Position Goal: Utilize coding certification knowledge and experience to monitor contractual allowances; analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance. Perform claim audits to ensure billing compliance with coding rules and
Key Responsibilities: Work as needed in all appeal worklists, potentially with a focus on contracted or sensitive insurance companies. Communicate denial and appeal trends to client engagement and payer relations teams. Serve as an SME (subject
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well
Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within the appeal filing time limits. Submit external review requests and required documentation to the state within the
Front Desk Team Member Were a high-energy chiropractic and rehab clinic passionate about helping patients thrive in their health through evidence based, top notch care. Were looking for a Front Desk Team Member to help amplify
divh2Revenue Cycle Management Support/h2pRevenue Cycle Management (RCM) contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical
Collections Process Overview ATB stands for aged trial balance and includes all claims for a specific time period that do not have a zero balance. ATB is done as an effort to improve collection rates, reduce
Senior Appeals Specialist Job Category: Medical Billing Full-Time Remote Middleburg Heights, OH 44130, USA +1 more locations Description Key Responsibilities: Work as needed in all appeal worklists, potentially with a focus on contracted or sensitive insurance
Appeals Specialist We are seeking a detail-oriented and experienced Appeals Specialist for our client in Middleburg Heights, Ohio. In this role, you will be responsible for managing insurance claim denials and leading the appeals process to
Account Specialist II Join TriHealth as an Account Specialist II! At TriHealth, youll be part of a mission-driven health system that values accuracy, integrity, and teamwork. Our Revenue Cycle professionals play a critical role in protecting
Collections Specialist Accounts Receivable & Revenue Cycle Management We are seeking a detail-oriented and analytical Collections Specialist to join our Revenue Cycle Management team. This role is responsible for managing aged accounts receivable, resolving denied and
Manager, Business Office SUN Behavioral Columbus LLC - Columbus, OH Overview Position Type: Full Time Job Shift: Days Education Level: High School/GED Travel Percentage: None Category: Health Care Description Position Summary: The Business Office Manager reports
Appeals Specialist Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within the appeal filing time limits. Submit external review requests and required documentation to the state within
PFS Call Center Representative The PFS Call Center Representative serves as the hospitals primary contact for all patient billing inquiries. Acts as a liaison between Blanchard Valley Health System and patients, providers, and payers for all
Medical Billing Specialist Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement. Duties include reviewing medical records, coding procedures, and collaborating with healthcare providers and insurance companies to resolve discrepancies. Strong attention
Billing Associate Specialist Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of
Medical Revenue Cycle Billing Specialist A medical revenue cycle billing specialist manages the revenue cycle of a healthcare facility by translating clinical procedures into billable claims. They are responsible for verifying insurance coverage, submitting claims to
Healthcare Customer Service Representative Job Category: Customer Service Full-Time Fully Remote Description Pay: $16 - 17 an hour Fully Remote Weekends Off Opportunities for Growth First and Second Shift Available APS Medical Billing, located in Toledo
JOB DESCRIPTION Job Description General Summary of Duties: A medical revenue cycle billing specialist manages the revenue cycle of a healthcare facility by translating clinical procedures into billable claims. They are responsible for verifying insurance coverage,
JOB DESCRIPTION Job Description Summary/Objective Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement. Duties include reviewing medical records, coding procedures, and collaborating with healthcare providers and insurance companies to resolve discrepancies.