Jobs
>
Atlanta

    Revenue Cycle Representative - Atlanta, United States - SENTA Partners

    SENTA Partners
    SENTA Partners Atlanta, United States

    1 week ago

    Default job background
    Description
    • Have Knowledge of ENT and Allergy but not required
    • Knowledge of Biologics but not required
    • Research denials and determine if there is a legitimate case for overturning the denial.
    • Verify that all pertinent documentation which substantiates the appeal arguments are organized and complete, and that the appeal letter is logically argued. Ensure the documentation utilized is recorded according to internal quality standards. Use the best, most compelling evidence available to support the argument presented in the appeal. Recognize and obtain missing yet necessary documentation to complete the appeals package. Review and verify appeal exhibits/evidence for accuracy.
    • Proof-read and edit the appeal letter, as necessary. Ensure appeal letter contains no spelling, grammatical, or syntax errors before being submitted to the client for review.
    • Ensure that the appeal is written and submitted according to internal documentation control protocols and timely filing.
    • Communicate and collaborate with internal and external team members to promptly, accurately, and professionally address any questions or concerns that arise because of the appeal review or writing and submission process and escalate customer concerns to Inform manager of payor trends or problems or changes in payor requirements.
    • Follow up on all Corrected claims and appeals submitted.
    • Make clear, detailed notations in EMR system on all accounts worked.
    • Calculate expected claim reimbursement.
    • Have a working knowledge of payor policy guidelines and payor contracts.
    • Have a clear understanding of fee schedules.
    • Knowledge of redetermination and appeals process for all payers.
    • Must have a understating of clearing house claims edits and rejections.
    • A basic understating of modifiers and payer policy guidelines
    Requirements
    • High School Diploma.
    • 2 years' experience preferred.
    • Excellent verbal and written communication skills.
    • Excellent organizational skills and attention to detail.
    • Maintains professional friendly attitude.
    • Excellent knowledge of payor policies and guidelines.
    • Familiarity with coding guidelines.
  • SENTA Partners

    Revenue Cycle Representative

    1 week ago

    SENTA Partners Atlanta, United States

    Research denials and determine if there is a legitimate case for overturning the denial. · Verify that all pertinent documentation which substantiates the appeal arguments are organized and complete, and that the appeal letter is logically argued. Ensure the documentation utiliz ...

  • Piedmont Healthcare

    Patient Access Associate

    5 days ago

    Piedmont Healthcare Atlanta, United States

    : · **RESPONSIBLE FOR**: · Serves as patient facing support for the Patient Access Department within Piedmont Healthcare. Ensures patient accounts are complete with valid insurance coverage and current demographic/clinical data. Calculates patient financial responsibility, presen ...

  • AssuranceAmerica

    Sr Data Warehouse Engineer

    6 days ago

    AssuranceAmerica Atlanta, United States

    JOIN THE ASSURANCEAMERICA TEAM · Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact? Join the AssuranceAmerica team. · For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products t ...

  • Flagship Facility Services LLC

    Dishwasher

    1 week ago

    Flagship Facility Services LLC DeKalb, United States

    It's fun to work in a company where people truly BELIEVE in what they're doing · - We're committed to bringing passion and customer focus to the business._ · - Check out a day in the life of a Dish Machine Operator here_ · **Job Summary**: · The dishwasher is responsible for main ...

  • Summit Business Group

    Direct Sales Representative

    1 week ago

    Summit Business Group Douglasville, United States

    **Company**: · Summit Business Group · **Position**: · Direct Sales Representative · **Number Of Openings**: · 1 Territory Sales · **About Us**: · Summit Business Group is a rapidly growing insurance agency committed to providing outstanding supplemental benefits plans to small a ...

  • Staff Financial Group

    Revenue Cycle Manager - Fast Track to Director

    2 weeks ago

    Staff Financial Group Atlanta, United States

    Revenue Cycle Manager - Fast Track to Director - in-office opportunity in Atlanta, up to $120K salary, DOE, plus benefits and perks. Qualified candidates, please submit your resume to , with the SUBJECT LINE: Revenue Cycle Manager - Atlanta, for consideration. Top local candidate ...

  • Piedmont Healthcare

    Denials Underpayment Rep

    1 week ago

    Piedmont Healthcare Atlanta, United States

    RESPONSIBLE FOR: · Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required. This representative reports to the Manager of Denials Management. · MINIMUM EDUCATIO ...

