- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- Hartford HealthCare (Farmington, CT)
- …for the development and implementation of an effective HIM Coding denials program consistent with regulatory and healthcare revenue cycle industry standards. ... collecting data to monitor progress. *_Position Responsibilities:_* *Key Areas of Responsibility* * Denials Resolution* . Manages the HIM Coding Denial work queue and… 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials and AR Senior Analyst, you will help R1 by managing ... reviews, call insurance companies to resolve authorization and claim denials , write appeals and letters to insurance companies to...write appeals and letters to insurance companies to resolve denials , and follow up on appeals to the point… more
- Catholic Health Initiatives (Little Rock, AR)
- **Overview** As our Denials Management Specialist at CHI St. Vincent Heart Clinic of Arkansas, you will help our revenue cycle team recover maximum reimbursement so ... healthcare reimbursement, excellent problem-solving skills, and a proven track record in denials management. CHI St. Vincent Heart Clinic of Arkansas is a cardiology… more
- CommonSpirit Health (Sacramento, CA)
- …of health care services. This position will be a part of the specialized Denials Management team. This individual meets with case management and health care team ... patients and alternative levels of care. The PA performs denials management and prevention in accordance with the organization's...by the payer, and provides additional context to overturn denials before escalation to formal appeal. + Reviews and… more
- AdventHealth (Altamonte Springs, FL)
- …contribute:** This position is responsible for investigating and appealing post-remit denials for all Inpatient and Outpatient clinical services across the system, ... system. **The value that you bring to the team:** . Reviewing and appealing denials for all clinical services across the AH system . Researching various sources of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Carolina, Tennessee, Texas, Virginia and Wisconsin) **Description** + 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
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing ... draft appeal letters to resolve any insurance company medical denials . To thrive in this role, you must excel...and have strong critical thinking and problem-solving capabilities. Prior Denials or AR experience in Hospital or Physician claims… more
- Insight Global (Skokie, IL)
- Job Description Insight Global is looking for a clinical denials specialist to join the team at one of your healthcare clients in Chicago. As a Clinical Denials ... you will be working with the denials team to review and analyze denials from a clinical perspective. This person will be responsible for preparing appeals and… more
- R1 RCM (Boise, ID)
- …Responsibilities include calling insurance companies to resolve authorization and claim denials , writing appeals and letters to insurance companies to resolve ... denials , and following up on appeals to the point...and utilize payer contracts and provider manuals when disputing denials . Use proper approved note structure when notating all… more
- Kaleida Health (Buffalo, NY)
- …Revenue Cycle Admin **Job Description:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue ... and implementation of policies and procedures. The Director, Clinical & DRG Denials will work collaboratively with physicians, nursing staff, Quality, Finance and… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview Director of Clinical Denials Management and Audit supervises a team of RN/LPN clinical reviewers as well as Support ... types striving to minimize lost revenue. Conducts analysis on denials and appeals and identifies trends that present process...cause analysis, and address identified trends in reasons for denials . Work in partnership with HH & HO operations… 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 ... to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies to bring timely resolution to issues that… more
- Catholic Health Initiatives (Little Rock, AR)
- …claims, and charge entry. + Posting insurance or patient payments, keying in denials , posting zero insurance payments. + Searching for explanation of benefits from ... different payers, tracking down denials and zero pays. + Correcting claims, rebilling claims,...+ 3 year's experience posting payments or working insurance denials at a hospital or physician office. **Pay Range**… more
- Guidehouse (Birmingham, AL)
- …Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the appropriate ... Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals. +...years medical provider experience working with UB04, appeals & denials . **What Would Be Nice to Have** **:** +… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Appeals and Denials Manager** , you will serve as an expert on clinical appeals ... and denials management. Every day you will support client hospitals...you will experience working as a Clinical Appeals & Denials Manager:** + Serve as a leader and mentor… more
- R1 RCM (Boise, ID)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Global Denials Operations Coordinator, you will be responsible for the successful ... in this role, you have a strong knowledge of denials & accounts receivable processes and best practices, experience...**Here's what you will experience working as a** **Global Denials Operations Coordinator:** + You will be responsible for… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2404993 ... **Patient Account Specialist - Revenue Cycle HB Billing and Denials (Partial Remote)** **Minimum Qualifications:** High School Diploma or equivalent. Two years of… more
- MaineGeneral Health (Waterville, ME)
- …and regulatory standards. This role will be responsible for Leading the Billing and Denials work teams. We are growing quickly and are looking for a motivated and ... Bring: + Proven experience in revenue cycle management including Billing and Denials . + Strong Communication skills, ability to lead meetings and collaborate across… more
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