updated on payer guidelines and requirements for denials and appeals. The position involves monitoring RAC accounts for adjustments... for denials and appeals. Monitors RAC accounts for AB rebills and post recovery or denial adjustments as needed. Identifies...
for coordinating, tracking and following up on all payer audit record requests, audit responses and appeals for the CMS Recovery (RAC... to report trends/patterns/statuses or abuses. Essential Functions Receives, logs and tracks all RAC, MAC, CERT...
appeals writing for RAC, Medicaid RAC, payer and other government denials. Provide process improvement initiatives through... items;correctly calculates the dollar total amounts for each discrepancy and submits necessary documents for adjustments...
of agency-specific short term and long-term strategic business plans, periodically reviews, and suggests adjustments... Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands...
in RAC activity/adjustments to processes to ensure compliance w/federal regulations Participates in other Revenue Cycle... of denied cases w/follow up Works w/RAC Coordinator to identify RAC issues/risk areas. Instructs case management department...
with creation of agency-specific short term and long-term strategic business plans, periodically reviews, and suggests adjustments... Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands...
of Patient Access Services of daily operational needs or adjustments. Manages, reviews, and approves leave requests... in collaboration with the Reasonable Accommodations Committee (RAC). Environmental Conditions - Jobs in this group...
to payer and acknowledged Claim is being audited/reviewed for any reason (ADR, CERT, RAC) Claim non-payment/under-payment... balance adjustments of $10 or less 12. May be responsible for maintaining Medicare Coinsurance bad debt schedule for cost...
, with formal education in regulatory discipline preferred. RAPS Certification (RAC) experience is a plus. California... is between $85,640.00 and $114,187.00 per year and may include cost of living adjustments. The actual base pay includes many factors and is subject to change...
electronic payments (post, refund, or transfer) and manage financial adjustments like non-sufficient funds (NSFs), stop payments... standard. Audit Support: Interpret and key RAC Audit correspondence into the Audit+ system. 3. Reporting & Compliance...