Insurance Representative aka NOFO/NOFI Representative Medical Group Business Services Full Time 78210BR Job Summary The Insurance Representative for Not Our Facility Out pt and In pt aka "NOFO/NOFI" is responsible for all NOFO/NOFI tasks. The incumbent will be responsible for, but not limited to, the following Analyzing patient demographic registration Visit creation Insu

include Ensure accurate completion of enrollments in accordance with CMS and other Managed Care Guidelines Process all Enrollment, Disenrollment, cancellation requests, reinstatements and managed retro reconciliation files or requests Reconcile daily Transaction Reply Report (TRR) and retro reconciliation files Maintain oversight on the accuracy and timeliness of acknowled

The Corporate Insurance team at UHS is looking for motivated Senior Program Manager Claims to join our innovative team and contribute to the maintaining of a rolling diary of claims. This position will be located in Dallas, TX. Essential Job Duties Maintain a rolling diary of 150 175 claims at any given time. Work with Risk and Defense counsel will be available to assist

Under the direction of the Associate Director, reviews medical record documentation to identify pertinent diagnoses and/or procedures that require coding. The Certified Professional Coder reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD 10, CPT,

Supports Clinic Supervisor and/or Manager in instruction of coding education classes provided to providers, and clinic support staff Assists Coding Supervisor and/or Manager with annual and ongoing updates to clinic encounter forms. Required qualifications Upon hire Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Registered Health Information Te

Under the direction of the Associate Director, reviews medical record documentation to identify pertinent diagnoses and/or procedures that require coding. The Certified Professional Coder reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD 10, CPT,

The Insurance Follow Up Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow up and appeals resolution processes, and acting as a functional leader or reference source.

The Authorization Specialist MVP tracks and initiates authorizations and re authorizations. Accurately completes authorization requests, i.e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i.e. history/physical, physician/progress notes, prescription, etc. to support the authorization request. Provides approved authorizati

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

A day in the life of a Patient Access Analyst at Hackensack Meridian Health includes Navigate to the corresponding State License Verification website based on the state in which the provider is licensed, and search for the provider's license status using the provider's License # or name. If an exclusion is identified, the Analyst will place bills on hold and work collecti

This is a hybrid role; 3 days in office, 2 days remote The Claims Examiner investigates, and processes Workers' Compensation claims for VCUHS employees. This job assists in the coordination of an effective commercial insurance and self insured Workers' Compensation Claim Program that is compliant with state laws and that meets the needs of VCUHS. This job is responsible f

Aya Healthcare has an immediate opening for the following position Claims Examiner in Whittier, CA. This is a 13 week contract position that requires at least one year of Claims Examiner experience. Make $1040.67/week $1266.01/week. Want a job close to home? We've got you! We'll work with you to build the career of your dreams. Aya delivers Front of the line access to exc

Responsible for the accurate and timely processing of fee for service claims and account collections. Responsible for obtaining necessary information for the proper billing and/or collections of fee for service accounts. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed be

Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) Apply Keck Medicine of USC Hospital Los Angeles, California The Authorization Coordinator coordinates communication with admitting, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. He/She

Prepare all accounts for billing and ensure account billing productivity standards are met. Ensure account activity is current and accurately documented Provide follow up on progress of appeals, and prepare documentation as required. Maintain Medicare and Medicaid statistical logs and databases. Prepare departmental billing and statistical report as required. Provide back