This position supervises a staff of medical coders, either inpatient or outpatient, and related support positions across all entities that are owned or managed that have opted into shared services. 100% remote This is a remote position eligible for hire from Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mi

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

PI239071606

Position Highlights Position Insurance Pre Authorization Representative Location 4201 Winfield Rd, Warrenville IL Full Time 40 hours per week Hours M F, 8 00AM to 4 30PM Required Travel No What you will do Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time. Prepare

We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its

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

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

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

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.

Take on a key leadership role within an award winning health system. Help improve patient experiences and operational efficiency with a world class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health. As an important member of our Medicare Advantage leadership team, you will provide tactical execution and leadership

Performs registration and all insurance benefit and verification duties. Serves as a resource for identifying underinsured and uninsured patients. Gathers financial information, creates estimates, and informs patients of alternatives for financial obligation for services. Assists impecunious parties in obtaining free or financial assistance. Communicates new insurance ben

Performs registration and all insurance benefit and verification duties. Serves as a resource for identifying underinsured and uninsured patients. Gathers financial information, creates estimates, and informs patients of alternatives for financial obligation for services. Assists impecunious parties in obtaining free or financial assistance. Communicates new insurance ben

Performs registration and all insurance benefit and verification duties. Serves as a resource for identifying underinsured and uninsured patients. Gathers financial information, creates estimates, and informs patients of alternatives for financial obligation for services. Assists impecunious parties in obtaining free or financial assistance. Communicates new insurance ben

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.

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. Works claim edit work queues to review, correct or adjust claims prior to being sent to insurance to reduce denials and increase reimbursement. Conducts root cause analysis of