- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... billing with information needed to obtain payment of claims. Remote within local geography after orientation. JOB DUTIES AND...JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management … more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... requirements pertaining to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance… more
- Texas Health Resources (Arlington, TX)
- …assigned (eg, Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges) **Additional perks of being a ... **Coder II - Denials ** _Are you looking for a rewarding career...our Texas Health family._ **Position Highlights** + Work location: Remote work + Work hours: Monday - Friday generally… more
- Community Health Systems (Fort Smith, AR)
- As a Remote Medical Denials / Appeals Specialist at Community Health Systems - Shared Services Center, you'll play a vital role in supporting our purpose to ... flexible scheduling, 401k and student loan repayment programs. The Remote Medical Denials / Appeals Specialist...management processes. (20%) + This is a fully remote opportunity. We know it's not just about finding… more
- TEKsystems (Colorado Springs, CO)
- …Medical Device company based out of California is interested in hiring a Billing Specialist in a fully remote opportunity. The team is interested in candidates ... Determine root cause and prevention of future rejections & denials , advising management and appeals team where...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position will be accepting… more
- Community Health Systems (Franklin, TN)
- …based on hospital and/or corporate policies/procedures. + In the event of concurrent denials , the UR Clinical Specialist reviews the denial and works with ... in such a way that minimizes the risk of denials after discharge. The hours for this position will...presenting after the call and documented in the case management system by the UR Review Specialist .… more
- Community Health Systems (Franklin, TN)
- … supports and coordinates the various aspects of the hospital's utilization management program, denials and appeals activities, and readmission reduction ... **Job Summary** Utilization management is the analysis of the necessity, appropriateness,...initiatives. The nurse specialist will use technology resources to support and monitor… more
- BayCare Health System (Clearwater, FL)
- …teams, physicians and their staff, the BayCare central business office, and denials management with information and process details for timely turnaround ... Care experience Equal Opportunity Employer Veterans/Disabled **Position** Central Authorization Specialist II ( Remote ) **Location** Clearwater | Business and… more
- Robert Half Accountemps (Indianapolis, IN)
- …is assisting a Healthcare client of ours to secure a tenured Medical Accounts Receivable Specialist to work in a fully remote environment. This specialist ... collection, efficient claim resolution, and precise financial record-keeping. The specialist will collaborate with insurance providers, patients, and internal teams… more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a full time Provider Coding Specialist . This remote role requires the incumbent to reside in OR, WA, AK or TX.** The ... documentation, timely and complete charge capture, and correction/resolution of insurance claim denials and patient disputes due to coding issues. **What you will… more
- UT Health (Houston, TX)
- …Denial Specialist collaborates with members of the Revenue Cycle Management (RCM) team including Clinical Documentation Improvement (CDI) to identify trends and ... Coding Denial Specialist - Rev Cycle **Location:** Houston, Texas **Hot**...management skills. Ability to work collaboratively in a remote environment. **Minimum Education:** High School Diploma or equivalent.… more
- Community Health Systems (Franklin, TN)
- …to medical coding staff in the department. + Works with clinics to resolve denials from the clinic denial logs. + Requests additional medical records as needed to ... analytical + Able to interact confidently with providers, staff, corporate CHS management and/or other CHS affiliated personnel + Normal visual and auditory activity… more
- Insight Global (San Diego, CA)
- …to collect open billings in a timely manner * Identifies and reports to management any payer issues with regards to billing and collections * Reviews, analyzes, and ... complete 28 AR Collections claims per day (minimum) - Experience working with complex Denials - ex) medical necessity issues, patient does not have coverage, etc -… more
- Columbus Regional Hospital (Columbus, IN)
- …of professional coding experience required + 7 years of coding, auditing and/or denials management preferred + Bachelor's degree in Health Information ... to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines… more
- WellSpan Health (Ephrata, PA)
- Clinical Documentation Integrity Specialist II - Day Location: WellSpan Health, Ephrata, PA Schedule: Full Time Schedule Full Time: 40 Hours/Week Hours: 8am - 4:30pm ... POSITION REQUIRES that you hold either a Certified Clinical Documentation Specialist or Certified Document Integrity Practitioner Certification This is a remote … more
- Spectrum Billing Solutions (Skokie, IL)
- …| A/R Collections Specialist | Patient Account Specialist | Reimbursement Specialist | Billing/Revenue Cycle Management Specialist | Medical Billing ... Spectrum Billing Solutions is a revenue cycle management company for healthcare organizations. We are looking...add a passionate and skilled Revenue Cycle AR Collections Specialist to our growing team. The ideal candidate will… more
- TEKsystems (Raleigh, NC)
- …processing and payment. Determine root cause and prevention of future rejections & denials , advising management and appeals team where necessary. * Route claims ... will include submitting claims, posting payments, working payor rejections and denials , and completing follow ups to ensure accurate and timely processing… more
- TEKsystems (Phoenix, AZ)
- …processing and payment. Determine root cause and prevention of future rejections & denials , advising management and appeals team where necessary. + Route claims ... will include submitting claims, posting payments, working payor rejections and denials , and completing follow ups to ensure accurate and timely processing… more
- Tidelands Health (FL)
- …and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials to ensure proper reimbursement of service rendered and to maintain an ... Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes utilizing designated software to include Computer Assisted Coding… more
- CEENTA (Huntersville, NC)
- Primary Objective The Insurance Specialist creates and sends medical claims for the insurance companies and the patients. The Insurance Specialist is responsible ... + Collect unpaid claims and clear up discrepancies, including denials + Investigate and appeal claims that were denied...and/or outstanding claims + Performs other duties assigned by management , including reports + Adapt to updates and changes… more