SSC - Nashville Jobs

ESSENTIAL DUTIES AND RESPONSIBILITIES. Answer in-bound calls from patients, insurance companies and attorneys. Make out-bound Early Out Self-Pay calls, to collect on patient balances. Perform insurance follow up to address customer concerns. Research customer billing concerns per payer and create appropriate adjustment as needed. Ensure created adjustments receive proper approval and sign off. Address coordination of benefits issues with patient....

ESSENTIAL DUTIES AND RESPONSIBILITIES. The Specialist will monitor assigned pools and duties in Artiva, HMS, Hyland, BARRT and other host systems and applications with currency to follow up dates. File appeals as needed to resolve payer denials and work with payers and monitor appeals in process. Properly track and document all denial and appeal activity. Maintain working knowledge of all payer guidelines and requirements as they relate to denial...

ESSENTIAL DUTIES AND RESPONSIBILITIES. ● Track all appeals activity in collaboration with the Director of Denials and Appeals. ● Maintain all files as needed. ● Answer all hospital queries and provide guidance to appeals process. ● Assist appeals staff to track and meet appeals deadlines. ● Create reports of appeals activity and associated deadlines to determine opportunities to improve responses. ● Work with appeals department staff to identify ...

Essential Duties and Responsibilities. Ensure accurate and complete account follow-up. Resolve claim processing issues in a timely manner, evaluating problem claims to the appropriate managerial personnel with the insurance carrier’s organization to quickly resolve delinquent claims or contacting patient or third party payers in compliance with established policies and procedures. Review assigned claims working within the established productivity...

Essential Duties and Responsibilities. Maintain working knowledge of estimated patient financial responsibilities via the estimation tool and perform outreach to the patients prior to the scheduled appointment to verify patient demographics and notify the patient of their estimated financial responsibility. Provide professional, accurate, and timely Pre-Registration functions. Provide a high level of quality of customer service while maintaining ...

ESSENTIAL DUTIES AND RESPONSIBILITIES. Answer in-bound calls from patients, insurance companies and attorneys. Make out-bound Early Out Self-Pay calls, to collect on patient balances. Perform insurance follow up to address customer concerns. Research customer billing concerns per payer and create appropriate adjustment as needed. Ensure created adjustments receive proper approval and sign off. Address coordination of benefits issues with patient....

Essential Duties and Responsibilities. include the following. Assist with the training of Analysts and Collectors. Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage. Evaluate trends and works towards resolution and improvement of revenue cycle processes. Interpret contract reimbursement and provide feedback to management staff as required. Manage underpayment appeals, account follow-up and payer rela...