payer requirements prior to date of service. Minimizes third party payer denials by verifying authorization of service prior... to the date of service. Meet monthly cash collection goals as determined collaboratively by Department Director/Manager...
for coding denials and/or adjustments. Extensive knowledge of Medicare Part A and how the regulatory requirements impact DRG... participation in team meetings by providing recommendations on query structure, process, and workflow. Responds to coding denials...
. This role, reporting to our Director of Revenue Cycle, will include management of both people and processes, with an emphasis... to auditing standards. Identifying reasons for claim denials and formulating effective appeal strategies to maximize...
management. Under the supervision of the Business Office Director and Supervisor, this role ensures timely claim submission... daily accounts receivable review and address reimbursement issues promptly. Process denials, submit appeals, and manage...
as directed by the Director of Coding and Billing. Successful candidates for the Billing and Collections Associate... and file insurance claim forms including electronic claims. Research insurance denials and/or rejections and work to correct...
. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical... solving issues related to denials. Provides assurance that billing practices are complete, accurate, and in compliance...
: Location: Detroit, MI - Elijah McCoy Campus, Centralized Pharmacy Service Center The Pharmacy Manager reports to Director... seamless patient access, minimize claim denials, and resolve payer issues for infusion and injection therapies. Data Analytics...
to prevent errors and denials from occurring. Ensures compliance with regulatory policies and procedures. Conducts timely... control and purchasing, and payroll processing and management. Collaborates with Practice Administrator, Executive Director...
. Reports findings consistently to Director of Pharmacy and VP of Oncology Service Line. Advises the executive team... director to verify profitability of managed care contracts related to drug margins. Works with various national oncology...
. Under direction of PAS Sr. Director and/or PAS Director, provides mentoring and clear developmental opportunities to staff. Able... in order to meet all established goals and to minimize registration initiated initial denials. 7. Proactively engages...
based on review of available account detail (late credits, charges, denials, etc.). Analyzes, computes, and requests... that all potential payments are received prior to billing the patient. Keeps coordinators and/or management updated on workload, denials...
and patient eligibility Submit accurate and timely insurance claims Follow up on unpaid claims and resolve denials Communicate... in New Jersey Perform other duties as assigned by the Director of Revenue Cycle Management Requirements High school...
accuracy to support proper reimbursement and payer compliance Submit claims and follow up on coding-related denials... updates and payer policy changes affecting New Jersey FQHCs Perform additional duties as directed by the Director of Revenue...
Support, oversee, and manage the performance, productivity and quality of the entire Billing, Follow-Up/Denials team... AR resolution, denials management, credit balance resolution and payment variance recoupment. Ensure CCHC employees and vendor...
of all patient admissions, discharges and transfers. Meet regularly with program therapists and the Medical Director and program... a system to minimize and address denials in consult with the facility Business Office Manager and CFO. Benefits for our team...
specialist within the department. Trains Insurance Billing Specialists I and related support staff. Works closely with Director... and maintain the knowledge and skills for the position. Essential Functions: 1. Identifies and evaluates denials for assigned...
, evaluation of denials, and ensuring regulatory compliance. The coder will share feedback to providers to capture the full scope... of work, collaborate with billing specialists on denials and interact with Epic to ensure a smooth workflow for providers...
of all patient admissions, discharges and transfers. Meet regularly with program therapists and the Medical Director and program... a system to minimize and address denials in consult with the facility Business Office Manager and CFO. Benefits for our team...
as assigned or requested. This is a non-exempt position that reports directly to the Director of Strategic Initiatives... strategies. Follows up on all pending as well as medical denials in person to re-evaluate potential for admission. Conducts...
Director(s) on policies and procedures to enforce compliance regulations and CMS guidelines, decision making and problem... is responsible for researching complex payor claim edits including but not limited CCI, MUE, MAU as well as complex payer denials...