. 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...
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...
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...
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...
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...
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...
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...
to prevent denials. 19. Fosters the integration of staff and/or students into the healthcare team. For facilities... REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully...
, 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...
. 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...
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...
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...
follow-up on carrier denials and no insurance response claims for Yale Medicine. Employee will also function as a liaison... in the respective collective bargaining agreement. The intent of this job description is to provide a representative...
follow-up on carrier denials and no insurance response claims for Yale Medicine. Employee will also function as a liaison... in the respective collective bargaining agreement. The intent of this job description is to provide a representative...
to inquiries regarding compliance, inappropriate coding, denials and billable services. Interacts with physicians, business... the essential functions. The physical demands described here are representative of those that must be met by an employee...
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...
. Assists Patient Financial Services with denial management issues and will appeal denials based on medical necessity... demands described here are representative of those that must be met by an employee to successfully perform the essential...
access operations with revenue cycle objectives Improve POS collections, reducing front-end denials Enhance financial... initiatives Enhance performance, patient experience, and system-wide integration. Serves as a strategic representative on cross...
front-end denials Enhance financial clearance rates while maintaining an excellent patient experience. Partners.... Serves as a strategic representative on cross-functional committees, executive workgroups, and system-wide teams to advance...