- 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 work ... relating to all denials and ensure deadlines are met to achieve maximum...the Denial Avoidance Specialist when identifying trends relating to denials . The specialist will also work with management to… more
- Maury Regional Health (Columbia, TN)
- Title:Collections Specialist - Denials - Patient Accounts Location:MRMC ANNEX Position Shift:Full-Time Position Summary:The Collection Specialist is responsible for ... proactively collecting payments from insurance payers by following collection assignments, identifying various collection issues and resolving set issuesParticipates in the management of the relationship with payers via special projects, reporting, conference… more
- Blanchard Valley Health System (Findlay, OH)
- …to assure the proper recording and posting of all insurance payments and denials . Duty 11: Manages the Patient Financial Services Denial management program to ... include benchmarking, targets and reporting for appropriate management of accounts receivables. Duty 12: Assures confidentiality of patient information. Adheres to all HIPAA related privacy, security and transaction & code set regulations REQUIRED… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …and providing online verification. Responsible for reviewing all primary payments and denials for accuracy as well as sending out initial claims, corrected claims ... remits via cash management system to identify incorrect payments, inappropriate denials , or complete required adjustments. Follow up on incorrect postings, incorrect… more
- LHH Recruitment Solutions (Phoenix, AZ)
- …governmental entities for payment processing. Pursuing unpaid claims and addressing denials , resolving any related issues, and resubmitting claims when necessary. ... communicate with payers regarding outstanding claims, slow payments, underpayments, denials , and to ensure compliant and accurate claim processing. Adhering… more
- Prestige Staffing (Atlanta, GA)
- …payments for Professional and Retail pharmacy claims, posting of zero pay denials , allocating copays to patient balances, running reports, submitting refund and ... to return incorrect payments to sender. * Copies any zero payments ( denials ) to appropriate Patient Account Representative for follow-up and posts appropriately to… more
- Inspire Counseling Center LLC (Lincolnshire Woods, IL)
- …space Billing Teammanages all medical billing, benefits/eligibility, submits claims, denials , credentialing Community Relations Teammanages outreach in the community ... for awareness and new clients Marketing Support Professional Marketing team keeping Inspire recognized in the community Office parties & Company Meetings (with fun "swag") "Employee of the Week" company emails celebrating employees (with a Starbucks gift card)… more
- Prestige Staffing (Atlanta, GA)
- …ages and backgrounds Problem-solving skills to research and resolve discrepancies, denials , appeals, collections Knowledge of medical terminology likely to be ... encountered in medical claims #zr-rep more
- Prestige Staffing (Birmingham, AL)
- …Research and examine claims. Work with payor and provider offices on payment denials , rejections, and accuracy of payments. Post EFT, check payments and credit card ... payments Enter patient s insurance information in practice management software. Set up primary and secondary insurance information on patient records. Submit claims to insurance companies. Process insurance payments. Submit records and appeals as needed. Print… more
- Prestige Staffing (Miramar, FL)
- …a team environment Problem-solving skills to research and resolve discrepancies, denials , appeals, collections Knowledge of medical terminology likely to be ... If you want the opportunity to work in a rewarding and dynamic environment, this is your chance. This is a temp to perm position. Pay $20-22/hr Location Onsite: Miramar, FL Responsibilities Knowledge of insurance guidelines, including HMO/PPO, Medicare, and… more
- Blanchard Valley Health System (Findlay, OH)
- …able to demonstrate knowledge and skills necessary to coordinate appeals, manage denials , and apply insurance status requirements in the acute care setting Knowledge ... and training with regulatory auditors, such as RACs, MICs, OIG, and other auditing agencies. A valid driver's license is required (if you do not have a valid Ohio driver's license you must obtain one within 30 days of your residency in the state). You must… more
- Blanchard Valley Hospital (Findlay, OH)
- …of care and utilization of services are maintained, to avoid penalties, and denials of reimbursement. Duty 11: The Social Worker documents accordingly to meet ... regulatory requirements and billing purposes. Duty 12: The Social Worker provides the above duties throughout the Hospital and Emergency Room as necessary. REQUIRED QUALIFICATIONS Current license in the State of Ohio as LSW. BLS (within 5 weeks of hire)… more
- Compass Health Network (Jefferson City, MO)
- …documentation issues, and other areas of risk* Oversee coding related claim denials * Prepare detailed reports on audit findings, corrective action plans implemented ... and monitoring* Present in-person and via remote software, audit findings, education, and trends to physicians, coders, and/or other facility professionals* Communicates regularly with the Chief of Audit Service* Collaborates with clinical, revenue, and EHR… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Coding Denials Specialist for a Full Time, 2.00 FTE, Day position. The salary range for this job opening at PeaceHealth is ... WA, AK or TX by date of hire.** Coding Denials Specialist coordinates the flow of DRG denial letters...letters through multiple systems for receiving, processing, and finalizing denials . Provides support to HIM Coding Process Analyst in… 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
- Trinity Health (Farmington Hills, MI)
- …Supervises and coordinates the day-to-day denial team responsible for all post billed denials (inclusive of clinical denials and for ensuring payments are ... received on denied accounts, determining root causes of denials and preventing denials within the Hospital or Medical Group revenue operations of an assigned… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …commitment to a greater cause is something we value even more. The Denials RN is responsible and accountable for receiving, processing and documenting all concurrent ... denials for assigned facilities. The RN has an integral...the revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs… more
- AdventHealth (Altamonte Springs, FL)
- …Monday-Friday **Job Location** : Remote **The role you'll contribute:** The Denials Management Coding Specialist is high level coding expert responsible for ... investigating and resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Denials Management Coding… more
- Trinity Health (Farmington Hills, MI)
- …Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and ... location responsible for identifying and determining root causes of clinical denials . Responsible for leveraging clinical knowledge and standard procedures to track… 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
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