- Huron Consulting Group Inc. (Chicago, IL)
- …firm setting with a focus on hospital or physician revenue cycle, denials management, or patient access services. Compensation The estimated base salary range ... for this job is $170,000 - $215,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors,… more
- Bayside Marin (San Rafael, CA)
- …for cash collections and AR days and to reduce bad debt and denials . Routinely reviews revenue cycle metrics to proactively identify and address issues affecting ... overall performance. Is actively involved in ensuring Front End Revenue Cycle processes are in place including ensuring the insurance verification is completed on 100% of patients, working with the Financial Counselor to ensure proper determination of patient… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …commitment to a greater cause is something we value even more. The Denials RN is responsible and accountable for receiving, processing and documenting all concurrent ... denials for assigned facilities. The RN has an integral...the revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs… more
- University of Washington (Seattle, WA)
- …Plane Services (FPPS) has an outstanding opportunity for an **Insurance Follow-Up Coding Denials Specialist.** **WORK SCHEDULE** + 40 hours per week + Day Shift + ... This position is Remote **POSITION HIGHLIGHTS** The Insurance Follow-Up Coding Denials Specialist (Patient Account Representative 2) is responsible for the optimal… more
- Catholic Health Initiatives (Little Rock, AR)
- **Overview** As our Denials Management Specialist at CHI St. Vincent Heart Clinic of Arkansas, you will help our revenue cycle team recover maximum reimbursement so ... healthcare reimbursement, excellent problem-solving skills, and a proven track record in denials management. CHI St. Vincent Heart Clinic of Arkansas is a cardiology… more
- R1 RCM (Boise, ID)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst II, you will help R1 clients by analyzing ... root cause analysis to draft appeal letters to resolve any insurance company medical denials . To thrive in this role, you must excel in a metrics-driven environment… more
- Texas Health Resources (Arlington, TX)
- **Coding and Denials Analyst** _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ **Coding/ Denials Analyst** ... acute care setting **REQUIRED** 2 Years Performing billing and coding denials resolution preferred **Licenses and Certifications** CCS - Certified Coding Specialist… more
- WellSpan Health (York, PA)
- Director-Utilization and Denials Management Location: WellSpan Health, York, PA Schedule: Full Time General Summary Supervises and oversees the operations of the ... + Oversees the utilization management process for preauthorization, concurrent review, denials and appeals for System acute care facilities. + Directs, coordinates,… more
- United Health Services (Binghamton, NY)
- Denials Recovery Specialist I - Per Diem, 33 Lewis Rd United Health Services is seeking a Denials Recovery Specialist I - Per Diem to join our Denials ... of Benefits Review. Key duties will be focusing on claims denied and aged denials of 90+ from the original DOS. Responsibilities will include calling payors to… more
- Beth Israel Lahey Health (Burlington, MA)
- …The role also includes review and rework of all types of PFS denials . Good writing and analytical skills are a must. **Job Description:** **Essential Duties ... to:** 1. Reviews and completes continuous daily work queue volume of PFS related denials . Monitors days in A/R and ensures that they are maintained at the levels… more
- Fresenius Medical Center (Waltham, MA)
- …processing and identifying and resolving problems that lead to medical claim denials . The Coder provides administrative support in the interpretation and explanation ... of data for internal and external customers. ** DENIALS MEDICAL CODER FOCUS** **:** + Must have 2+...CODER FOCUS** **:** + Must have 2+ years of " Denials " experience within medical healthcare coding + Requires strong… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle PB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # ... 2404280 **Patient Account Specialist - Revenue Cycle PB Billing and Denials (Partial Remote)** **Minimum Qualifications:** High School Diploma or equivalent. Two… more
- Kaleida Health (Buffalo, NY)
- …Revenue Cycle Admin **Job Description:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue ... and implementation of policies and procedures. The Director, Clinical & DRG Denials will work collaboratively with physicians, nursing staff, Quality, Finance and… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2403993 ... Patient Account Specialist - Revenue Cycle HB Billing & Denials **Minimum Qualifications:** High School Diploma or equivalent. Two years of financial experience or… more
- Guidehouse (Birmingham, AL)
- …Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the appropriate ... Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals +...years of healthcare claims experience + Revenue cycle or denials experience + Proficient in Word & Excel **What… more
- St. Luke's University Health Network (Allentown, PA)
- …clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes ... coding errors and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal. Claim corrections will be made after review… more
- SSM Health (OK)
- …MO, OK, or WI)* Qualifications: 2+ years of Utilization Review experience, denials and appeals experience, and knowledge of evidence-based guidlines (MCG and ... activities. **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Screens denials for possible reconsideration, peer to peer, or formal appeal.… more
- UTMB Health (Galveston, TX)
- Manager, Hospital/Professional Billing - Revenue Cycle HB Billing & Denials (Houston, Hybrid/Remote)) **Galveston, Texas, United States** **Hot** Business, ... # 2404086 **Manager, Hospital/Professional Billing - Revenue Cycle HB Billing & Denials (Galveston, Onsite)** **Minimum Qualifications:** Must have at least 5 years… more
- St. Mary's Healthcare (Amsterdam, NY)
- …recognize and resolve billing inconsistencies. * Reviews commercial and government claim denials and audit requests and coordinates attempts to overturn denials ... by drafting appeals, negotiating with payers, or following up with payer utilization review departments in attempts of obtaining authorizations and claim payment. * Establishes and maintains positive and cooperative relationships with medical staff and care… more
