Denials and Appeals RN - Omaha

Job summary · The Denials Coder position is responsible for corresponding with health insurance payers to address coding denials in accordance with established standards. · ResponsibilitiesCORRESPOND WITH HEALTH INSURANCE PAYERS TO ADDRESS CODING DENIALS IN ACCORDANCE WITH ESTABL ...

The best place to live is Omaha due to the high volume of scripts in Omaha metro area In the field visiting providers offices 4 days per week. · Determination to work through all roadblocks and barriers to get the medications approved and paid for. · ...

This position is responsible for corresponding with commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials. · ...

Provide expertise in routine third party reimbursement. Maintaining up to date patient account records. Responds to insurance and patient inquiries. · ...

Provide expertise in routine third party reimbursement. Responsible for maintaining up to date patient account records. · ...

We are seeking a Patient Billing Representative II to join our team at Nebraska Methodist Health System. · Responsible for billing, electronic claims submission, follow up and collections of patient accounts. · Auditing of patient accounts to ensure accurate determination of rema ...

Responsible for billing electronic claims submission follow up and collections of patient accounts. · ...

+Responsible for billing electronic claims submission follow up and collections of patient accounts. · +All EDI paper claims submitted are to be billed as needed following department payer specific guidelines. ...

Serious Medicine is what we do. Being extraordinary is who we are. · ...

Provide expertise in routine third party reimbursement. · ...

Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. · ...

The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers to address and resolve outstanding insurance balances and denials in accordance with established standards, guidelines and requirements. · ...

The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers to address and resolve outstanding insurance balances and denials in accordance with established standards, guidelines and requirements. · This position requires fol ...

Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements Molina policies and procedures medically appropriate clinical guidelines Contributes to overarching strategy to provide quality a ...

The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers to address and resolve outstanding insurance balances and denials in accordance with established standards. · Follow up on insurance or government claims to research ...

The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers to address and resolve outstanding insurance balances and denials in accordance with established standards guidelines and requirements. Conducts follow-up process ac ...

This Pre-Cert Specialist role at Nebraska Cancer Specialists involves obtaining pre-authorization from insurance payors for medications/treatments, radiology testing, laboratory procedures, and pathology testing prior to being rendered. · Takes care of any patient needs promptly ...

The Billing Specialist completes insurance verifications and insurance appeals for denied claims to ensure timely management our Accounts Receivable (AR) System. · This individual provides excellent customer service to clients, insurance companies, · and internal departments. ...

We are seeking an experienced Clinic Billing Specialist to join our team at RehabVisions. · The ideal candidate will have excellent analytical and problem-solving skills, with the ability to work accurately and efficiently in a fast-paced environment. · This role requires stron ...

+ Develop a comprehensive and effective territory business plan aimed at achieving and exceeding quarterly & annual goals established by commercial leadership · + Promote within our approved labeling in a comprehensive, fair, and ethical manner that is consistent with industry sp ...