best in class revenue cycle operations. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School.... Utilizes payer portals and payer websites to verify claim status and conduct account follow-up. 9. Assists Patient Access...
as needed. Works with leadership and other team members to achieve best in class revenue cycle operations. MINIMUM QUALIFICATIONS.... 7. Contacts third party payers to resolve unpaid claims. 8. Utilizes payer portals and payer websites to verify claim...
, using various online tools and by contacting the payer directly. (essential) 2. Identifies payer medical necessity... authorization from payer by utilizing payer specific protocols. Requests and coordinates any additional information from departments...
in A/R. Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage... in connection to the day-to-day operations in a health care environment; Maintains working knowledge of regulatory guidelines...
authorization in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations... level of knowledge of reimbursement practices and of third party payer contracts. Posts third-party remittance advice...
, including confidentiality and patient’s rights. Maintains clinical competency and current knowledge of regulatory and payer... Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance...
payer websites, real-time eligibility tools, and telephone to retrieve coverage eligibility, authorization requirements... admissions to ensure payer notification upon observation or admission. Must be willing to travel between facilities...
the day-to-day operations of the revenue cycle. Essential Duties and Responsibilities: Responsible for timely... inquiries. Provides a variety of revenue cycle support services in connection to day-to-day operations. Processes and follows...
and professional operations and maximum patient satisfaction. Your Job Requirements: • High school Diploma or Equivalent required • 3... authorization at registration. • Review and resolution of all assigned payer correspondence. • Health care terminology surrounding...
, as well as payer specific requirements and takes appropriate action accordingly. Documents all activity accurately including...-year college degree. 1 or more years of relevant experience in medical collections, physician/hospital operations...
individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations... required JD Edwards or other payer database experience preferred Ability to work independently and in a team setting Ability...
customer need. Oversee the daily operations of the specialty pharmacy and maintain accountability for workflow management...) and developing and protecting department assets. Essential Functions Operations: Manages the daily operations of the specialty...
best in class revenue cycle operations. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School.... Utilizes payer portals and payer websites to verify claim status and conduct account follow-up. 9. Assists Patient Access...
designated timeframe. Additionally, all collection efforts must be in compliance with federal, state and contracted payer... and/or require follow up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill...
and analysis of inpatient medical claims utilizing NYCHSRO/MedReview and payer specific systems, adjudication platforms, policies... these to meet the needs of MedReview Operations in general. Responsible for reviewing data in the review application...
coverage, determines priority of payer and acquires identification, signatures, pre-certifications and/or authorizations... for services that will facilitate processing claims by payer and facilitates maximum utilization, efficiency, and minimal procedure...
payments to sender. Answers patients' inquiries regarding account balances. Appeals denied claims adhering to payer policy... when hired and retraining as needed or requested with regard to a specific payer rules and guidelines for physician billing...
, EHR and billing system optimization, and KPI development. This role supports hospital and physician enterprise operations... and data-driven decision-making. The consultant partners with IT, Finance, Operations, and Compliance teams to enhance...
, EHR and billing system optimization, and KPI development. This role supports hospital and physician enterprise operations... and data-driven decision-making. The consultant partners with IT, Finance, Operations, and Compliance teams to enhance...
, EHR and billing system optimization, and KPI development. This role supports hospital and physician enterprise operations... and data-driven decision-making. The consultant partners with IT, Finance, Operations, and Compliance teams to enhance...