- Blanchard Valley Health System (Findlay, OH)
- …Avoidance Specialist when identifying trends relating to denials . The specialist will also work with management to ensure compliancy within the ... PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the...and Professional services as well as the appeal of denials /rejections from third-party payers. The specialist will… 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 ... LeadershipThis position anticipates and responds to a wide variety of issues/concernsThe Denials Specialist works independently to plan, schedule and organize… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …as regional experts regarding payer trends and reports any reimbursement trends/delays to management team (eg billing denials , claim denials , pricing errors, ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...verification result call. Welcome calls. Advanced alternate coverage research. Appeals/ Denials . Intakes and reports adverse events as directed. Provides… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …secondary claims submitted to other payers.Review correspondence and remits via cash management system to identify incorrect payments, inappropriate denials , or ... with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility,… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …of the pre-certification process.Works in conjunction with Physician offices, Case Management , Utilization Review, and patients to obtain supporting clinical data ... referring Physician's office, and insurance payers to inform of authorization delays/ denials . Collaborates with Utilization Review nurses to ensure authorization for… 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
- 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, excellent problem-solving skills, and a proven track record in denials management . CHI St. Vincent Heart Clinic of Arkansas is a cardiology… more
- Fresenius Medical Center (Waltham, MA)
- …PRINCIPAL DUTIES AND RESPONSIBILITIES: + Monitors all work lists specific to the Denials Management Specialist Role. + Ensures escalation of any ... any issues. Performs Accounts Receivable collection duties as assigned by Denials Supervisor, ensuring collection of past due balances to maintain profitability.… more
- Trinity Health (Pontiac, MI)
- …medical record. 10 Participates in the appeal process when deemed necessary by the Denials Management Specialist on cases where payment has been denied. ... within the State of Michigan. Certified Professional in Utilization Review/ Management preferred. **C** **Special Skill / Aptitudes** Understanding of computers… 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 ... data, payer medical policies, etc.), determines the causes for denials of payment and partners with management ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly ... includes review and rework of all types of PFS denials . Good writing and analytical skills are a must....that they are maintained at the levels expected by management . 2. Analyzes work queues and other system report… more
- Laurelwood Healthcare Center (Elkton, MD)
- …to other members of the rehab team. + Collaborates with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. + ... Conducts staff/family training and education when appropriate by formal and informal in-services as well as consultations. + Maintains accurate billing information in accordance with facility procedures daily, including training/re-training of team members,… 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 ... of charging and billing, and collection efforts. * May educate case management staff and other departments regarding payer changes and denial/appeal process.… 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** ... an acute care setting **REQUIRED** 2 Years Performing billing and coding denials resolution preferred **Licenses and Certifications** CCS - Certified Coding … 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 ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… more
- Beth Israel Lahey Health (Danvers, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… 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...to detail and accuracy * Strong organizational and time management skills * Excellent communication and interpersonal skills *… more
- Boys Town (Omaha, NE)
- …claims related to clinical/facility charges. Reviews and completes daily workflow of denials and no response from insurance payers for HCFA/UBO4, chart notes/faxes ... Accurately resubmits claims for payment to prevent and reduce further rejections/ denials . Communicates common denials /rejections to help streamline and improve… 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 party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
