- 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
- Creative Financial Staffing (Berne, IN)
- …and additions based on claim denials . Analyzes and tracks appeals . Medicaid Insurance Specialist Skills: Coordinate activities with other departments ... Medicaid Insurance Specialist When working for a company do you...that have open balances, were rejected, or denied. Performs appeals by following government and third-party payor appeals… more
- A-Line Staffing Solutions (St. Louis, MO)
- …Excel, Microsoft Excel, vlookups, pivot tables, financials, Financial analysis, Medical Coding, Denials , Grievance, Grievance and Appeals , Appeals and ... Accounts Payable, Billing Specialist openings with a Major Health Plan based in the St. Louis, MO area! Starting ASAP!! Apply now with Luke H. at A-Line!Remote for… 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
- Option Care Health (Denver, CO)
- …assist with Billing and Collection Training and completes "second level" appeals to payers.Hours: 6am -8am PSTJob Description: Job Responsibilities:Submits timely, ... frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.Ensures compliance with policies and guidelines… more
- Northeast Georgia Health System, Inc (Braselton, 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
- Blanchard Valley Hospital (Findlay, OH)
- …to denials for documentation by collecting supporting evidence, writing appeals , and providing education when necessary. Duty 12: Fulfills Superuser role ... relating to team processes and systems including the EHR, HIM applications, and the patient portal. Fields questions within scope of the team and participates in testing as needed. Additionally acts as a resource to the Health Information Integrity Team… more
- Sanford Health (Sioux Falls, SD)
- …of documentation, interpretation of policies, and handling of correspondence related to denials and appeals submitted by providers and members. Must administer ... a demonstrated understanding of regulatory requirements and timeframes. Intake and coordinate appeals and denials , and then make determinations based on member… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials / appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for ... Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing...Responsible for timely medical records requests and submission of appeals * Maintain adequately trained staff to achieve daily… more
- Trinity Health (Farmington Hills, MI)
- …Payment Resolution with communication and follow-up processes related to rejections, denials and appeals , ensuring that such activities are tracked, ... Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and… more
- Trinity Health (Farmington Hills, MI)
- …activities as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and ... Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment… more
- Trinity Health (Farmington Hills, MI)
- …Remote Position (Pay Range: $20.6822-$31.0233) Responsible for reviewing all post-billed denials (inclusive of coding-related denials ) for coding accuracy and ... at a PBS location responsible for identifying and determining root causes of denials . Responsible for leveraging coding knowledge and standard procedures to track … more
- Trinity Health (Farmington Hills, MI)
- …Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues ... location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as...as to ensure timely follow-up and action for account appeals . + Works with Patient Access and other necessary… 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
- Robert Half Accountemps (Long Beach, CA)
- … Specialist will be tasked with following up with insurance rendered regarding denials and rejections. The Medical Collections Specialist must be well versed ... detail? This growing company is hiring a Medical Collections Specialist with strong behavioral health skills. The Medical Collections...insurance companies and patients for request for payment - Appeals and denials management - Contacting and… more
- SSM Health (MO)
- …**Job Highlights:** We are seeking a highly skilled and detail-oriented Coder for Hospital Denials to join our team at SSM Health. You will be responsible for ... reviewing medical records and accurately coding diagnoses and procedures for hospital denials . This role requires strong analytical skills, attention to detail, and… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN38907B **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
- Molina Healthcare (Milwaukee, WI)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers... appeals and denials . + Strong verbal and written communication skills To… more
