- Glens Falls Hospital (Glens Falls, NY)
- …status protected under law. **Job:** **Allied Health - Health Information Management* **Title:** * Coding Reimbursement Appeals Supervisor - Health ... Director, is responsible for compliant, complete and optimal facility coding , and in collaboration with Coding leadership...and DRG's that include all MCC's and CC's for reimbursement . In collaboration with Hospital External Review Team (HERT)… more
- UNC Health Care (Chapel Hill, NC)
- …managed that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position provides mentoring ... by updating the coding and send for rebilling if required. 5. Generate coding appeals for insurance denials with sound arguments and based on coding… more
- Ally Pediatric Therapy (Chandler, AZ)
- …payer requirements, coding regulations, and company policies. Denial Management & Appeals : + Analyze and oversee the resolution of claim denials, rejections, and ... Job Summary: The Full Cycle RCM Supervisor for ABA Services oversees the entire revenue...revenue capture. + Manage the preparation and submission of appeals , working with payers to overturn denials and secure… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …wide variety of prosthetic and orthotic devices. Works in collaboration with supervisor to oversee the operation of the Prosthetic, Orthotic and Optical ... completes requests for prosthetic equipment and services. Works in collaboration with supervisor and senior staff to plan, draft, develop, and prepare budget… more
- Baystate Health (Springfield, MA)
- …charge corrections as needed, based on findings from Reimbursement Issues and Appeals and or Coding . **6)** Accurately records and files all third party ... **Summary:** Under the direction of the Receivables Supervisor and Lead; identifies medical insurance denials/ appeals...payer information, reimbursement inquiries and appeals in process. **7)**… more
- Houston Methodist (Houston, TX)
- …appropriate billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any ... medical necessity or coding related appeals . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Stays current on collection procedures of various payors and industry… more
- Johns Hopkins University (Middle River, MD)
- …(medical reports, authorizations, etc) as needed and submits to third-party payers. + Appeals rejected claims and claims with low reimbursement . + Confirm credit ... for the collection of unpaid third-party claims and resolution of non-standard appeals , using various JHM applications and JHU/ PBS billing applications. Will… more
- Tufts Medicine (Tyngsboro, MA)
- …payor rules, regulations, guidelines and requirements for billing, collection and reimbursement appeals . 4. Technical Savvy with utilizing billing and ... on performing the following Patient Financial Services duties: Facilitates the reimbursement for clinical services provided to patients. Submits claims to health… more
- Zelis (Morristown, NJ)
- …policy documents: interpret and document the configurations to be applied to Zelis coding and clinical reviews + Translate client reimbursement policies into ... detailed review of hospital itemized bills for identification of billing and coding opportunities for all payor's claims including restricted list + Review client… more
- WellSpan Health (York, PA)
- …account follow-up, researches claim denial for resolution and submits disputes and appeals . Represents the System in a professional manner while interacting with ... bills, etc.- Resolves Claim edits to facilitate timely billing and reimbursement .- Performs follow-up with insurance companies to obtain claim status, payment… more