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Represent employee benefit plan clients in all phases of matters related to delinquent employer contribution claims, benefit denials, subrogation and intervention claims, benefit claim appeals, and employer withdrawal liability claims.
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The Medicare Appeals Specialist is responsible for evaluating clinical criteria within medical records and associated documentation to validate, justify and write arguments to appeal Medicare claim denials.
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The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence-based criteria related to DRG and clinical validation denials.
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Coding Documentation Liaisons work collaboratively with Service Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials, and other key stakeholders to improve the quality of documentation and coding to resolve clinical documentation and charge capture discrepancies.
Full-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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The Account Manager, Revenue Cycle Management will be responsible as a RCM Accounts Receivable (A/R) Specialist for full life cycle medical claims and/or medical billing through resolution of payment, included but not limited to submission, A/R follow up, denials, appeals, rejected claims, payment posting resolving healthcare claims.
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Monitor remittance advice for details including denials and payment inconsistencies. Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software as it relates to insurance, demographics, and release of information associated with the daily functions of the Business Office.
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Complete Sedgwick adjustments (weekly, denials, and crossover) to ensure employee pay is accurate. This Company is hiring a Lead Payroll Coordinator for a contract position! Salesforce SME/ Communicating with GSC, Knowledge Article/Decision Tree creation.
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You will process claims, verify accuracy of billing information, investigate and resolve any discrepancies, and research payment denials. Follow up on pending claims and dispute denials.
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Analyze prior authorization denials and determine and execute appropriate next steps. Document all submissions, approvals and denials, and conversations with internal and external customers for inter-departmental communication purposes.
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Resolve instances of claim denials to ensure successful reimbursement. Miracle-Ear, part of Amplifon Americas, a world leader in hearing care, has a strong demand for diverse, authentic, creative, and dynamic talent for an Insurance Billing Specialist role in our Miracle-Ear Flagship business unit.
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Advises Supervisor of any billing errors, third party payer trends, denials or payment fluctuations to ensure accurate handling and escalation of issue(s) when needed. A medical billing client of Insight Global's is seeking to add a dental billing supervisor to support one of their largest academic clients in Minnesota.
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Reviews and completes work on spreadsheets such as refunds, unclaimed property, aging reports such as 60+ and 120+ days. Completes accurate payment posting of third-party payments on patient accounts.
$40,000 - $60,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Ensures timely and accurate filing of claims, performs accounts receivable management, and follows up on denials and non-payments. 1+ years of experience in billing follow up and denials.
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Submits, processes, and resolves claim rejections and denials. Provides education or feedback to operational sites and other departments within Revenue Cycle Management (RCM). Department: 16001141 Revenue Cycle Management Hospital Billing.
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Respond to family's insurance coverage and prior authorization questions and communicate authorization denials or delays when needed. Fraser is seeking a Medical Eligibility & Prior Authorizations Coordinator to support our Revenue Cycle team with data entry, verifying insurance eligibility and obtaining prior authorization for services.
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denials job in St Paul, MN
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