provides RCM analytics for the practice managers and staff, including payer trends for edits, rejects and denials of claims.... Responsibilities: Provide reporting analysis and support to the RCM National Director to assess training and process needs in the...
that require clinical consultation with the medical director in a timely manner. Ensure cases are appropriately referred to Care... as report on potential quality of care issues as identified. Process timely completion of denials process per policy. The RN...
arise such as missing payments, payer delays, and technical denials. Ensures payment amount(s) from insurance carriers... and re-bills accounts when appropriate. Effectively and timely identifies the root cause of non-payment denials and works...
of all required documentation, updating it a minimum of weekly & submitting it to the Center Director at the end of the day each Friday Review... supplies Develop and monitor a list of classroom supplies and submits a monthly supply request to the Center Director by the...
. Follows-up by phone call to payers on open dates of service for payments, denials and resubmission of claims, if necessary. 9... and upon signature by the Director of Operations/Reimbursement, prepares and sends to Fiscal Intermediary Medicare, credit...
FLSA Status: Hourly / Non-Exempt Reports To: Director, PA Center for Diabetes Prevention & Education About the Role..., resolve denials, and follow up with payers as needed Maintain billing logs, reconciliation reports, and payer-aligned...
are met. Assists department Manager and Director in establishing and implementing goals for the department. Assists the department... sources, assist with research claim denials and reimbursement issues, and achieve established collection goals. Supports...
in their lives and integrate back into their communities. To assist the Director of Finance in managing all fiscal issues for the... Division including but not limited to assisting the Director of Finance in billing and collections relating to Medicaid...
for assigned customer base: Including but not limited to- Denials Analysis/Trending, Outstanding Sales Orders, Unposted Deposits... and follow-up through proactive monitoring of the operational workflow and processes, working with the Sr Director & Director...
and employee engagement.Additionally, this role supports the Director of Operational Effectiveness as a secondary liaison... and Entity Revenue Cycle results, including (but not limited to) Charge Edits, Denials, Net Revenue Realization, Days in A/R...
all patient education and communication. Provides services in a cost-effective manner. Assists Director with equipment... and coordinates marketing services of the product. Assists with audits and denials. Home Visits with our non-invasive ventilator...
business process improvement projects to increase effectiveness, improve efficiency, reduce denials, eliminate waste... in coordination with the Director of Operations Collaborates with the credentialing team to ensure that physician participation...
and personnel processing, telephones and clerical support to the director, managers and support staff. The office manager... in front desk operations, insurance verification/eligibility, denials and billing practices; Responsibilities include fast...
! This is a remote work position that requires residency in KY or IN Research denials and/or suspected payment variances... on reimbursement discrepancies monitoring the payor dispute / appeal, escalation to the Director / Manager, or Managed Care...
and coaching, hiring and firing. Reporting: The Location Manager reports to the Director of Operations Duties: Manage... director Provide excellent customer service that minimizes loss of revenue due to refunds, leads lost, leads not called back...
Location: Devou Park Department: Billing Services Position Reports to: Director of Billing Services Position... will utilize this position as a backup for other responsibilities in the department such as claim denials and utilization...
to clean claims and timely payment; tracks and trends denials, escalating systemic issues to the Director/Manager. Tracks... patient status placement, accurate coding, and defensible payer billing. Focuses on clinical denials, observation services...
and Director on operational concerns and oversight of team members Exemplifies the core values of Managed Resources Other duties..., and related industry- based standards. Specific knowledge of managed care denials and underpayment decisions. Excellent oral...
of health services, and minimize denials of payment. The RN Case Manager Team Lead is responsible for supporting the Director...
, or for quality assurance. · Develop educational and community relations plans in consultation with Program Director, Medical... Director, and host hospital CEO. · Maintain effective communication and listening skills with patients, families, healthcare...