Northside Hospital is award winning, state of the art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for coding procedures to comply with fede

Summary Delivers food to restaurant/dining room patrons in a timely, professional, and efficient manner. Essential Duties and Responsibilities Delivers food to restaurant/dining room patrons/customers. Follows principles of sanitation and safety in handling food and equipment. Interacts with customers in order to assure customer satisfaction. Interacts with co workers in

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Northside Hospital is award winning, state of the art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Under the direction and supervision of Director of Ph

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and trea

Responsible for researching and resolving unpaid insurance claims and customer inquiries/ complaints for high volume Managed Care contracts. Other duties as assigned. EXPERIENCE DESCRIPTION A minimum of 5 years of business office experience in billing, customer service, or collections in a healthcare environment is required. EDUCATION DESCRIPTION High School diploma or eq

A day in the life of a Patient Access Specialist for Oncology with Hackensack Meridian Health includes Obtains Referrals/Authorizations and Verifies eligibility, submits requests for prior authorizations for all oncology services as prescribed by the Clinical care team and conformance to Hackensack Meridian Oncology/Radiation standards and protocols within the network. Su

Reviews payer EOB's but not limited to payment accuracy, patient liability, and appeal grievances. Work 60 accounts daily Files appeals on denied claims and/or forwards to the Nurse Auditor for review Process incoming mail correspondence from payers within 5 business days. Follow up with the insurance companies by phone and or web for the status of outstanding claims. Fol

The essential duties and responsibilities (including but not limited to) Directs the daily operation of the revenue cycle liaison department to ensure client satisfaction. Ensures that daily, weekly, and monthly liaison functions are performed. Demonstrates thorough understanding of and oversees all aspects of liaison functions, to include monitoring and interpreting reve

Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and growth . Job Description Education High School diploma or equivalent required Associate's degree in Business Administration or relevant field of study preferred Insurance adjuster license required Work Experiences 4+ years' claims experience working with wor

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. Total Compensation In addition to the salary range lis

This position is accountable for the billing and collections of Renown healthcare claims, ensuring timely and accurate claim submission, maximizing reimbursement for those services rendered in order to maintain a consistent cash flow. Nature and Scope The Insurance and Claims Representative is responsible for Accuracy and completeness of patient accounts for billing and f