and insurance companies to resolve bill/claim edits. Notify Analyst of edits that needs to be built and Denials Rep for denial... to be built and Denials Rep for denial trends. Resolves issues involving third party payor and self-pay claims. Qualifications...
company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials...
registration and authorization denials. Work with manager to research and resolve missing charges. Provide expertise to peers...
, Medicaid and/or commercial payers. Posting of payments and adjustments to patients’ accounts. Review denials from payer...
and trends billing issues to proactively reduce denials and variances. Works system generated reports such as residual... issues including documentation, denials/appeals, etc. Follows up on assigned insurances on a monthly basis and maintains...
about registration errors for ongoing training purposes. Work with manager to reduce registration and authorization denials...
with regard to third party payer denials and proactively problem solve. Positive attitude, flexible team player Epic experience...
experience required with emphasis on research and claim denials in Accounts Receivable. Demonstrated knowledge of physician...
code. Investigates insurance company denials, audits patient accounts, answers inquiries for assigned accounts, and updates...
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...
programs across clinical revenue cycle functions, including CDI, coding, denials and utilization review. This position... acute care coding, CDI, Denials, Utilization Review, or Appeals. 2. Three (3) years of RN experience in a nursing...
completeness and accuracy of revenue and billing information. Leads organization RAC Denials team and works closely with the... Patient Financial Services ("PFS") to track and monitor coding-related denials. Coordinates and/or participates in system...
, and accurately reflects the services provided. Conducts periodic department documentation reviews. Coordinates denials management... Environment The work environment characteristics described here are representative of those an employee encounters...
and Federal Regulations. The Representative verifies patient insurance, collects deductibles, and arranges payment plans... also performs activities related to denials, unresolved payments and refunds. Performs activities related to denial, unresolved...
and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies... Qualifications: Certified Healthcare Access Associate (CHAA) and or CRCR, Certified Revenue Cycle Representative. (Company Paid...
Representative is often the first point of contact for our patients and therefore must represent BJC with the highest standard... standards. The Patient Access Representative will facilitate all components of the patients' entrance into any BJC facility...
and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory...: The physical demands described here are representative of those that must be met by an employee to successfully perform...
Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor Develop... in with our Culture. We know our new Patient Account Representative is out there…and we look forward to hearing from you! What We’ll...
denials management activities of the department to ensure that claims and appeals are submitted timely and in accordance...; ability to adjust focus. Work Environment The work environment characteristics described here are representative...
denials · Provide payers’ requested additional information to allow claim processing · Resolve electronic claim rejections... as an example and representative of the organization by demonstrating behaviors consistent with Park Dental and The Dental...