Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

Maintains positive and productive relations with payor representatives, providers, professional services, medical staff services, and the revenue cycle to successfully expedite the enrollment/re enrollment process. Helps resolve issues to ensure that revenue is not negatively impacted. Job Duties Maintains an expanded knowledge and thorough understanding of the IntelliApp

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Coordinates administrative duties associated with daily physician practice operations and acts as a resource to the front line scheduling colleagues. Provides education and support to clerical staff. Functions as the primary practice resource for insurance information, clerical standard work, EMR scheduling, referrals, and other appointment functions. Job Duties Oversees

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

PRIMARY FUNCTION P rovide statistical programming support to medical and health science research projects. Depending on the project, this may include development of databases and data management, performing data analyses, and summarizing results of analyses for manuscript and presentations. ESSENTIAL FUNCTIONS Under supervision of a higher level biostatistician, incumbent

Coordinates administrative duties associated with daily physician practice operations and acts as a resource to the front line scheduling colleagues. Provides education and support to clerical staff. Functions as the primary practice resource for insurance information, clerical standard work, EMR scheduling, referrals, and other appointment functions. Job Duties Oversees

This role serves as the key link between the finance department and the Information Systems (IS) team, focusing on utilizing the Workday platform. Responsibilities include providing consultation, maintaining data integrity, configuring system changes, testing integrations and security, sharing knowledge, acting as an escalation point for issues, and ensuring system config

Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir

Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Acts as the internal and external point of contact and coordinates the day to day operations of the front desk and medical records. Serves as the lead in clerical/administrative components of patient encounters as a member of the care delivery team. Acts as a mentor to all patient service representatives and ensures that the delivery of high quality, cost efficient, cultu

. Work Schedule and Additional Information Full time employment Work hours are 8 00 AM to 4 00 PM, Monday Friday, with 30 minute lunch. Telework You may have the opportunity to work from home (telework) part time. In order to telework, you must have a securely configured high speed internet connection and work from an approved location inside Pennsylvania. If you are unab

. Work Schedule and Additional Information Full time employment. Work hours are 8 30 am to 5 00 pm, Monday Friday, with 60 minute lunch. Salary Most employees will start at the beginning level of the advertised salary. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices. REQUIRED EXPERIE