- Blanchard Valley Health System (Findlay, OH)
- …required level of productivity to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims within the ... department/division. Maintains appropriate timeliness of appeals for denials . Identifies other means and resources to complete tasks, as applicable and… 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 (Miramar, FL)
- …in 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)
- …Individual should be 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… 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 ... and appeals .Starting pay: $23.00/hr. This position is for the California...via cash management system to identify incorrect payments, inappropriate denials , or complete required adjustments. Follow up on incorrect… 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 ... Submit claims to insurance companies. Process insurance payments. Submit records and appeals as needed. Print and mail patient statements. Process outstanding claims… more
- Trinity Health (Farmington Hills, MI)
- …Payment Resolution with communication and follow-up processes related to rejections, denials and appeals , ensuring that such activities are tracked, ... Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and… more
- St. Mary's Healthcare (Amsterdam, NY)
- …government claim denials and audit requests and coordinates attempts to overturn denials by drafting appeals , negotiating with payers, or following up with ... payer utilization review departments in attempts of obtaining authorizations and claim payment. * Establishes and maintains positive and cooperative relationships with medical staff and care coordination leaders to ensure ongoing compliance with utilization… more
- Trinity Health (Farmington Hills, MI)
- …Provide hands-on supervision and coordination of daily activities and workflows of the denials team handling the receipt, analysis, and appeals of denials ... 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,… more
- Trinity Health (Farmington Hills, MI)
- …**POSITION PURPOSE** Work Remote Position Pay Range: $18.8367--$28.2551) Performs the day-to-day billing and follow-up activities within the revenue operations for an ... assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts. Provides training and guidance to lower level… more
- Beth Israel Lahey Health (Burlington, MA)
- …coding of CPT/HCPCS/ICD-9/ICD-10 codes. 6. Identifies, reviews, and interprets third party denials 7. Initiates corrected claims and appeals according to payer ... Billing Office. 16. Assists the supervisor with the resolution of claims issues, denials , appeals and credits. 17. Works with the cash team to resolve unapplied… more
- Houston Methodist (Houston, TX)
- …coding staff; and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial… more
- University of Utah (Salt Lake City, UT)
- …+ Demonstrated knowledge of revenue cycle. + Working knowledge of insurance denials , appeals and expected reimbursement rates. + Experience presenting findings ... PRN39530B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt **Patient… more
- WellSpan Health (York, PA)
- …Responsibilities + Oversees the utilization management process for preauthorization, concurrent review, denials and appeals for System acute care facilities. + ... Committee. + Works closely with Medical Director to identify trends in payor denials and appeals . + Serves as point of contact for System acute care utilization… more
- Guidehouse (Birmingham, AL)
- …Medical Record + Making outbound calls to Insurance Companies to resolve claim denials and account balances. + Performing Non-Clinical Appeals . + Assisting ... or equivalent. + 0-2 years medical provider experience working with UB04, appeals & denials . **What Would Be Nice to Have** **:** + Basic computer skills.… more
- R1 RCM (Salt Lake City, UT)
- …, you will help our hospital clients by serving as an expert on appeals and denials management where claims were denied by either governmental contractors ... patient care as well as conceptual knowledge of the denials landscape. Proficiency in basic computer skills is essential...**Here's what you will experience working as a Clinical Appeals Nurse:** + Conduct a detailed review of patient… more
- Rush University Medical Center (Chicago, IL)
- …8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** This position reviews initial clinical denials , document appeals for clinical inpatient denials , conducts ... posting are accurate and supported by documentation before initiating appeals process. 2. Audits claim denials to...before initiating appeals process. 2. Audits claim denials to ensure coding accuracy and documentation adequacy. 3.… more
- Beth Israel Lahey Health (Burlington, MA)
- …lives.** Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third ... Assists the Billing Supervisor with the resolution of complex claims issues, denials , appeals and credits. 17.Works with cash team to resolve unapplied cash. 18.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …of America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third ... Assists the Billing Supervisor with the resolution of complex claims issues, denials , appeals and credits. 17) Works with cash team to resolve unapplied cash.… more
- Stanford Health Care (Palo Alto, CA)
- …criteria and guidelines to optimize patient outcomes and manage healthcare costs. 4. Denials and Appeals Management: Address and manage denials by ... Working in collaboration with Physician Advisors, Financial Services, Compliance, Denials Management, Patient Access, Clinical Documentation Integrity, Billing, and… more
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