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...
Job Description: Overview Proficient in Revenue Cycle Regional Representative 1. Responsible for handling escalated... Regional Representative 1. Handles complex edits, correspondence and advanced level workqueues such as but not limited to retro...
Overview: Proficient in Revenue Cycle Regional Representative 1. Responsible for handling escalated account and payer... essential job functions of Revenue Cycle Regional Representative 1. Handles complex edits, correspondence and advanced level...
denials and unreasonable reductions in allowed charges. 12. Collects past due balances from insurance companies as well... here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable...
will be responsible for the identification, mitigation, and prevention of clinical denials including medical necessity and authorization... to prevent clinical denials. Assist in tracking/maintaining quantitative and qualitative reviews for data trending, outcomes...
requests for drug authorizations or denials. Review of prior authorization criteria for drug products. Recommend staffing.... Document all authorizations and denials completely, accurately, and in accordance with timelines as defined by state...
medical and dental claims. Strong problem-solving skills to address discrepancies, denials, appeals, and collections... must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge...
and insurance payments to EHS software. Research and follow up on all denials for payment. Complete all 2nd Insurance filings... to be reimbursed to Physicians. Cover vacancies at Patient Representative position during vacations, sickness, or vacant positions...
loan decisions including the ability to discuss loan denials, loan alternatives and rate computation in a clear, concise... work area with minimal noise. PHYSICAL DEMANDS: The physical demands described here are representative...
importance and impact this position has on KH denials. The representative provides exceptional customer service to our patients.../inpatient services. The Representative reviews/verifies insurance benefits and notifies payers of observation and inpatient stay...
Job Summary and Responsibilities PRIMARY JOB DUTIES AND RESPONSIBLITIES: The following are representative of the duties... of others. Completes appropriate posting of payments to the accounts receivable and applies denials using the collection tool and policies...
denials and appeals. Processes prior authorization paperwork. Facilitates prior authorization projects and tracks metrics... representative of the company. Ability to follow directives as presented by your supervisor. Ability to follow company policies...
including the ability to discuss loan denials, loan alternatives and rate computation in a clear, concise, and courteous manner.... PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee...
system. Job Summary and Responsibilities: PRIMARY JOB DUTIES AND RESPONSIBLITIES: The following are representative of the... of others. Completes appropriate posting of payments to the accounts receivable and applies denials using the collection tool and policies...
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...
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...
prior authorization approvals. 5. Coordinate with insurance representative to process claims and provide accurate co-pay... insurances to expedite approval for prior authorizations and ensure that appropriate follow-up is performed. 9. Review denials...
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...
seeking Level I & II Representative experience. KEY RESPONSIBILITIES: Promote a positive customer service image through... most efficient means to obtain claim information Fully investigates all relevant claim issues, provides payment or denials promptly...
calls related to assigned cases. File reviews and updates. Managing claim denials and UR determinations. Reviewing..., and settlements. Coordinating QME/AME processes. Hearing representative when required. Ensure timely communication and follow-up...