, research and facilitate the correction of insurance denials, charge posting and payment posting errors. Follow all Managed... immediate attention Identify trended denials and report to supervisor, export trended/unpaid invoices on Excel t to track...
resolution. Adhere to quality and productivity standards assigned by management. Submit account for appeal on accounts... are documented and submitted in a timely manner. Collaborate with denials team on difficult or reoccurring denials. Complete tasks...
will be responsible for the identification, mitigation, and prevention of clinical denials including medical necessity and authorization... to prevent clinical denials. Assist in tracking/maintaining quantitative and qualitative reviews for data trending, outcomes...
with one or more account receivables management system modules including but not limited to billing, claim corrections, reconciliation, payment... errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient...
eligibility and claims status on unpaid claims Review payment denials and discrepancies and take appropriate action to correct... Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims...
resolution. Adhere to quality and productivity standards assigned by management. Submit account for appeal on accounts... are documented and submitted in a timely manner. Collaborate with denials team on difficult or reoccurring denials. Complete tasks...
, research and facilitate the correction of insurance denials, charge posting and payment posting errors. Follow all Managed... immediate attention Identify trended denials and report to supervisor, export trended/unpaid invoices on Excel t to track...
, to meet management goals. (15%) Through effective communication, provides guidance to colleagues and assists department.... Assist in negotiation of budget with Sponsor. (30%)orTrack Two: Claim Management Focus Partner with revenue cycle to assist...
documentation and coding charge review errors as well as Evaluation and Management coding. Ensure that the coding is appropriate... and communicate those trends with the Coding Educators and providers. Must be fluent with the Evaluation and Management guidelines...
! JOB SUMMARY Works under general supervision to provide policy analysis and recommendations to management related to reimbursement... appointments for applicable authorization denials Communicates with physicians and other clinical staff regarding insurance...
and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials... effectively with colleagues, supervisor, and manager. Ability to work independently. Strong organizational and time management...
assignments, ensure on-time completion of tasks and projects and provide timely updates to the Case Management Manager... regulations related to managed care, denials and reimbursement issues. Has working knowledge of current hospital contracts...
on cases worked and outcomes, review claim denials for authorizations to identify trends, root causes, corrective actions... for services; Collaborate with individual departments - Compliance Department, Patient Financial Services, Case Management...
systems, including but not limited to: Practice Management software (MicroMD, etc.) and Dentrix (required), as well... of all claims before submission. · Conduct timely follow-up on insurance claim denials, exceptions, or exclusions. · Meet...
on cases worked and outcomes, review claim denials for authorizations to identify trends, root causes, corrective actions... for services; Collaborate with individual departments - Compliance Department, Patient Financial Services, Case Management...
for the following tasks of Insurance A/R follow-up: Unpaid Claims Unpaid Crossover Balances Denials Management Appeals...-on industry experience is most important. Significant exposure to the following aspects of billing / revenue management...
Job Family: Management Consulting Travel Required: None Clearance Required: Active Top Secret SCI (TS/SCI...'s customers. Draft responses to potential exception requests, including but not limited to license denials, interpretive...
, treatment, emergency care, and case management. These components are outlined below. In providing care, Job Corps adheres... professionals on staff. Management of chronic health conditions as directed by qualified health professionals. Referral to off...
Medical/Legal Outreach Specialist - Injury Care Team Join Our Mission to Transform Patient Care Company: Injury... Care Team (ICT) Position: Patient Outreach Specialist Location: Chicago, IL (Multiple office possibilities, depending...
Cardiologist, Dr. Nicholas C. Macpherson, Cardiovascular Imaging and Heart Failure Specialist, Dr. Azizul Rehman, Interventional... approvals or denials to the patient or provider Complete orders for imaging and labs as instructed by the provider Patient...