, and clinical abstracts related to claims payment to evaluate and appeal denied claims. Perform timely follow-up on account appeals..., and success rate of appeals. Supports global denial prevention and mitigation efforts throughout the health system by attending...
position is open due to an unscheduled vacancy, and the term ends March 31, 2026. The Construction Board of Appeals (CBOA... Uniform Codes and to hear and decide appeals of orders, decisions or determinations made by the Chief Building Official, Code...
Purpose The Clinical Appeals and CDI Specialist uses clinical/nursing knowledge and understanding of national coding..., and compliant. ? The Clinical Appeals and CDI Specialist provides nurse consultation services that consist of reviewing...
Responsibilities Primary Job Responsibilities This position is divided equally between Member Appeals... and Grievances Department and Provider Appeals Department with 20 hours dedicated to each department per week. Act as the initial...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
Job Summary: The Patient Access Representative is responsible for collecting patient information, obtaining current... and gathers consent, privacy, and authorization forms. The Patient Access Representative is responsible for scheduling, canceling...
Position Summary The Patient Accounts Representative is responsible to prepare and submits claims to various... Account Representative is responsible for ensuring that all insurance claims are processed and paid. They will perform...
Position Summary The Patient Accounts Representative is responsible to prepare and submits claims to various... Account Representative is responsible for ensuring that all insurance claims are processed and paid. They will perform...
Job Title: Insurance AR Follow up Representative-Physician Billing Location: Melville, NY Experience level.... Submit Appeals for Denials and/or Underpayments. Determine Patient Responsibility. Verify Insurance Coverage, Contact...
and Leadership Team are focused on the well-being of our Employees and the enrichment of the work environment! If this appeals... to you and you would like to be part of a "Winning Team", then please consider applying for the Member Service Representative/Specialist position at First...
and Leadership Team are focused on the well-being of our Employees and the enrichment of the work environment! If this appeals... to you and you would like to be part of a "Winning Team", then please consider applying for the Member Service Representative/Specialist position at First...
Servicing Representative is a customer service professional who will display confidence, a passion for service, and practice... empathetic listening towards all Pharmacy Benefit Dimensions (PBD) customers. The Servicing Representative will function...
Service Representative (MSR) III to serve as a primary point of contact for members, providers, brokers, and plan partners... situations. What You’ll Do As a Member Service Representative III, you will provide advanced member support while helping...
to process appeals and resolve appropriate underpayments. This includes application of appropriate contract terms, fee schedules... for assigned accounts. Review payor refund requests to resolve reimbursement discrepancies. Initiates appeals or adjustments...
and professional experience. Job Overview: The Patient Account Representative is responsible for managing and resolving all aspects.... The position supports the reduction of Accounts Receivables. The Representative may also perform a variety of duties...
Description : We are looking for a Professional Billing Representative to join our collaborative team at Memorial... receivables at or above departmental established goals Prepares and submits appeals, collecting all pertinent documentation...
and Retention Representative Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Medicaid Outreach... and Retention Representative to join our team. Type of Opportunity: Full time Job Exempt: Yes Job is based : Reverend Hugh...
Representative JOB REQUIREMENTS Supervisory Responsibilities: NO Minimum Education: High School Diploma/GED License... on the day they are received in a timely manner. Offers long term solutions for repeat issues. Appeals denials...
climate and culture at all levels of our organization. SUMMARY The Reimbursement Representative performs reconciliation.... Performs claim appeals as required. Assists with credit balance resolution. Completes re-bill request as necessary...