- Ascension (Santa Rosa Beach, FL)
- …Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. Participates in inpatient and outpatient ... consultation for specialty, which may include on call schedules. About Ascension Sacred Heart Emerald Coast As part of Ascension, the largest non-profit health system in the US and the world's largest Catholic health system, Sacred Heart offers Sacred Heart… more
- Ascension (Kyle, TX)
- …Provide appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. Requirements Licensure / Certification / ... Registration: Licensed Physician MD/DO credentialed from the Texas Medical Board obtained prior to hire date or job transfer date required. Education: Doctor of Medicine (MD) or Doctor of Osteopathy (DO) required. Additional Preferences #HeC Why Join Our Team… more
- Ascension (Pensacola, FL)
- …Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. Participates in inpatient and outpatient ... consultation for specialty, which may include on call schedules. About Ascension Sacred Heart Pensacola As part of Ascension, the largest non-profit health system in the US and the world's largest Catholic health system, Sacred Heart Hospital Pensacola is a… more
- Ascension (Jacksonville, FL)
- …Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. Participates in inpatient and outpatient ... consultation for specialty, which may include on call schedules. About Ascension St. Vincent's Hospitals (Riverside, Southside, Clay, and St. Johns) St. Vincent's Medical Center Riverside is a 528-bed hospital founded by the Daughters of Charity in 1916. It is… more
- Ascension (Cedar Park, TX)
- …Provide appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. About Ascension Medical Group Ascension Medical ... Group is a clinician-led provider organization focused on delivering high-quality health outcomes and an exceptional patient experience. With 2,000 sites of care and 7,600 providers, physicians and advanced practice providers have the opportunity to… more
- Ascension (Pensacola, FL)
- …* Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. * Participates in inpatient and outpatient ... consultation for specialty, which may include on call schedules. About Ascension Sacred Heart Pensacola As part of Ascension, the largest non-profit health system in the US and the world's largest Catholic health system, Sacred Heart Hospital Pensacola is a… more
- R1 RCM (Chicago, IL)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Denials Director** , you will act as a strategic leader dedicated ... denial management processes. This role focuses on driving initiatives to reduce denials , improve revenue recovery, and enhance overall financial performance. The … more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance responsibilities.… more
- UNC Health Care (Kinston, NC)
- …all denial requests and leads the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first and second levels of an ... of services. Responsibilities: 1. Provides clinical expertise and organization to manage denials . 2. Stays up to date and proactive with all ongoing information,… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... to make appropriate decisions and is accountable for reviewing denials for level of care, medical necessity, and as...care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials … more
- UNC Health Care (Hendersonville, NC)
- …and well-being of the unique communities we serve. **About the position** The Denials Prevention Analyst plays a crucial role in identifying and mitigating denial ... revenue cycle. This position involves analyzing clinical and technical denials , collaborating with various departments, and developing strategies to reduce… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel ... Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** + Directs staff performance regarding UR and the… more
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials ... + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into… more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials Mitigation Lead, you will play a critical role in reducing ... claim denials and optimizing revenue cycle processes. Every day you...perform root cause analysis, and develop strategies to mitigate denials . To thrive in this role, your expertise will… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - Friday 8AM-4PM ... SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process,...management of the healthcare organization by identifying trends in denials and taking corrective actions. RESPONSIBILITIES: + Medical Billing… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …We are currently seeking a *PFS Contract Variance Analyst** *to join our Denials Analysis team. This full-time role will work remotely (Days, M- F). *Purpose ... managing appeals related to payer contract variances and fatal denials . This role is responsible for assisting with appeal...data to help identify trends in contract variances and denials * Prepares standard reports and summaries for review… more
- Saratoga Hospital (Saratoga Springs, NY)
- HIS Denials Specialist (Inpatient) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: 8a-4p ... About the Role We're looking for a dedicated HIS Denials Specialist to join our team and help us...Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …We are currently seeking a *PFS Contract Variance Analyst Senior** *to join our Denials Analysis team. This full-time role will work remotly (Days, M- F). *Purpose ... for leading the end-to-end appeals process related to contract variances and fatal denials . This role serves as a subject matter expert, managing complex appeal… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …more **Epic Certification required.** **Description** **RESPONSIBILITIES:** + The System Denials Analyst, is responsible for gathering, analyzing, and reporting data ... related to both hospital and professional billing denials across the healthcare system. + Reporting to the...to assist leadership in making data-driven decisions to reduce denials and improve overall Data Collection and Reporting +… more
- CommonSpirit Health (Englewood, CO)
- …needs of patients and alternative levels of care. **The PA performs denials management and prevention in accordance with the organization's goals and expectations. ... concerns raised by the payer, and provides additional context to overturn denials before escalation to formal appeal.** + Reviews and analyzes denied claims… more
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