- Fairview Health Services (St. Paul, MN)
- **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the Physician. ... pertaining to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance responsibilities.… more
- WMCHealth (Hawthorne, NY)
- Denials Manager Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Professional/Non-Clinical Department: Business Office Union: No ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28373) Internal Applicant link Job Details: Job Summary: The Denials Manager's responsibilities include identifying all denials … 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
- 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
- UNC Health Care (Goldsboro, 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 ... 1. Provides leadership, clinical expertise and organization to the Denials Management Team. 2. Stays up to date and...regulations, Medicare and other payor regulations. 3. Reviews all denials and is key point person for assigning team… 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
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and prevention ... Communicates and educates on any identified coding denial trends. *_JOB RESPONSIBILITIES_* * Denials Resolution* * Works with coding staff to investigate and resolve… more
- TEKsystems (Newport News, VA)
- As the Medical Billing and Denials Representative If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth ... questions A day in the role + Investigate insurance denials and make necessary corrections to bring claim resolution....trends, aberrations and concerns related to billing and payer denials and communicates concerns to management. + Ensure that… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Revenue Cycle Denials Analyst leverages training and experience to track denials across the organization and mitigating root causes that ... contribute to an increase of denials and a loss of revenue. The caregiver must...sites, clinics and revenue cycle leadership. The Revenue Cycle Denials analyst will provide support and training - spearheading… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist? At Work from Home, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a...of our team. **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for applying correct… more
- R1 RCM (Salt Lake City, UT)
- …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 and Denials Manager** + Responsible for the oversight of department… 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 Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The Denials Management RN is responsible and accountable for receiving, processing and documenting all ... concurrent denials for assigned facilities. The Denials Management RN has an integral role within the revenue cycle by providing clinical expertise in the … more
- CommonSpirit Health (Phoenix, AZ)
- …needs of patients and alternative levels of care. **The PA performs denials management and prevention in accordance with the organization's goals and expectations. ... addresses concerns raised by the payer, and provides additional context to overturn denials before escalation to formal appeal. + Reviews and analyzes denied claims… more
- Methodist Health System (Dallas, TX)
- …new staff in accordance with departmental guidelines * Identifies methods to avoid denials and reports trends to individual care units and to pertinent nursing ... within departmental standards and time frames; Identifies reason for denials * Returns appeal requests for denials ...for denials * Returns appeal requests for denials determined to be technical or those received after… 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
- Kaleida Health (Buffalo, NY)
- **Director Clinical and DRG Denials ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue Cycle department.… 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...capabilities. **Here's what you will experience working as a Denials & AR Analyst I:** + You will be… more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant, you will represent healthcare providers in their disputes with ... law as applicable, writing appeals and letters to insurance companies to resolve denials , and reviewing high-balance or complex accounts. To thrive in this role, you… more
- Genesis Healthcare (Seven Fields, PA)
- …expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up of ... and contracted payers. The follow up includes initial assessment of the denials received to determine the appropriate process. Once determined, established policy… more
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