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Under general supervision of the Follow up Supervisor performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician specialty practice. Responsibilities Review all denied claims correct them in the system and send corrected/appealed claims as written correspondence fax or via electronic submission. Identify and analyz
Posted 1 day ago
Under general supervision of the Follow up Supervisor performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician specialty practice. Responsibilities Review all denied claims correct them in the system and send corrected/appealed claims as written correspondence fax or via electronic submission. Identify and analyz
Posted 1 day ago
Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai
Posted 20 days ago
Position Highlights Position Supervisor, Insurance Location 4901 Searle Parkway, Skokie, IL Full Time/Part Time Full Time Hours Monday Friday, 8am 4 30pm What you will do Assist Manager to recruit, interview and hire candidate for open positions Conduct employee performance with Manager and achievement of goals Supervise staff of Insurance AR 1 and 11 to perform initial c
Posted 23 days ago
Lifespan
- Providence, RI
Under the general direction of Vice President of Contracting and Payor Relations is responsible for the preparation of all third party reporting and revenue estimates related to Lifespan and affiliate reimbursement. Direct control and supervise all reimbursement duties. Responsibilities Prepare and assemble all financial and statistical individual affiliate and consolidat
Posted 1 day ago
Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir
Posted 11 days ago
Responsible for taking a leadership role in the monthly and annual Medicare and Medicaid filings (i.e. cost reports, wage index, provider tax) of a multi hospital system comprised of acute care, Children's, and teaching facilities, and the audit of those filings. Oversees the Reimbursement Associate's work related to preparation of Medicare bad debt submission. Serves as
Posted 7 days ago
Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir
Posted 11 days ago
Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third party payer reimbursement programs. Reporting to the System Vice President of Contracting
Posted 1 month ago
Processing Analyst 2 Temporary Employment Program Temporary Employment 78463BR Job Summary The duration of this position is approximately 2 months. Involves activities associated with generation of payroll including labor distribution records, vacation and sick leave accrual, overtime and withholding status. Complies with all government reporting requirements for payroll
Posted 1 day ago
Emergent Marketing Agency
- Irvine, CA / San Jose, CA / Tulsa, OK
Apply if looking for Flexibility and Financial Freedom
Posted 1 day ago
TMC Bonham Hospital is a 25 bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outpatient services along with 24 hour emergency services. The Critical Access Hospital (CAH) Program was established to assure access to healthcare services for rural residents. The program provides r
Posted 26 days ago
The Provider Relations Coordinator CIN is accountable for the overall client/member services, communications, and engagement of the provider/physician practices in the region and is the direct interface between the Clinically Integrated Network (\u201CCIN\u201D) and assigned provider/physician practices. This individual acts as a liaison between network leadership and the
Posted 12 days ago
Under the supervision of the Claims Department Manager, the Claims Trainer develops, implements and facilitates inter and intra departmental claims training programs as well as designs and maintains departmental policies and procedures. This role is responsible for training new hires, ongoing training for existing staff, and monitoring and reporting training effectiveness
Posted 12 days ago
Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD 10 CM/PCS coding and/or CPT 4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following st
Posted 14 days ago
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