to complete processing. Communicates complex approvals or denials to the borrower-agents including real estate agents / builders...: This position is a remote role that requires traveling out to clients. The physical demands described here are representative...
denials and underpayments ● Quarterly audits and reviews on open inventory ● Verifies newly submitted claims status... necessity ● Independently perform claims follow-up and collections activities such as resolving claims denials and rejections...
to physician productivity and resource utilization. Facilitates the resolution/prevention of billing errors and denials including... accommodation at any step in our application or interviewing process, please email and a Human Resources representative will connect...
Representative - Team Lead provides oversight of billing and follow-up activities for accounts receivable across MGBS clients.... Proficiency in CPT, ICD-10, HCPCS, and modifiers. Demonstrated denials management and appeals experience. Strong communication...
Job Description: Additional Information About the Role BJC HealthCare is seeking a Patient Access Representative... Patient Access Representative is often the first point of contact for our patients and therefore must represent BJC with the...
. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials... process, please email and a Human Resources representative will connect with you to discuss next steps. © 2026...
departments to ensure proper utilization. If no Lead Case Manager, the CM participates as the facility representative... utilization review activities including denials and appeals. Works with physicians to conduct peer review with payer medical...
with other revenue cycle departments to ensure compliance, minimize denials and support accurate reimbursement. ESSENTIAL JOB FUNCTIONS... team, providing documentation support for appeals and denials. Maintain productivity and accuracy standards as defined...
for all prices; Print Medicaid for audits with corrections and claims submissions printout. Review denials; Resubmitting... duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability...
on Association Banking denials, withdrawn loans, and counter offers. 15. The ability to work in a constant state of alertness... to perform each essential duty mentioned satisfactorily. The requirements listed below are representative of the knowledge, skill...
, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison... 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative...
, third party and governmental payment criteria, insurance coverage, payments, and denials. May serve as a liaison... 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient/designated representative...
Job Category: REPRESENTATIVE Job Description: Summary of Essential Functions Knowledgeable of the insurance... experience, registration productivity, account write offs, denials and rejections. The target must be achieved in order to meet...
in certification where applicable. 4. Educates providers and staff on payor regulations in order to prevent denials. 5. Removes.... PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee...
each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability... on denials, and submission of physician adjustment requests. Assists supervisors with escalated patient inquiries and daily...
Job Category: REPRESENTATIVE Job Description: Summary of Essential Functions Knowledgeable of the insurance... materials. The department sets performance targets associated with write offs, denials and rejections. The target...
revenue cycle. The specialist will scrub encounters for accurate coding prior to claim creation, follow-up on claim denials... described here are representative of those that must be met by an employee to successfully perform the essential functions...
The Verification Representative is responsible for verifying and obtaining eligibility and benefits... as required by insurance companies dependent upon the plan coverage for all patients in the region. The Verification Representative reports...
. Displays an understanding of third-party payor regulations related to managed care, denials and reimbursement issues. 12... Certified Revenue Cycle Representative (CRCR) Certification within 1 year. PHYSICAL REQUIREMENTS: The physical demands...
following all regulatory requirements and the FH Standards of Behavior. The Physician Billing Representative is responsible... Availity Registration edits Run denials reports daily and correct claims or appeal where necessary Attach EOBs to secondary...