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Request for authorizations, follow up on denials and correspond with Adjusters to answer any questions. We are a Home Healthcare Agency that services areas across all counties of the Bay Area, and currently, we need a professional and experienced Intake Coordinator to join our growing team.
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Conducts follow-up on all inquiries which have not yet been converted to admissions. · Maintains CRM indicating customer flow, pending and lost inquiries, denials, and hospital discharges.
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Other follow-up activities (missing info, prior authorization, etc.) Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.
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The purpose of the DME Billing and Account Receivables Specialist is initiate billing claims, actively process all denials and ensure follow up on the collection efforts to ensure timely reimbursement for services provided.
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Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state MedicaidFollow up on unpaid claims within standard billing cycle timeframeCheck each insurance payment for accuracy and compliance with contract discountCall insurance companies regarding any discrepancy in payments if necessaryIdentify and bill secondary or tertiary insurancesAll accounts are to be reviewed for insurance or patient follow-upResearch and appeal denied claims.
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In addition, running all standard monthly reports, and performing follow-up with insurance tracking report as directed will be required in this role. This position is responsible for supporting the Account Management team by evaluating denials from EOBs and ERAs and working denials as well as A/R to the company's high standards.
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Responsible for daily billing operations, such as submission of claims (electronic and paper), patient statements, follow-up and resolution of nonpayment, denials, and prior authorization requests.
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Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals.
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Conducts follow-up with patients to ensure compliance with all testing, prescriptions and the plan of care. Facilitates the resolution/prevention of billing errors and denials including obtaining pre-certifications or referrals as needed.
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The person in this position will coordinate payor denials and audit Follow-up Representative activities to ensure timely response for the processing of all payor denials, audit requests and appeals.
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Description:RESPONSIBLE FOR: Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required.
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Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in all levels of the appeal and process follow-up.
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1+ year s medical provider experience working with UB04, appeals & denials. Appeals & Denials. Ability to initiate and follow through on projects and work independently with minimal supervision required.
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Conducts research and follow-up on denials in a timely manner and proactively communicates any denial issues related to billing requirements. Ensures requirements are met and claims are followed-up on daily to eliminate denials and non-payment of claims.
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Under the supervision of the Director of Revenue Cycle, or designee, performs patient account insurance follow-up, credit balance review and resolution, keeping the hospital's accounts receivable as accurate as possible.
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