- Blanchard Valley Health System (Findlay, OH)
- …Valley Facility and Professional services as well as the appeal of denials /rejections from third-party payers. The specialist will manage their assigned ... with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating to denials ....to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... anticipates and responds to a wide variety of issues/concernsThe Denials Specialist works independently to plan, schedule...cycle teams to reduce revenue lossHelps identify issues from denials and appeals that might be avoided… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …Benefit verification result call. Welcome calls. Advanced alternate coverage research. Appeals / Denials . Intakes and reports adverse events as directed. Provides ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...reports any reimbursement trends/delays to management team (eg billing denials , claim denials , pricing errors, payments, etc.).… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility, ... and providing online verification. Responsible for reviewing all primary payments and denials for accuracy as well as sending out initial claims, corrected claims… more
- Rose International (Atlanta, GA)
- …out and maximize reimbursement from various insurance plans by resolving complicated denials , short payments, billing errors, and other claim issues. The ideal ... policy and procedure; including but not limited to in-depth research, appeals , rebilling, obtaining insurance authorizations or referrals, correcting coding, calling… more
- Staffing Now (Bedford, MA)
- Billing Specialist temporary to hire for a large coding and billing client located in Bedford Ma. Duties: Review accounts receivable reports follow up on unpaid ... claims, work denials on an explanation of benefits statement, send out appeals , submit required documentation to insurance companies, research claims for… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …referring Physician's office, and insurance payers to inform of authorization delays/ denials . Collaborates with Utilization Review nurses to ensure authorization for ... documentation of the pre-certification into the appropriate account.Collaborates with the appeals department to provide all related information to overturn denied… more
- Accounting Now (Pinellas Park, FL)
- …Billing and Collections Specialists in St Petersburg, Florida. Billing & Collections Specialist The medical billing and collection specialist is responsible for ... and/or paper claims, monitoring claim status, researching rejections and denials , documenting related account activities, posting adjustments and collections of… more
- St. Mary's Healthcare (Amsterdam, NY)
- …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 coordination leaders to ensure ongoing compliance with utilization… 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 ... functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** +...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Beth Israel Lahey Health (Burlington, MA)
- …coding of CPT/HCPCS/ICD-9/ICD-10 codes. 6. Identifies, reviews, and interprets third party denials 7. Initiates corrected claims and appeals according to payer ... you're making a difference in people's lives.** The Denial Specialist I role is vital to ensure that hospital...Assists the supervisor with the resolution of claims issues, denials , appeals and credits. 17. Works with… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN39530B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt ... -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist ...knowledge of revenue cycle. + Working knowledge of insurance denials , appeals and expected reimbursement rates. +… more
- Carle (Urbana, IL)
- Outpatient Denial/ Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... documentation review to establish and manage clinical and prior authorization denial appeals for the Carle enterprise. Represents Carle in clinical meetings and… 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
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The DRG Appeals Analyst - CDI Liaison is responsible for analyzing medical records, claims data, and coding on all diagnoses and procedures (both ... the patient's treatment have been applied to the claim. **RESPONSIBILITIES** 1. Analyzes denials and determines when an appeal should be filed to the payor.… more
- Hartford HealthCare (Newington, CT)
- …and homecare to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 ... million in active inventory and $70 million in denials through account follow up, appeals and resubmission actions. This position reports directly to the AR… more
- Robert Half Accountemps (Charleston, SC)
- Description We are seeking a Medical Billing Specialist to join our team in the healthcare industry based in Charleston, South Carolina. The role is critical in ... with a focus on insurance claims, account receivables, claim denials , and medical coding. This role offers a contract...accounts receivable and conduct necessary follow-ups * Efficiently file appeals and work on denied claims * Contribute to… more
- Beth Israel Lahey Health (Burlington, MA)
- …Billing Office. 15. Independently works on the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims...complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims… more
- Beth Israel Lahey Health (Danvers, MA)
- …Billing Office. 15. Independently works on the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims...complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims… more
- Beth Israel Lahey Health (Burlington, MA)
- …lives.** Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third ... Assists the Billing Supervisor with the resolution of complex claims issues, denials , appeals and credits. 17.Works with cash team to resolve unapplied cash. 18.… more
