre-certifications, authorizations, requests for medical records, and insurance… more
- University of Washington (Seattle, WA)
- …(FPPS)** has an outstanding opportunity for a **full-time, day shift, INSURANCE FOLLOW -UP SPECIALIST (Patient Account Representative 2).** **WORK SCHEDULE** ... Shift + This position is Remote **POSITION HIGHLIGHTS** The Insurance Follow -up Specialist is responsible for the...in choosing the most efficient and effective method of follow -up, including appealing denials , taking adjustments, e-mail,… more
- Keystone Lab (Asheville, NC)
- …contacting insurance carriers and/or 3rd parties daily to collect outstanding insurance balances due, resolve disputes, denials , and general non- payment ... and experience working with a clearinghouse. + Experience with medical terminology, insurance reimbursement, ICD-10, and CPT coding preferred. + Significant… more
- PeaceHealth (Vancouver, WA)
- …areas of billing and account follow -up including claims submission, account follow -up with insurance payors, and resolution of reimbursement issues for ... multi-facility, multi-specialty organization. Details of the Position: + Resolves insurance claim rejections/ denials , and non-payment of claims by payors. +… more
- Catholic Health Initiatives (Chattanooga, TN)
- …**Minimum Qualifications:** *High School Diploma or GED equivalent *Knowledge of insurance follow up process, clinic operations, general office principles, ... Assistance Program (EAP) for you and your family Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness,… more
