- Guthrie (Sayre, PA)
- …to individual payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor ... resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on… more
- HCA Healthcare (Nashville, TN)
- …Sign-On Bonus Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? We have an exciting ... Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating...Integrity Specialist III (CIS-III) or Coding Account Resolution Specialist III (CARS-III) duties + Reviews… more
- Beth Israel Lahey Health (Danvers, MA)
- …third party and self-pay accounts, initiating contacts and negotiating appropriate resolution (internal and external) to ensure timely and maximum payment. Manually ... by management. + Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. + Ability to… more
- Sanford Health (Sioux Falls, SD)
- …documentation, and interpreting medical policies. The As a lead position, lead appeals and denial specialist this role will additional support the leads the team ... developing process improvement initiatives and, and leading problem solving resolution efforts with other team members. Maintains a high...identify resources and support processes for the appeal and denial team. Serves as the go to source for… more
- TEKsystems (Austin, TX)
- We are hiring for Hospital Denial Management specialists to support a growing healthcare RCM company! As a specialist on our team you will be verifying insurance ... a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include...increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... and timely review and resolution of coding related claim denials for professional services,...with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an… more
- University of Virginia (Haymarket, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all ... must be able to respond knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal is to resolve all of the… more
- University of Virginia (Charlottesville, VA)
- The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct ... must be able to respond knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal is to resolve all of the… more
- Penn Medicine (Radnor, PA)
- …King of Prussia Rd **Hours** : Full-Time; Hybrid **Summary** : The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities ... are to facilitate activities necessary to a successful resolution of accounts. This position will work out of...make appropriate adjustment. Exercising good judgement in escalating identified denial trends or root cause of denials to mitigate… more
- Penn Medicine (Philadelphia, PA)
- …for Advanced Medicine-3400 Civic Center Blvd Hours: Full-Time JOB SUMMARY: The Accounts Resolution Specialist II reports to the Supervisor of Billing; this ... individual specializes in the resolution of patient accounts transferred from the PBO. This...matter expert escalated issues and provide insight on identified denial trends or root cause of denials to mitigate… more
- Select Medical (Camp Hill, PA)
- **Overview** **Claims Resolution Specialist ** **Starting at $17.50 per hour** **ON-SITE** **BONUS ELIGIBLE** **(Hybrid Schedule Possible After 90 Day ... and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal...balances for accounts that have received a payment or denial , or that are greater than 30 days from… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Location:** Hospital of the ... office hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor...matter expert escalated issues and provide insight on identified denial trends or root cause of denials to mitigate… more
- Penn Medicine (Philadelphia, PA)
- …1500 Market Street, Philadelphia** **Hours: Full-Time; Hybrid** Summary: + The Account Resolution Specialist I reports to the Supervisor of Billing; primary ... responsibilities are to facilitate activities necessary to a successful resolution of accounts; A/R experience highly preferred + This position will work out of… more
- Hartford HealthCare (Farmington, CT)
- …data to monitor progress. *_Position Responsibilities:_* *Key Areas of Responsibility* *Denials Resolution * . Manages the HIM Coding Denial work queue and ... *Communication* . Establishes collaborative relationships with HHC coding leadership to identify resolution of denial issues related to coding and documentation.… more
- McLaren Health Care (Bay City, MI)
- …Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both ... internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing...well as external departments in support of timely issue resolution , process improvement initiatives, and response to inquiries to… more
- TEKsystems (Jackson, MS)
- Revenue Cycle/Appeals Specialist Needed Description: 100% Remote Equipment Provided The Appeals Specialist 1, under the direction of the Director of Denial ... maintains confidentiality of data and information. -Responsible for review and resolution of prepay insurance denials, correlating with the follow-up teams. -Works… more
- Priority Health Care (Marrero, LA)
- …up on claim status, billing and re-billing of claims, credit balance resolution , denial management, following up on aging accounts, maintaining up-to-date ... JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of...verify balances due on disputed claims, and coordinating payor denial and appeal follow-up activities. This also involves ensuring… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- ManpowerGroup (Boston, MA)
- **Job Title:** Medical Billing Specialist **Location:** 188 Longwood Avenue, Boston, MA 02115 **Employment Type:** Temporary, Full-Time (35-40 hours/week) ... $20 per hour **Job Summary:** We are seeking a detail-oriented **Medical Billing Specialist ** to manage the full cycle of medical billing activities with accuracy… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... guidance and advice to lower-grade specialists; assist in the resolution of issues and other problems being encountered during...decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or… more