- Trinity Health (Farmington Hills, MI)
- …+ Supports Supervisor Clinical/ Coding Payment Resolution with communication and follow -up processes related to rejections, denials and appeals, ensuring that ... Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and… more
- Trinity Health (Farmington Hills, MI)
- …claims are paid/settled in the timeliest manner possible: + Coordinates follow -up activities with Utilization Review/Case Management/ Coding /Nurse Liaison to ... location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as...required clinical support, as well as to ensure timely follow -up and action for account appeals. + Works with… more
- Trinity Health (Farmington Hills, MI)
- …claims are paid/settled in the timeliest manner possible: + Coordinates follow -up activities with Utilization Review/Case Management/ Coding /Nurse Liaison to ... location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as...required clinical support, as well as to ensure timely follow -up and action for account appeals. + Works with… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow -up, denials /appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for ... calls, Accounts receivable, Cash postings, Collections customer service, 50 wpm, Medical insurance , Insurance follow up, Icd-10, Medical terminology… more
- Guidehouse (Birmingham, AL)
- …new and emerging approaches to our clients' business processes. This position will follow and ensure that client and company policies and procedures are followed and ... internal host systems and vendor systems + Ensures personal and team follow -up requirements are performed accurately + Organizing team building exercises + Reviews… more
- Beth Israel Lahey Health (Burlington, MA)
- … coding denials and education. 6. Maintains certification requirements for coding . ** Follow Up Responsibilities:** 1. Monitors days in A/R and ensures ... Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews... corrections via paper or electronic submission to the Follow up Team. 4. Reports coding trends… more
- HCA Healthcare (Brentwood, TN)
- …We want your knowledge and expertise! **Job Summary and Qualifications** As a Denials Coding Review Specialist, you will be responsible for applying correct ... it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. What you will...years of related experience preferred, such as accounts receivable follow -up, insurance follow -up and appeals,… more
- AdventHealth (Orlando, FL)
- …a current knowledge of ICD-10-CM/CPT coding updates and changes through Coding Clinics, seminars, and Medicare/ Insurance industry changes. 17. Uses the 3M ... the team is up to date on the latest Coding and payment updates. The APC Coordinator may assist...consults with and/or advises appropriate personnel of situations requiring follow -up or attention. 3. Conforms to all Adventist Health… more
- Henry Ford Health System (Troy, MI)
- …DUTIES AND RESPONSIBILITIES: 1. Participates in the design and continuous evaluation of insurance follow up and recovery functions and workflow, to organize work ... System's (HFHS) transaction flow processes, including the use of coding knowledge to effectively design insurance recovery...productivity. 2. Work in partnership with staff of the Insurance Follow Up and Recovery department to… more
- Corewell Health (Southfield, MI)
- …HIM Management, service line coders, office staff and physicians. (Facility and Professional coding ), review of denials and rejections including HIM work queues, ... employees and processes in assigned areas of HIM Clinical Coding , and Coding Audit; Inpatient, Outpatient ,...(appeal preparation). + Review and complete uncoded accounts in follow up and uncoded workques + And other assigned… more
- PeaceHealth (Springfield, OR)
- …training and standards as directed. + Reviewing records for payor, RAC, regulatory denials /appeals, and downgrades by providing in depth coding review, audit ... **Description** PeaceHealth is seeking a Hospital Coding Auditor Educator to serve as an expert...metrics. Participating in development of action plans to include follow up education on identified issues with subsequent audit… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- …affordable healthcare, including dental and behavioral care, regardless of income level or insurance status. We have an opportunity for a Billing and Coding ... ideal candidate will have integrity, be well versed in insurance rules and regulations, able to work remotely in...limited to: + Responsible for the timely and accurate Coding and data entry of patient billing information. +… more
- Houston Methodist (Houston, TX)
- …claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow -up team for any medical necessity or coding related ... This position performs collections activities on simple and complex denials and on outstanding insurance balances in... as they appear. Documents clear, concise and complete follow -up notes in system for each account worked. Assures… more
- Banner Health (CO)
- **Primary City/State:** Colorado, Colorado **Department Name:** Amb Billing & Follow Up **Work Shift:** Day **Job Category:** Revenue Cycle **Primary Location Salary ... your abilities - you belong at Banner Health. The Follow Up Patient Financial Services Representative CBO will be...emails depending on payer, taking necessary actions to resolve denials and ensure payment. Actions may include, but are… 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, ... full time day shift and night shift opportunities **Responsibilities** *Follows-up with insurance payers to research and resolve unpaid insurance accounts… 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. **Position Details:** + Resolves insurance claim rejections/ denials , and non-payment of claims by payors. +… 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. + Si gn… more
- Houston Methodist (Houston, TX)
- … denials as they appear with actionable items that result in resolution. Engages the coding follow up team for any medical necessity or coding related ... Degree preferred **WORK EXPERIENCE** + Minimum five years' experience in commercial insurance follow -up **LICENSES AND CERTIFICATIONS - REQUIRED** + N/A… more
- University of Virginia (Charlottesville, VA)
- …other medical billing system required. Licensure: CPC required or two years of insurance follow -up experience. **PHYSICAL DEMANDS** This is primarily a sedentary ... This position analyzes accounts receivable and takes appropriate action to resolve coding and global denials . + Posts denials /rejects into EPIC billing… more
- Colorado State University (Fort Collins, CO)
- …Billing and Coding and Student Insurance Departments regarding insurance carrier payment denials and recommends appropriate resolution + Collaborates ... physical therapy + Three years of experience working with insurance coding and billing using ICD10-CM/ ICD...Duty/Responsibility + Works with TPA , Clearing House, and insurance companies to advocate for payments when denials… more