- AdventHealth (Altamonte Springs, FL)
- … root cause and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and ... . Advanced degree in any field of study . Experience in denial management , utilization review, case management , clinical documentation improvement, revenue… more
- UT Health (Houston, TX)
- Coding Denial Specialist - Rev Cycle **Location:** Houston, Texas **Hot** **Category:** Professional/Managerial McGovern Medical School at UTHealth Houston ... **Position Summary:** **RESTRICTED TO MMS/REVENUE CYCLE/CHARGE CAPTURE & CODING** The Coding Denial Specialist is responsible for resolving denied claims within… more
- Baptist Memorial (Memphis, TN)
- Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational controls ... including federal and state regulations and guidelines. The Quality Assurance Specialist will be responsible for analyzing and interpreting trends associated with… more
- Baptist Memorial (Memphis, TN)
- …organizational skills. Experience Preferred: Five years clinical experience and 3-5 years case management or denial management experience. Minimum: RN, 5 ... education + Employee referral program Job Summary: Position: 3484 - Specialist - Denial II RN Facility: BMHCC Corporate Office Department: HS Denial… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist will identify, review, and interpret third-party payments, adjustments, ... A/R and ensures that they are maintained at the levels expected by management . Analyzes work queues and other system reports. Identifies denial /non-payment… more
- WMCHealth (Valhalla, NY)
- …Systems Denials Analyst is responsible for providing analysis and reporting for all Denial Management functions at Westchester Medical Center Health Network. The ... Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...be responsible for enabling reporting to track and monitor denial write-offs to optimize net revenue recognition and recovery,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …necessary documentation needed to have claims reprocessed/adjudicated * Informs and/or transfers to management of any problem accounts and or denial trends that ... oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing… more
- Beth Israel Lahey Health (Charlestown, MA)
- …necessary documentation needed to have claims reprocessed/adjudicated . Informs and/or transfers to management of any problem accounts and or denial trends that ... oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and prevention ... cycle industry standards. Communicates and educates on any identified coding denial trends. *_JOB RESPONSIBILITIES_* *Denials Resolution* * Works with coding staff… more
- Beth Israel Lahey Health (Charlestown, MA)
- …necessary documentation needed to have claims reprocessed/adjudicated . Informs and/or transfers to management of any problem accounts and or denial trends that ... lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital Billing will be...System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues . Investigate and resolve… more
- Rush University Medical Center (Chicago, IL)
- …7. Maintains accurate, clear, timely documentation related to denied cases. Manages Care Management denial management database. Tabulates the financial gains ... appeals for clinical inpatient denials, conducts appeals as appropriate. Track denial outcomes, identify trends and work collaboratively with clinical providers,… more
- Houston Methodist (Houston, TX)
- …is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment with ... feasibility of submitting appeals. + Works with revenue cycle management and staff to ensure claim edit/ denial ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Weill Cornell Medical College (New York, NY)
- …critical thinking and analytical skills. + Ability to meet daily coding and denial management production requirements along with quality as per Company norms. ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...standards are met for billing. + Analyze for invalid denial trends, payer specific carrier submission requirements & system… more
- McLaren Health Care (Shelby Township, MI)
- **Position Summary** : The denials management specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from ... third-party payers. The specialist will work independently while managing their assigned work...for services rendered. **Essential Functions and Responsibilities:** 1. Monitors denial work queues and reports in accordance with assignments… more
- Sharp HealthCare (San Diego, CA)
- …and maintain case files.Provide clerical support and assistance to the Case Management team.Contributes to the continuous improvement initiatives of the Case ... Management team to deliver quality interventions timely.Maintain data, run...benefit guidelines to approve referrals designated at the Care Specialist level.Investigate and follow-up on all eligibility issues in… more
- CAIPA MSO LLC (New York, NY)
- …collections specialists with assistance in the follow-up of outstanding claims payments. + Denial Management to include payer denials and denial solutions. ... Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an… more
- City of New York (New York, NY)
- …is provided to those who fail to meet requirements. Your Impact: The Risk Management Specialist will identify and address potential risk for fraud. The ... of HPD's Section 8 program rules. Responsibilities: The Risk Management Specialist will be responsible for the...forward with assistance, entering into repayment agreement or subsidy denial or termination based on the research conducted with… more
- Alameda Health System (Oakland, CA)
- Care Management Specialist + Oakland, CA + Highland General Hospital + System Admission Transfer Center + Services As Needed / Per Diem - Varies + Care ... Denial Letters, patient choice forms; regularly updates Care Management team. 10. Supports any audits with coordinating medical...field. Required Experience: One year experience in a case management specialist position in an acute care… more
- Beth Israel Lahey Health (Burlington, MA)
- …w/ Honors, or Certification Experience: Three (3) years of experience in denial management environment-related field. Experience in training and staff ... a job, you're making a difference in people's lives.** The Revenue Billing Specialist role specializes in high-dollar claims, aged claims, and denied claims for… more
- Bank of America (Denver, CO)
- Info Security Incident Management Specialist Denver, Colorado **Job Description:** At Bank of America, we are guided by a common purpose to help make financial ... the organization as much as possible. Info Security Incident Management Specialist will be required to take...* Data loss prevention and insider threat investigations * Denial of service and other network attacks * Cloud… more