- Robert Half (Minnetonka, MN)
- Description We are looking for a detail-oriented Denials Specialist to join our team in Minnetonka, Minnesota on a contract basis. In this role, you will be ... with regulations, and contributing to process improvements that minimize future denials . This position requires strong analytical skills and a thorough understanding… more
- Oracle (Salem, OR)
- …for appeals packets, identify trends/improvement opportunities to prevent future denials , and ensure maximum appropriate reimbursement. This role is critical ... for financial recovery and ultimate prevention of complex, high-dollar claim denials . Qualifications 3+ years hands on experience preparing appeals for claim … more
- Penn Medicine (Philadelphia, PA)
- …edit work queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department intervention. Individuals ... will be responsible for investigating claim denials and underpayments by insurance carriers and appeal for...in escalating identified denial trends or root cause of denials to mitigate future denials , expedite the… more
- Penn Medicine (Philadelphia, PA)
- …This position will investigate and follow up on claim edits and work denials and underpayments by insurance carriers regarding open balance to obtain payment. Act ... insight on identified denial trends or root cause of denials to mitigate future denials , expedite the reprocessing of claims and maximize opportunities to… more
- Cardinal Health (Columbus, OH)
- …appropriate system. Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. Processes denials ... honest judgement in any changes that may need to be made. Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations,… more
- Trinity Health (Livonia, MI)
- …knowledge to ensure continuous quality improvement. Conducts facility analysis of denials . Prepares and submits review findings, makes recommendations, and works ... understanding of regulatory and payer changes. Special note for Physician Billing Denials Prevention - Additional nice to have qualification: 3 years revenue cycle,… more
- Molina Healthcare (Grand Rapids, MI)
- …subrogation, and eligibility criteria. Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... appeals and denials . Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please… more
- Molina Healthcare (Akron, OH)
- …subrogation and eligibility criteria. Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . Customer service experience. Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal… more
- UPMC (Pittsburgh, PA)
- …of authorization related activities including pre-authorizations, notifications, edits, denials , etc. The Authorization Specialist shall demonstrate the philosophy ... edits to ensure timely claim filing and elimination of payor rejections and or denials . High School diploma or equivalent with 2 years working experience in a… more
- Ascension Health (St. Louis, MO)
- …and benefits are verified before services are rendered to prevent claim denials . Scheduling and Appointments: Consult and influence on the scheduling process to ... locations on authorization workflows, automation and analyze data to reduce denials . Process Optimization: Analyze key metrics, identify challenges like data… more
- Guidehouse (St. Paul, MN)
- …to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials . This position is 100% remote .Daily duties for this position include: ... Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX? system. Ensures coding and billing practices… more
- UPMC (Washington, PA)
- …ability to recommend corrective action steps to eliminate future occurrences of denials . Assist in claim appeal process and/or perform follow-up in accordance with ... and office equipment is needed. Must be multi-disciplined in billing, collections, denials , credit balances and/or the various payers. Prior collections or medical… more
- Banner Health (Tucson, AZ)
- …documenting the account thoroughly to maximize reimbursement and minimize denials /penalties from the payor(s). Proficiency with multiple services including, but ... according to insurance guidelines using various systems to reduce/eliminate denials . Consistently meets all registration related key performance indicators as… more
- Intermountain Health (Oklahoma City, OK)
- …with an overall goal of account resolution Post correspondence, zero payments, denials and any other additional items received from insurance to patient accounts ... to read and understand Explanation of Benefits (EOB's) or interpret denials , required Basic understanding of accounting procedures such as debits/credits, required… more
- BJC HealthCare (Chesterfield, MO)
- …the ability to maximize the level of reimbursements and prevention of denials by accurate collection of demographics and insurance information, benefit verification ... is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs, and ensuring that we are maintaining the… more
- BJC HealthCare (Ballwin, MO)
- …the ability to maximize the level of reimbursements and prevention of denials by accurate collection of demographics and insurance information, benefit verficiation ... is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs, and ensuring that we are maintaining the… more
- Actalent (Boston, MA)
- …policies. Responsibilities Supervise the processing of payment batches, including denials , contractual adjustments, and guarantor payments, ensuring all payment ... including the review of co-pays, deductibles, co-insurance, contractual adjustments, and denials to ensure the accuracy of patient balances. Lead the team… more
- Robert Half (Taunton, MA)
- …for Mass Medicaid, including researching issues and addressing approvals or denials . Manage medical billing processes accurately and in compliance with healthcare ... systems and insurance claim processing. Proficiency in handling claim denials and researching payer requirements. Strong organizational and time management… more
- UPMC (Pittsburgh, PA)
- …ability to recommend corrective action steps to eliminate future occurrences of denials . Assist in claim appeal process and/or perform follow-up in accordance with ... and office equipment is needed. Must be multi-disciplined in billing, collections, denials , credit balances and/or the various payers. Prior collections or medical… more
- Banner Health (Mesa, AZ)
- …documenting the account thoroughly to maximize reimbursement and minimize denials /penalties from the payor(s). Proficiency with multiple services including, but ... according to insurance guidelines using various systems to reduce/eliminate denials . Consistently meets all registration related key performance indicators as… more
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