- Trinity Health (Farmington Hills, MI)
- …clinical and comprehensive payer and appeals knowledge in reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and appealing ... colleagues responsible for identifying and determining root causes of clinical denials . Participates in payer meetings and supports the review and resolution… more
- Trinity Health (Farmington Hills, MI)
- …ethical, and professional behavior. **MINIMUM QUALIFICATIONS** **Experience with hospital billing , follow-up, and denials and appeals needed** **Experience ... Position (Pay Range: $39.8218-$59.7327) Manages and oversees a team responsible for billing and follow-up activities on government and non-government accounts at an… 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 ... specific billing /collection guidelines. Responsible for the collection of outstanding balances...EOB-s & R/A-s to ensure payment or to identify denials or non-payment. Responsible for follow up with payor… more
- Tidelands Health (Pawleys Island, SC)
- …a results-oriented PFS department with particular emphasis on collections and billing , both hospital/acute and ambulatory. + At least three (3) years direct ... supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- Tidelands Health (Georgetown, SC)
- …to managed care, denials , and reimbursement issues. * Terminology for hospital billing . * CPT and ICD-10 coding. * Hands-on knowledge of the Experian Health, ... **Position Summary:** The Patient Financial Counselor reports to the Vendor Relationship Manager and will be responsible for the following: * Working with all… more
- Bozeman Health (Bozeman, MT)
- …working relationships + Identifies payer trends and communicates with PFS Manager for escalation + Ensures timely billing and proactively investigates and ... executive team in collaboration with the Patient Financial Services ( PFS ) manager . Oversees and coordinates the insurance billing function for Bozeman Health… more
- Beth Israel Lahey Health (Burlington, MA)
- …for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and ... and identifies denial/non-payment trends and reports them to the Billing Supervisor. 2. Responds to incoming insurance/office calls with...carrier or others and uses information learned to educate PFS and office staff to reduce future denials… more
- Guidehouse (Birmingham, AL)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** **The** ** PFS Supervisor -Physician Billing ** is an extension of a client's business ... or exceeding the Operational goals of our clients and Company. This includes billing , collecting and working closely with other areas to ensure timely submissions of… more
- Sharp HealthCare (San Diego, CA)
- …on a regular basis to ensure efficient and effective interdepartmental work processes. PFS Manager acts as a liaison between vendors and hospital departments. ... follow appropriate billing requirements and receives necessary compliance training.Assures PFS billing products are accurate and patient friendly. Performs… more
- Beth Israel Lahey Health (Burlington, MA)
- …specific facts, unique charging scenarios and tips to process and appeal denials . 10. Responsible for researching payer billing guidelines for specific ... of America) Under the managerial oversight of the Senior Manager , the Revenue Performance Analyst serves as a primary...Educates/shares information with the Physicians, Coders, Clinical staff and PFS staff regarding billing operations and 3rd… more
- Beth Israel Lahey Health (Burlington, MA)
- …to: 1. Reviews and completes continuous daily work queue volume of all PFS related denials . 2. Proactively identifies problems or opportunities for improvements ... 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure...also includes review and rework of all types of denials , as well as analysis and education to reduce… more
- Bozeman Health (Bozeman, MT)
- …Monitor coding key performance indicators (KPIs), ie accounts receivable days, candidate for billing , coding edits and external errors, and denials + Develop ... Carolina 12. North Dakota 13. Wisconsin 14. Tennessee Position Summary: The System Manager of Coding is responsible for assisting other leaders and supervisors with… more
- Bozeman Health (Bozeman, MT)
- …of claims to support reimbursement, including timely filing requirements + Monitor PFS billing and payment key performance indicators, ie collection rates, ... payers to mitigate underpayments and facilitate timely reimbursement + Conduct research regarding billing denials as directed + Maintain knowledge of State and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …making a difference in people's lives.** Under oversight of the Director, the Manager , BILH Patient Financial Services Hospital Billing is responsible for ... healthcare system with future expansion anticipated. Responsible areas within PFS Hospital Billing Revenue Cycle may include...ensure targets are being met. With Director oversight, the Manager sets, monitors and reports on work unit and… more
- Trinity Health (Clive, IA)
- …Responsible for building collaborative relationships with RHM leadership, Referring Providers, PFS and other key stakeholders. Motivates and challenges staff to ... Responsible for building collaborative relationships with RHM leadership, Referring Providers, PFS and other key stakeholders. Motivates and challenges staff to… more
- Bozeman Health (Bozeman, MT)
- …respond to key performance indicators (KPIs), ie accounts receivable days, candidate for billing , denials , CC/MCC capture rates, query and response rates, etc. + ... 12. North Dakota 13. Wisconsin 14. Tennessee Position Summary: The System Manager of Clinical Documentation Improvement (CDI) is responsible for assisting with… more
- Tidelands Health (Murrells Inlet, SC)
- …point of contact for CDI and other team members when the supervisor/ manager is not available. **Position Responsibilities & Functions** + Assigns and sequences ... for benchmarking. + Works closely with Patient Financial Service ( PFS ) to review documentation and serve as department expert...information required to produce a clean claim including special billing procedures that may be defined by a payer… more
- Trinity Health (Syracuse, NY)
- …with site managers, practitioners, and leadership. Submits audit result corrections to PFS and other appropriate billing teams for correction. Maintains annual ... against federal and payer audits, malpractice litigation, and health plan denials Compare evaluation and management code utilization by provider, with comparison… more
- Guidehouse (Los Angeles, CA)
- …Job Functions** + Comprehensive knowledge of healthcare access management, HIM, billing , finance and accounting principles for both Hospital and Physician revenue ... action plans + Provides and implements plans to improve billing performance + Establishes and develops collaborative relationships with...Works with EBO and Client to research and resolve denials + Upon identification of issues, research issues to… more
- UR Medicine Home Care (Rochester, NY)
- …and work queues. + Collaborates with Clinical Operations (CHHA, Hospice, LHCSA) and PFS on resolving clinical documentation issues that impact timely billing . + ... requests by third party payers to respond to claim denials for medical justification including but not limited to...Responds to and resolves clinical documentation issues resulting in billing inquiries. + Documentation expertise in all areas of… more