with Patient Financial Services to review underpayments or denials. 3. Routinely reviews medications administered... here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable...
, but not limited to, insurance verification, authorization, coding, charge entry, work queues and denials reduction efforts... as department representative as necessary. Performs other department-specific duties and other assignments as appropriate...
Financial Services staff for reporting problems and denials on individual claims. Assist in researching coding issues, provide... guidance and recommend solution to account representative. Analyze billing errors and denial data to identify root cause...
fashion. Appeals these decisions if needed. Keeps up with drug manufacturer recommendations, formulary changes, claim denials... and accurate. Remains current on the latest developments with insurance coverage and denials. Other duties as directed by the...
for insurance denials, audit activities, and responds to payer inquiries in a professional manner. Interacts with appropriate... concerns and refers to appropriate departments as applicable for follow up. The above essential functions are representative...
to overturn claims denials. Provides other registration, clerical, and billing support as required, including scheduling, chart... Account Representative (CPAR) or Certified Healthcare Access Associate (CHAA) Experience using patient registration systems...
related to patient registration. *Accuracy of data capture to reduce denials is paramount. *Secure financial payment at time... patient or representative signatures. *Use on-line tools to validate eligibility of coverage for presenting patients...
. What you will do Focus on review, correction, trending and prevention of denials within Revenue Integrity’s control Review, identify..., analyze EPIC work queues, reports and claim data to identify root cause of denials Works with the RI Specialist...
are prepared to authorize coverage in line with existing contracts. The prior authorization representative proactively reaches out... to support appeal efforts for authorization-related denials Complies with HIPAA regulations, as well as the organization...
activities related to patient registration. *Accuracy of data capture to reduce denials is paramount. *Secure financial payment... which require patient or representative signatures. *Use on-line tools to validate eligibility of coverage for presenting patients...
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...
, drug treatment plans, etc.). Provides additional code and modifier information to assist with appealing denials. May... process, please email and a Human Resources representative will connect with you to discuss next steps. © 2026...
Representative or Insurance Billing Specialist. As our Medical Biller, you will manage patient billing and insurance claims... and ensure timely reimbursement Follow up on insurance denials or unpaid insurance claims and correct errors or insurance...
and modifier information to assist with appealing denials. May contact providers for peer-to-peer reviews. Meets established... representative will connect with you to discuss next steps. © 2026 by Northwestern Medicine® and Northwestern Memorial HealthCare...
activities related to patient registration. *Accuracy of data capture to reduce denials is paramount. *Secure financial payment... which require patient or representative signatures. *Use on-line tools to validate eligibility of coverage for presenting patients...
, respectful, and skillful care. Join Concentra, and see what makes us different and better. The Cash Application Representative... against internal control totals Manage unidentified cash, or payments received with no back-up Post 100% denials or short paid...
to ensure quality patient care and payment of hospital accounts. Collaborates with Appeals department to overturn claims denials... Qualifications College degree 1 year of experience in registration Certified Patient Account Representative (CPAR) or Certified...
. Timely follow-up and collection of third party payer receivables and tracking of third party yields. Denials and Appeals... resolution including root cause analysis to reduce/prevent future denials while working to overturn denials for payment...
The Billing Specialist Representative is responsible for securing timely and accurate reimbursement by resolving... and thorough follow-up on outstanding receivables, including appeals and disputes for denials and underpayments. Identify...
authorization processes are complete in the time allowed by the insurance companies to prevent denials or penalties. Documenting... Secondary Questionnaire accurately with the patient or patient's representative. Maintain compliance with HIPAA regulations...