  • Piedmont Healthcare

    Patient Access Assoc-RRC

    1 week ago

    Piedmont Healthcare Atlanta, United States

    This shift will be Wednesday - Sunday 5:00pm - 1:30am · JOB PURPOSE: · Serves as a Call Center agent to support for the Patient Access Registration Call Center within Piedmont Healthcare. Performs Registration activities in a remote environment to ensure patient accounts are comp ...

  • Piedmont Healthcare

    Patient Access Assoc-RRC

    1 week ago

    Piedmont Healthcare Atlanta, United States

    This shift will be 7am-5:30pm Friday-Monday · JOB PURPOSE: · Serves as a Call Center agent to support for the Patient Access Registration Call Center within Piedmont Healthcare. Performs Registration activities in a remote environment to ensure patient accounts are complete with ...

  • NorthPoint Search Group Inc

    Revenue Cycle Manager

    1 week ago

    NorthPoint Search Group Inc Atlanta, United States

    Revenue Cycle Manager - Fast Track to Director - in-office opportunity in Atlanta, up to $120K salary, DOE, plus benefits and perks. Qualified candidates, please submit your resume to [email protected], with the SUBJECT LINE: Revenue Cycle Manager - Atlanta, for consideration. To ...

  • Summit Business Group

    Direct Sales Consultant

    1 week ago

    Summit Business Group Peachtree City, United States

    **Join Our Compassionate Team at Summit Business Group** · **Position**: Direct Sales Representative** · **Number of Openings**: 1 Territory Sales Position Available · **About Us**: At Summit Business Group, we're more than just an insurance agency. We're a growing family dedicat ...

  • Piedmont Healthcare

    Revenue Cycle Rep II

    1 week ago

    Piedmont Healthcare Atlanta, United States

    : · RESPONSIBLE FOR: · The Revenue Cycle Representative is a multi-task position that covers all of the main functions of the Central Business Office. The Revenue Cycle Representative Two has displayed the skill to accurately handle at least one unit function of the Central Bu ...

  • Piedmont Healthcare

    EPIC Application Coordinator

    4 days ago

    Piedmont Healthcare Atlanta, United States

    RESPONSIBLE FOR: · The position of Application Coordinator is responsible for the design, build, testing, validation, and ongoing support of clinical and/or revenue cycle applications. This position is responsible for obtaining the appropriate Epic certification and maintaining ...

  • The Marquin Group

    Talent Acquisition Recruiter

    6 days ago

    The Marquin Group Atlanta, United States

    What You'll Be Responsible For: · Sourcing and Attraction: · Utilize digital platforms, social media channels, and digital advertisement to bolster and maintain a swift and in-depth candidate experience. · Brainstorm and collaborate with the Recruiting Team to continuously improv ...

  • Piedmont Healthcare

    Denials Underpayment Rep

    1 week ago

    Piedmont Healthcare Atlanta, United States

    : · RESPONSIBLE FOR: · Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required. This representative reports to the Manager of Denials Management. · Qualific ...

  • Penske Truck Leasing

    Mobile Technician II

    1 day ago

    Penske Truck Leasing Norcross, United States Full time

    Exciting New Road Tech Program · Position Summary: · Penske Mobile Technician II will generally assist in the repair and diagnosis of major components or remove/replace major components at the direction of the PFM Asset Supervisor. Expectations include the ability to perform prev ...

  • Emory

    Revenue Cycle Specialist I

    1 week ago

    Emory Atlanta, United States

    At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We're empowered to influence change for, and with, our pati ...

  • Piedmont Healthcare

    Revenue Cycle Rep II

    2 weeks ago

    Piedmont Healthcare Atlanta, United States

    : · RESPONSIBLE FOR: · The Revenue Cycle Representative is a multi-task position that covers all of the main functions of the Central Business Office. The Revenue Cycle Representative Two has displayed the skill to accurately handle at least one unit function of the Central Bu ...

  • City of Atlanta

    Regulatory Law Paralegal

    1 week ago

    City of Atlanta Atlanta, GA, United States

    Salary: Commensurate with Experience This position is responsible for: · Following legislative initiatives and activities and providing detailed reports and summaries as to how proposed legislative initiatives may impact the City; monitoring and providing updates on legislative ...

  • TRC Talent Solutions

    Data Scientist Specialist

    1 week ago

    TRC Talent Solutions Atlanta, United States

    Job Description · Job DescriptionThe Data Analytics Specialist role involves formulate and implementsolutions that will leveraging data to drive strategic decisions and improve business processes.This includes partnering and coordinate with stakeholders from Region North America, ...