Denials Process Consultant 3 yrs of experience in Denial Managemt

Denials Process ConsultantRequirements: At least 3 years of experience in Denial Management 5+ years of experience working with RCM hospitals and operations or clinical professionals 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement 5+ years of experience creating presentations demonstrating...

The Clinical Denial Specialist conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is .

SUMMARYThe Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying eligibility for clinical review, and c.) preparation and documentation of appeals based on industry-accepted criteria. He / She is also relied on when it comes to...

The Clinical Denial Specialist writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome.

Accesshealthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Qualifications :Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...

Accesshealthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Qualifications : Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...

Accesshealthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Qualifications : Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...

Posted: 3 days ago Openings: 50 Applicants: 19 Req-UK Travel Sales executive (noida)Exp. minimum 1 year in International Sales Process (UK/US process)Exp: of GDS/Amadeus/Galileo and inbound sales processMin.1 Yr Exp.50k + TARotational ShiftCo- Swati Skills highlighted with '' are preferred keyskills Req-UK Travel Sales executive (noida)Exp. minimum 1...

Posted: 10 days ago Openings: 10 Applicants: 103 Req.US Travel Sales ConsultantMin.1 Yr Exp.Must In Google Campaign callUS Flight ReservationNoida Sec 62Salary-50k+ Smart incentivesRotational ShiftsRotational OffTAC/o swati Skills highlighted with '' are preferred keyskills Req.US Travel Sales ConsultantMin.1 Yr Exp.Must In Google Campaign callUS Flight...

Dear Candidates,Greetings from Corrohealth Immediate Openings for EM IP OP Coder Specialty: EM IP & OP , EM With Surgery, Emergency Department-Facility ,ProfessionalLocation: Noida 142 SecExperience: Min 1yrs - Max6yrsInterview Process: Virtual (MS Teams)Certification: CPC, CCS, COC, CIC AAPC/AHIMA is MandatoryNotice Period: Immediate to 30 daysJob...

Posted: 23 days ago Openings: 100 Applicants: 63 International/Domestic ProcessLocation : Noida/Gurgaon/DelhiSalary : upto 38k + unlimited incentivesShifts : Dayshifts - 6 Days/Night shifts - 5If interested then contact Ananya , Raman , Anishka , William Role Category: Customer Success, Service & Operations - Other Education UG: Graduation Not Required ...

DescriptionWe are looking for a dedicated and supportive Supervisor to coach and motivate our team. The supervisor will be responsible for hiring and training call center representatives, ensuring they are well prepared for their roles. This role requires strong analytical skills and the ability to act as a resource. ResponsibilitiesOrganize, direct, and...

DescriptionWe are looking for a dedicated and supportive Supervisor to coach and motivate our team. The supervisor will be responsible for hiring and training call center representatives, ensuring they are well prepared for their roles. This role requires strong analytical skills and the ability to act as a resource. ResponsibilitiesOrganize, direct, and...

DutiesPosting of charge payment and downloading ERA/EOBInvestigating and appealing denied claims. Ability to correct denial claims with correct information and resubmit claims.Perform A/R of each insurance.Checking patient benefits and insurance eligibilityQualification:Proven work experience as a medical billerKnowledgeable with US Healthcare...

· Claim denials or rejections: Patients may call to inquire about a claim that was denied or rejected by their insurance company and seek assistance in resolving the issue. · Prior authorization: Patients may call to inquire about prior authorization requirements for a specific treatment or procedure. · Collections: Patients may call to discuss overdue...

Join our dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal for those who excel in analytical thinking and have a strong...

The Medical Virtual Assistant is responsible for the delivery of services or projects as contracted by the Client. The services or projects include scheduling and calendar management, verification of insurance coverage and benefits, dealing with correspondences.Pre-exam verification of insurance eligibility, benefits and coverageSecuring treatment...

The Medical Virtual Assistant is responsible for the delivery of services or projects as contracted by the Client. The services or projects include scheduling and calendar management, verification of insurance coverage and benefits, dealing with correspondences.Pre-exam verification of insurance eligibility, benefits and coverageSecuring treatment...

Geode Health is a rapidly growing, national provider of outpatient mental health services. Our mission is 'To empower our patients to live healthier, more rewarding lives through access to exceptional care tailored to their needs.'Reporting to the Billing Manager, AR Specialist is responsible for managing insurance and/or patient A/R to include: edits,...

Date: Jul 2, 2024 Location: quezon city, 00, PH#job- { display: inline; } Company: NTT DATA ServicesIn this Role you will be Responsible ForCommunicate with contracted and non-contracted Providers by providing information and assistance as appropriate.Assist Providers with interpreting Member eligibility and benefit informationAssist with general question...