Job Purpose. The Clinical Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Appeal Writer creates appeal letters in support of claim payment. Duties And Responsibilities. Review denied insurance claims. Review patients’ medical files. Develop strategies to reverse claim denials. Create written appeals. Manage and organize a...
Job Purpose. The Coding Associate will utilize coding skills to work invoice reviews and provide expert advice to billing staff. Duties & Responsibilities. Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners. Assign and sequence all CPT and ICD-10 codes for services rendered when required. Work with billing staff and system WQ’s to ensure proper payment of claims. Comply with all ...
Job Purpose. The Coding Associate will utilize coding skills to work invoice reviews and provide expert advice to billing staff. Duties & Responsibilities. Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners. Assign and sequence all CPT and ICD-10 codes for services rendered when required. Work with billing staff and system WQ’s to ensure proper payment of claims. Comply with all ...
Job Purpose. The Manager, Accounts Receivable Services is responsible for monitoring and overseeing the daily activities of their AR team including AR management, staff training and maintaining the client relationship. Duties and Responsibilities. Monitors client inventory and insures that accounts are worked timely and accurately and collection goals are met. Monitors and coordinates follow up activities to ensure work assignments are equitable....
Job Purpose. The Patient Account Representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them. Duties and Responsibilities. Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. Review and updates all patient and financial information accurately as given. Verify that information is accurate as to individual or insurance comp...
Job Purpose. The Patient Account Representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them. Duties and Responsibilities. Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. Review and updates all patient and financial information accurately as given. Verify that information is accurate as to individual or insurance comp...
Job Purpose. The Patient Advocate will complete Medical Assistance Applications on patients who may potentially qualify for benefits under the MA Program or other entitlement programs. Obtain all necessary documents required by the County Assistance Office to determine eligibility. Duties and Responsibilities. Complete the Medical Assistance Application, screen for disability and complete the hospital charity care form with patient / family membe...
Job Purpose. The Patient Advocate will complete Medical Assistance Applications on patients who may potentially qualify for benefits under the MA Program or other entitlement programs. Obtain all necessary documents required by the County Assistance Office to determine eligibility. Duties and Responsibilities. Complete the Medical Assistance Application, screen for disability and complete the hospital charity care form with patient / family membe...
Job Purpose. The Patient Resolution Specialist manages a large volume of inbound and outbound calls in a timely manner, to patients of our client hospital and health systems, to secure payment of outstanding account balances, resolve account inquiries, and investigate and document status of these account activities. The Patient Resolution Specialist has ownership for effectively resolving patient inquiries and advancing payment of patient account...
Job Purpose. Responsibilities will specifically be focused on supporting initiatives that create long term cash collection improvements as well as cost avoidance and savings with the strongest ROI. The individual will demonstrate competent investigative, data and process reasoning skills, high accuracy, attention to detail, and will contribute to a positive team atmosphere through collaboration with Departmental Leaders. Duties And Responsibiliti...
