Under the general supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical denial management. The individual is responsible for managing medical denials by conducting a comprehensive review of relevant clinical documentation. The Clinical Appeals Specialist will write compelling arguments based …
Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Superv isor , the Clinical …
The Data Integrity / Clinical Trials Billing Specialist performs charge validation through account review in a timely and billing compliant manner. The Data Integrity / Clinical Trials Billing Specialist will develop a mastery of the Institute’s Accounts Receivable (AR) and Clinical Trials Management (CTM) systems, while interacting with a …
Reporting to the VP, Chief Compliance Officer with a dotted line reporting relationship to the VP, Revenue Performance Management, the Director of Billing Compliance ensures the integrity and accuracy of billing practices within the organization. This role involves developing and implementing compliance programs that adhere to regulations and industry standards, …
The Drug Authorization Specialist, with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug authorizations for all injectable drug treatment plans ordered by Dana Farber Cancer Institute providers using knowledge of payer coverage policies and applies appropriate payer guidelines to all aspects of …
Reporting to the Director of Patient Financial Services, the Patient Accounting Follow Up Manager is responsible for providing leadership and oversight of all underlying billing functions such as Accounts Receivable (“AR”) resolution and denials management for all Government Payers. The Manager will lead a team of follow-up staff and work …
The primary functions of the Patient Accounting Billing Solutions Representative II are to handle incoming patient-related calls, manage credit and collections activities, coordinate the Medicare Bad Debt program, copay assistance program, and administer the hospital Patient Financial Assistance program. This includes researching patient payments, insurance denials, and any overpayments. …
The primary function of the Patient Accounting Billing Specialistis the daily management of an assigned portion of the accounts receivable, typically allocated based on alphabetical splits. Responsibilities of the Patient Accounting Billing Specialist include regular and consistent billing for all payers and follow-up work on Client, inter-hospital billing, NMDP, …
The Patient Financial Counselor serves as point of contact for patients for financial matters related to access to services and engagement throughout their financial experience at Dana-Farber Cancer Institute (DFCI). Reporting to and with direction from the Access & Financial Engagement Supervisor, the Patient Financial Counselor is responsible for …
Reporting to the Director of Payer Finance and Strategy, the Senior Analyst, Payer Finance will provide analytic support to the Payer Contracting and Performance team. The Senior Analyst will produce financial modeling in support of contract negotiations, ongoing contract management, and strategic initiatives to optimize organizational revenue, margin, and growth …
The primary functions of the Patient Accounting Billing Solutions Representative II are to handle incoming patient-related calls, manage credit and collections activities, coordinate the Medicare Bad Debt program, copay assistance program, and administer the hospital Patient Financial Assistance program. This includes researching patient payments, insurance denials, and any overpayments. …
Read more about ""The Data Integrity / Clinical Trials Billing Specialist performs charge validation through account review in a timely and billing compliant manner. The Data Integrity / Clinical Trials Billing Specialist will develop a mastery of the Institute’s Accounts Receivable (AR) and Clinical Trials Management (CTM) systems, while interacting with a …
Read more about ""Under the general supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical denial management. The individual is responsible for managing medical denials by conducting a comprehensive review of relevant clinical documentation. The Clinical Appeals Specialist will write compelling arguments based …
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