provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus...
The Director, Payer Denials Management will lead the strategic and operational oversight of payer denials for a high... Strategic Prioritization: Focus efforts on high-impact denials and develop targeted mitigation plans Reporting & Insights...
Description : The Authorization & Denials Coordinator is responsible for ensuring that payers are prepared... Authorization & Denials Coordinator serves fellow authorization/denials clerks through demonstrating an outstanding work ethic...
and minimize denials through problem solving, collaboration and consensus. Accountable for administering the Carle Financial...
denials, preparing appeals as needed, and working with clinical team on clinical denials. ESSENTIAL FUNCTIONS: Exhibits... and prepares commercial/Medicaid payer claim denial reconsiderations and or formal disputes as needed on non clinical denials based...
Central Denials Account Representative conducts thorough account reviews to determine the appropriate action needed to resolve... UB04’s and 1500 Claim Files Medical Record Making outbound calls to Insurance Companies to resolve claim denials...
- to review, research coding denials for minor/major surgical procedures and any related to E&M, CPT, Diagnosis, or modifier... and submit appeals based on payer guidelines, on coding denials. Review accuracy of payment to account, reconcile and make...
Job Requirements Position Summary The Denials Manager will be accountable for the oversight of the SRHS denial... management program and for conducting analysis of denials and denial trends by type and payer. This position will be responsible...
's, Case Managers, revenue cycle personnel and payers to appeal denials. Primary Duties and Responsibilities Completes.... Completes evaluation of all external denials for medical necessity received by the hospital and coordinates decision making...
health. Serve with compassion. Be the difference. Responsible for working coding claim denials accurately and timely...
Miami, FL Full-Time JW-Case Management Summary Clinical Denials Coordinator is responsible for back up coverage..., Inpatient Utilization Review area, and all workflows within the Central Clearance Center functions as needed. Clinical Denials...
and CPT-4 codes for billing, review and correct billing edits and denials, internal and external reporting, research... coding experience in professional coding in neurosurgery and cardiology edits and denials Knowledge in working in Cerner EHR...
between $62,500.00 - $79,800.00/ based on experience The Sr Specialist Denial RN prepares appeals for clinical and technical claim denials... claim denials and underpayments to determine if additional payment amounts can be expected, analyzing medical records...
Position Overview United Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist... to join our Revenue Cycle team. In this vital role, you will focus on the prevention and resolution of clinical claim denials by analyzing...
analytics, AI, intelligent automation, and workflow orchestration. As our Denials Coder III you will be responsible... guidelines. Here’s what you will experience working as a Denials Coder III: Uses CCI edit software to check bundling issues...
analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Operations Support I, you will help the... denials and AR department to finalize and submit appeals to the payor, so that they can service the client and process...
for all. Position Summary: As a Product Support, Associate on the Denials Management Operations Team, you will play a critical role... in driving software enhancement initiatives that optimize operational efficiency and elevate service outcomes for the Denials...
and internal equity. Job Summary: Investigates health plan denials to determine appropriate action and provide resolution.... Primary Duties: 1. investigates insurance denials to identify action necessary. 2. Corrects claims based on denials...
for all. Position Summary: The Denials Management Associate will be responsible for the delivery and execution of business solutions... experience Experience working denials or within the revenue cycle Experience working with cross-functional groups and teams...
for all. The Denials Management Operations Analyst supporting the Work Delivery Zone is responsible for analyzing a queue of work...