- Accounting Now (Tampa, FL)
- …cycle or prior authorizations for inpatient/outpatient, hospital/physician Experience in healthcare claims processing and proficiency with medical billing ... The Denials Specialist performs advanced-level work related to clinical and...to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely… more
- Blanchard Valley Health System (Findlay, OH)
- …and writes appeals for denials associated with the payment of claims within the department/division. Maintains appropriate timeliness of appeals for denials. ... PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and...A/R and payer issues, avoid timely claim consideration/filing, failed appeals , and/or increased denials & write-offs. Participates in and… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form ... the insurance for prior authorization status, and communicate the results to the healthcare provider. Conduct follow up outreach to healthcare providers to… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …to expedite patient access. Could include documenting and initiating prior authorization process, claims appeals , etc. Completes quality review of work as part ... Title: Benefits Verification Specialist Location: Remote Duration: 3+ month's Working hours:...prior authorization status, and communicate the results to the healthcare provider. Position Summary: Under general supervision of an… more
- Rose International (Atlanta, GA)
- …and perform root cause analysis on unpaid and underpaid insurance claims across different payers Perform actions towards remediation of outstanding balances ... policy and procedure; including but not limited to in-depth research, appeals , rebilling, obtaining insurance authorizations or referrals, correcting coding, calling… more
- Accounting Now (Pinellas Park, FL)
- …and appeal claims if needed and or ability to process appeals online or via paper submission; Assist with billing audit related information.Attends customer ... Billing and Collections Specialists in St Petersburg, Florida. Billing & Collections Specialist The medical billing and collection specialist is responsible for… more
- Molina Healthcare (Georgetown, KY)
- …Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct...a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge,… 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 ... Medical Association Current Procedural Terminology (CPT-4) Coding system; and Healthcare Common Procedure Coding System (HCPCS) codes supporting the patient's… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY... in accordance with contracts, calling payers on open claims , sending appeals on denied claims ... date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience… more
- Robert Half Accountemps (Fort Wayne, IN)
- …is in the healthcare industry and will involve follow-ups on medical claims . The workplace environment is business casual and requires a high level of ... interaction with doctor offices. Responsibilities: * Follow-up on insurance claims and patient claims payments. * Provide customer service in relation to medical… more
- Robert Half Accountemps (West Palm Beach, FL)
- …accounts and taking decisive actions when necessary * Administering claims and appeals in line with healthcare regulations * Conducting billing functions and ... Description We are looking for a proficient Medical Billing/ Claims /Collections specialist to join our dynamic...specialist to join our dynamic team in the healthcare industry. This role will be based in West… more
- Hartford HealthCare (Newington, CT)
- …collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and ... this is *your moment.* **Job:** **Finance / Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Third Party… more
- Maxim Healthcare Services (Columbia, MD)
- Maxim Healthcare Services is hiring for a Reimbursement Specialist who will serve as liaisons between office partners, patients and payers. Daily ... follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment +… more
- Option Care Health (Olympia, WA)
- …or Intake/Admissions experience **Preferred Qualifications:** + 2-3 years of billing and claims experience in the healthcare industry. + Knowledge of HCPCS ... with Billing and Collection Training and completes "second level" appeals to payers. Hours: 6am -8am PST **Job Description:**...ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends… more
- Randstad US (Duluth, GA)
- revenue cycle specialist - hybrid. + duluth , georgia +... + Medical Billing + Processing and completing the appeals process for medical claims + Payment ... per hour + temporary + high school + category healthcare support occupations + referenceAB_4604646 job details We are...+ Payment Posting + AR Follow Up + Medical Appeals + Medical Claims Processing + Medical… 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 ... correct amount. Other responsibilities include following up on unpaid claims , clarifying discrepancies, reviewing bills, and confirming eligibility. Essential… 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 ... management and appeals process in a collaborative environment with revenue cycle...FUNCTIONS** + Analyzes data from various sources (medical records, claims data, payer medical policies, etc.), determines the causes… more
- Robert Half Accountemps (Charleston, SC)
- …seeking a Medical Billing Specialist to join our team in the healthcare industry based in Charleston, South Carolina. The role is critical in ensuring accurate ... accounts receivable and conduct necessary follow-ups * Efficiently file appeals and work on denied claims *...Proven ability to work in a fast-paced and dynamic healthcare environment * Relevant qualifications in medical billing or… more
- Jet Health (Fort Worth, TX)
- …offs of reimbursement dollars. + Collect all necessary information to prepare claims and follow-through with corrections, resubmission, or appeals to resolve ... or by paper according to payor guidelines. + Research, correct, and resubmit rejected and denied claims . + Prepare appeals to all denied claims . + Review and… more
- Teleflex (Wayne, PA)
- …appropriate reimbursement tools as necessary to internal and external customers * Support the claims and appeals process including the tracking of claims and ... Reimbursement Access Specialist **Date:** Sep 12, 2024 **Location:** Wayne, PA,...our vision to become the most trusted partner in healthcare , we offer a diverse portfolio with solutions in… more
