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Nationwide Children's Hospital
Overview
This role coordinates patient accounts from prior authorization through to bill payment or collection, which includes processing billing for home health agencies to appropriate entities like Medicaid and self-pay. The specialist must maintain current knowledge of billing regulations and actively assist in resolving any billing problems encountered.
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Compensation
Salary not listed
Posted
1 month ago
IVI America
The coordinator will contact insurance companies to request reprocessing of incorrectly denied claims and submit necessary support documentation when requested. Responsibilities also include navigating insurance websites, working aging reports to resolve outstanding claims, and documenting progress in the EMR/billing system.
$21 / HOUR
3 months ago
KPC GLOBAL MEDICAL CENTERS INC.
The Clinical Appeals Nurse investigates and processes medical necessity appeals from members and providers to payers, requiring research into standards, regulations, and policy to overturn or uphold denied claims. This role involves ensuring timely and accurate processing of all denials according to policies and requirements, and preparing cases for Medical Director review when necessary.
$52 - $62 / HOUR
Surgery Partners, Inc
The role involves verifying patient eligibility, benefits, and coverage limitations, as well as obtaining prior authorizations before service dates. Additionally, the position manages Accounts Receivable, follows up on unpaid or denied claims, and submits appeals to resolve payment issues.
Premier Health
The Medical Billing Specialist ensures timely and accurate reimbursement for physician services by collecting and entering claim information, submitting claims according to carrier guidelines, and following up on unpaid, rejected, or denied claims.
