- Responsible for analysis of denied reimbursement claims, including conducting payment audits, creating reports and implementing process changes, to minimize and/or prevent denials.
- Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and denial issues.
- Writes and submits appeals to payors on denied accounts.
- Audits payments to ensure QMC has received contracted payment in accordance with contract terms (including outlier accounts), including performing zero balance analysis. Creates, reviews and distributes accounts receivable reports on denials, audits, payment trends, and AR status.
- Meets with department staff and/or management to resolve issues resulting in denials and instruct on preventative measures to prevent/reduce future denials.
- Operates various office equipment such as computer, copier, facsimile, telephone, addressograph machine, pneumatic tube system etc.
- Not substantially subjected to adverse environmental conditions.
- High School diploma or equivalent.
- Bachelor's degree in business or related field preferred.
- Four (4) years recent progressively responsible experience as a Patient Accounts Representative in an acute care facility, demonstrating good working knowledge of Medicare, Medicaid, Third Party payor requirements. SNF/ICF, ICD-9/ICD-10 and DRG.
- Prior experience in report preparation and analysis.
- Experience to demonstrate effective written and oral communication skills and interpersonal skills.
- Experience to demonstrate ability to lead/conduct meetings with other departments and staff.
- Experience with Windows applications, such as Word, Excel, etc.
- Experience with hospital accounts receivable and hospital billing systems.
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sport recovery specialist: personal trainer with recovery or massage background
Found in: Careerbuilder One Red US C2 - 3 days ago
UFC Gym Kailua, HI , USA, United StatesThe Sports Recovery Specialist is responsible for ensuring a positive customer experience and delivering great member service, private training, and recovery sessions. Coaches are responsible for the successful attainment of revenue goals pertaining to Private Training and Supple ...
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Sport Recovery Specialist: Personal Trainer with Recovery or Massage Background
Found in: ZipRecruiter Test10S US C2 - 3 days ago
UFC Gym Kailua, United StatesJob Description · Job DescriptionThe Sports Recovery Specialist is responsible for ensuring a positive customer experience and delivering great member service, private training, and recovery sessions. Coaches are responsible for the successful attainment of revenue goals pertaini ...
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Sport Recovery Specialist: Personal Trainer with Recovery or Massage
Found in: Talent US C2 - 3 days ago
UFC GYM Mililani, United StatesRESPONSIBILITIES · : · 1) Sell and Conduct Private Training & Recovery Corner Modalities with Members · Sell and conduct private & small group training with members. · Provide Manual Therapy, massage, myofascial release, assisted stretching, or other recovery modalities to mem ...
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GIS/Data Specialist
Found in: Lensa US 4 C2 - 15 hours ago
Tidal Basin Honolulu, United StatesThe role of the GIS/Data Specialist is to work in partnership with government entities to identify, design, and manage a variety of recovery and mitigation projects funded through FEMA Public Assistance and Hazard Mitigation Assistance programs as well as HUD CDBG-DR and CDBG-MIT ...
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perioperative technician aide
Found in: MyJobHelper US C2 - 3 days ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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graduate nurse
Found in: Careerbuilder One Red US C2 - 23 hours ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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graduate nurse
Found in: Careerbuilder One Red US C2 - 23 hours ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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graduate nurse
Found in: Careerbuilder One Red US C2 - 3 days ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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graduate nurse
Found in: Careerbuilder One Red US C2 - 23 hours ago
Hawaii Pacific Health , HI, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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graduate nurse
Found in: Careerbuilder One Red US C2 - 3 days ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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graduate nurse
Found in: Careerbuilder One Red US C2 - 3 days ago
Hawaii Pacific Health , HI, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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graduate nurse
Found in: Careerbuilder One Red US C2 - 3 days ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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graduate nurse
Found in: Careerbuilder One Red US C2 - 3 days ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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clinical assistant
Found in: Careerbuilder One Red US C2 - 1 day ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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physician assistant
Found in: Careerbuilder One Red US C2 - 3 days ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · The Hawai'i Pacific Health Medical Group is comprised of over 700 employed physicians and advanced practice providers. Together with our four medical centers (Kapi'olani, Pali Momi, Straub, and Wilcox) and more than 50 convenient clinic locations statewide, our ...
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clinical assistant
Found in: Careerbuilder One Red US C2 - 5 hours ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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clinical assistant
Found in: Careerbuilder One Red US C2 - 1 day ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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Planning Specialist
Found in: Appcast Linkedin GBL C2 - 1 day ago
Tidal Basin Government Consulting Firm Honolulu, United StatesPosition Summary: Tidal Basin is the nation's premier provider of integrated preparedness, emergency response management, and disaster recovery consulting services. We are growing our team and have opportunities for Emergency Management Planning Specialists to support a state or ...
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registered nurse
Found in: Careerbuilder One Red US C2 - 3 days ago
Hawaii Pacific Health , HI, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
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nurse aide
Found in: Careerbuilder One Red US C2 - 3 days ago
Hawaii Pacific Health Honolulu, HI , USA, United StatesJob Description · Founded in 1921, Straub Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub pro ...
Payment Recovery Specialist - Honolulu, United States - Queen's Health System
Description
RESPONSIBILITIES
I
JOB SUMMARY/
RESPONSIBILITIES:
TYPICAL PHYSICAL DEMANDS:
Essential:
standing, sitting, walking, seeing, hearing, speaking.
Frequent:
finger dexterity, repetitive arm/hand motions and gripping of an object.
III
TYPICAL WORKING CONDITIONS:
MINIMUM QUALIFICATIONS:
A
EDUCATION/CERTIFICATION AND LICENSURE:
EXPERIENCE: