- Amaze Health (Denver, CO)
- …patient insurance information + Billing and coding experience required; medical billing certificate preferred + Excellent communication and customer service ... empowering our patients with all the tools, resources, and medical support they need to take charge of their...of claim needs and ability to accurately perform needed billing activities (Evaluation/Correction of billing edits, claim… more
- Houston Methodist (Houston, TX)
- …coding staff; and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), determines the causes for denials of payment and partners… more
- Hartford HealthCare (Farmington, CT)
- …coding denials to appropriate departments per established process. (Coding, Billing , Compliance, etc.) . Serves as the resource for coding denial questions ... for the development and implementation of an effective HIM Coding denials program consistent with regulatory and healthcare revenue cycle industry standards.… more
- St. Luke's University Health Network (Allentown, PA)
- …The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists ... billing staff regarding outpatient denials for experimental,...and impact on revenue and trending. + Coordinates RAC appeals for complex case reviews for medical … more
- R1 RCM (Salt Lake City, UT)
- …you will do initial reviews, call insurance companies to resolve authorization and claim denials , write appeals and letters to insurance companies to resolve ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...denials , and follow up on appeals to the point of exhaustion or payment. To… more
- Central Maine Medical Center (Lewiston, ME)
- …for our community and for each other every day. Position Summary: The Denials Management Coordinator is responsible for applying fundamental knowledge of billing ... and payer requirements as it relates to researching, analyzing, and resolving denials , contractual underpayments and credits. This job requires regular outreach to… more
- Catholic Health Initiatives (Omaha, NE)
- …to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The incumbent ... conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence,… more
- Guidehouse (Birmingham, AL)
- …supervisors and managers as needed with various projects and review and resolve denials . They will submit facility and non-clinical appeals and facilitate ... Required** **:** None **What You Will Do** **:** The Denials Patient Account Representative will manage, update and prepare...3 years related or general knowledge of payor-specific or medical specialty billing **What Would Be Nice… more
- University of Virginia (Haymarket, VA)
- …an accurate and timely manner. + On-line data entry of certification/authorizations and denials / appeals are communicated to HSF, PFS and other Access staff and ... procedures and the use of independent judgment in a medical setting. The purpose is to achieve the goals...Utilization/Case Management/Pre-Arrival role where prior authorizations, prior certifications, or appeals of denials for the same were… more
- RWJBarnabas Health (Oceanport, NJ)
- … to ensure appeals are accurately pursued. Daily work includes ordering medical records, entering denials , and calling payers to gather account information ... Data Analyst, Appeals , Fulltime, Remote, NJReq #:0000176993 Category: Billing /Collections/Registration...formulating and submitting the appeal for out-patient no authorization/ medical necessity denials . Education/Experience + Associate s… more
- HonorHealth (Scottsdale, AZ)
- …requested audits to ensure consistency between medical records documentation and billing statements on patient accounts; submits appeals to payers on patient ... account denials when appropriate; reviews medical records and other patient documents as needed to...clearly presented. Prioritizes and organizes own work to meet appeals and grievance deadlines. Responsible for the denials… more
- RWJBarnabas Health (Oceanport, NJ)
- …resolution by submitting appeals . Accurately identify follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction ... Patient Accounts Representative, Appeals , Remote, NJReq #:0000176998 Category:No Category Assigned Status:Full-Time...or other financial aspects of their care, correspondence response, billing and re- billing , certain denial issues, prompt… more
- RWJBarnabas Health (Oceanport, NJ)
- …Appeals within the RWJ Barnabas healthcare facilities is responsible for managing medical denials by conducting a comprehensive analytic review of clinical ... Clinical Appeals , RN, RemoteReq #:0000173624 Category: Billing /Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services… more
- Robert Half Accountemps (Alhambra, CA)
- …form, Medical software, Medical Billing , Medical Collections, Medical Appeals , Medical Denials , Hospital Billing , Hospital Inpatient, ... billing and collections * Proven experience in medical billing , including both hospital inpatient and...focus on maximizing revenue recovery * Experience in managing medical appeals and denials , with… more
- Keystone Lab (Asheville, NC)
- …Inc. - Asheville, NC An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most ... resolving issues with payers prior to write-off. + Send appeals when appropriate or provide medical documentation...payer contact. + Ensure that goals set for claims, denials , suspensions, and appeals on aged accounts… more
- Elderwood (Buffalo, NY)
- …tools, training and resources you need to succeed. Join Our Team as a Medical Billing Specialist! Are you detail-oriented, dedicated, and passionate about making ... a difference? We are seeking a skilled Medical Billing Specialist to join our Elderwood...denials and assist in follow up of timely appeals process. + Conduct weekly aging reviews to address… more
- Tufts Medicine (Lowell, MA)
- …school diploma or equivalent. 2. Three (3) years of experience in a hospital billing and collection environment for a medical services provider or third-party ... 4. Five (5) years of experience in a hospital billing and collection environment for a medical ...accounts to ensure timely resolution; submits corrected claims and appeals on administrative denials as required. 7.… more
- State of Colorado (Pueblo, CO)
- Medical Billing Technician - Technician IV CMHHIP Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4733379) Apply Medical Billing ... + assist patients, families, social workers, etc. in developing possible patient benefits Medical Billing : + prepares and submits Medicaid, RAE, and other… more
- Mount Sinai Health System (New York, NY)
- …Cycle Manager. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims, with experience in IDX billing ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components...payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts … more
- TEKsystems (Nashville, TN)
- …HMO and Third Party payer billing guidelines Ability to comprehend EOB's, work denials and knowledge of appeals process Knowledge of billing secondary ... at the end of every day. Skills: Accounts Receivable, Medical Billing , Collection, EOB, insurance claim, insurance...They must be able to explain the process of appeals and denials , corrected claims, EOB'S. Preferred… more