Clinical Denials RN - Oak Brook

This position requires clinical nursing expertise to assess denied claims and ensure timely evaluation and response. · The Clinical Denials RN will utilize industry guidelines, Medicare Benefit Policy Manual guidelines, national coverage determinations, local coverage determinati ...

The Clinical Denials RN will utilize clinical nursing expertise to assess denied claims and make determinations on eligibility for appeal. · Utilize industry guidelines and knowledge base in reviewing medical records and writing appeals. · Analyze denied claims using payor and go ...

The Clinical Denials RN will utilize clinical nursing expertise to assess denied claims and make determinations on eligibility for appeal. · ...

Manage incoming fax phone and portal communications or any other requests from internal and external customers pertaining to clinical requests approvals authorizations and denials determine action required and document all activities performed accurately and clearly in the design ...

The Financial Advocate Hybrid will be responsible for calculating personalized estimates of patients' financial responsibility based on their insurance coverage prior to service. · They will communicate patient liability clearly and accurately while explaining concepts such as de ...

This position is accountable for accurate abstracting of selected clinical and non-clinical information to create a comprehensive database of information for billing purposes internal data management and external reporting of data. · ...

We are looking for a dedicated Revenue Cycle Analyst to join our team near Oak Brook, Illinois on a contract-to-permanent basis. This role is critical in ensuring the accuracy and compliance of revenue operations within a healthcare setting. · Ensure daily revenue integrity activ ...

The Financial Advocate Hybrid role at Advocate Health involves providing personalized financial estimates to patients based on their insurance coverage prior to service. Key responsibilities include communicating patient liability clearly and accurately, explaining concepts such ...

Documents utilization review activity per department and medical center standards in a timely manner. · Performs and documents accurate and timely concurrent and retrospective reviews based on approved established criteria. · ...

The Medical Coding Multi Specialty QA Specialist (CPC Certified) is responsible for the quality assurance of our internal coding team and performs quality audits to ensure compliance with coding guidelines, · departmental policies and procedures.This position holds additional dut ...

The Medical Coding Multi Specialty QA Specialist (CPC Certified) is responsible for the quality assurance of our internal coding team and performs quality audits to ensure compliance with coding guidelines, as well as departmental policies and procedures. · This position holds ad ...

+The Financial Advocate provides personalized estimates of patients' financial responsibility based on their insurance coverage. They communicate patient liability clearly and accurately. · +Calculates and provides patients with personalized estimates of their financial responsib ...

The Coding Tech II is responsible for the validation and/or abstraction coding of routine office to off-premise patient visits, including inpatient and outpatient procedures for all billable clinicians. · ...

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. · Completes comprehen ...

This is a remote role responsible for the validation and/or abstraction coding of routine office to off-premise patient visits. The position requires accurate abstracting of selected clinical and non-clinical information to create a comprehensive database of information for billi ...

This position is responsible for reviewing accounts and applying billing follow up knowledge to ensure proper and maximum reimbursement from insurance payors. · ...

The Billing Follow Up Representative I is responsible for independently reviewing accounts and applying billing follow up knowledge to ensure proper and maximum reimbursement from insurance payors. They use multiple systems to resolve outstanding claims according to compliance gu ...

The Billing Follow Up Representative I role at Advocate Health involves independently reviewing accounts and applying billing follow up knowledge for all insurance payors to ensure proper and maximum reimbursement. The representative will use multiple systems to resolve outstandi ...

Billing follow up rep job at Advocate Health Care in Oak Brook. The job involves reviewing accounts and applying billing follow-up knowledge for insurance payors. · ...

We are seeking an experienced HIM Coding Technician to join our team! This role is responsible for the validation and/or abstraction coding of routine office to off-premise patient visits... · Major Responsibilities · Reviews medical documentation at a proficient level from clin ...