- Community Health Systems (Antioch, TN)
- **Job Summary** The Denials Management Specialist is responsible for working assigned denials and appeals claims by communicating with all necessary departments ... Communicates with all necessary departments to identify and resolves denial trends and issues. Tracks and documents all ...denial trends and issues. Tracks and documents all denial and appeal activity. + Maintains working knowledge of… more
- 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
- CaroMont Health (Gastonia, NC)
- …as required. Other duties as assigned. CDS and Denial Specialist will work collaboratively with Health Information Management , Utilization Review ... Job Summary: The Clinical Documentation and Denial Specialist will assist with development... Specialist is responsible for assisting the denial coordinator with management of client DRG… more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by Denial Manager. The Denial ... experience such as clinical denials or reference to a denials management department. Thorough knowledge of medical terminology and coding. **Licensure** None… 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
- Northern Light Health (Brewer, ME)
- …to productivity and quality. This position works closely with a team of Denial Resolution Specialists to analyze and take corrective action on payer denials to ... problem solving with peers and leaders to address payer denial and processing issues or changes that directly impact...and clinical departments as required by payer. + Advises management of payer processing issues which may require attention… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a RN Denial Reviewer for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $54.61 - ... change agent with in-depth knowledge of workflow related to denials and appeals management . Performs in depth reviews of clinical DRG downgrade denials to draft… 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
- McLaren Health Care (Port Huron, MI)
- …Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both ... internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing activities, reviews outcomes and communicates findings… 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
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... over 5,120 contracted workers of varying professions in facilities management , information technology, environmental, administrative, purchasing, and contracting, ISD… more
- Community Health Systems (Fort Smith, AR)
- …resources (eg books, video tapes/audio). Works with associates and departments to understand denial /appeal management processes. (20%) + This is a fully remote ... As a Remote Medical Denials / Appeals Specialist at Community Health Systems - Shared Services...experience in healthcare revenue cycle setting including chart review, denial processing **Essential Duties and Responsibilities:** + Responsible for… more
- Dignity Health (Bakersfield, CA)
- …This position is remote** **within California** **.** **Position Summary:** As a Delegation Management Specialist II, you will play a critical role in managing ... **Overview** The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to...includes health plan audits, administering of letter templates and denial letter responses and essential reporting for the department.… more
- Community Health Systems (Franklin, TN)
- …books, video tapes/audio Works with associates, departments and facilities to understand denial /appeal management processes. + Performs other duties as assigned. ... **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for… 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
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more