- TEKsystems (Sarasota, FL)
- …confidentiality of all patient accounts by following HIPPA guidelines Skills appeals , Denials , Medical Claims, Accounts receivable, medical collections, ... more
- HCA Healthcare (Nashville, TN)
- …Aetna Appeals . This individual will be responsible to confirm claim denials / appeals , place claims into new and existing categories, and follow ... more
- BrightSpring Health Services (Louisville, KY)
- …for all payor types striving to minimize lost revenue. Conducts analysis on denials and appeals and identifies trends that present process improvement and ... more
- University of Utah (Salt Lake City, UT)
- …appropriate account resolution of MAC 1 & 2 team members. 3. Monitor and resolve denials and appeals to ensure timely collection. 20% 1. Maintain work queue ... more
- Beth Israel Lahey Health (Plymouth, MA)
- …status of completion. + Reviews and determines appropriate strategy in response to reimbursement denials . + Responsible for appeals and follow up on clinical ... more
- Community Health Systems (Antioch, TN)
- …and audit activities to ensure timely response for the processing of all payor denials , audit request and appeals . + Builds and analyzes management reports to ... more
- St. Luke's Health System (Twin Falls, ID)
- …sources to provide and maintain a single reporting location that reflects clinical denials and appeals activity. + Recommends improvements and modifications to ... more
- CommonSpirit Health (Phoenix, AZ)
- …denied claims to determine validity and identify opportunities for overturning inappropriate denials . Leads the appeals process by providing clinical expertise, ... more
- AscellaHealth (Berwyn, PA)
- …and insurance companies. + Document all activities of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit ... more
- R1 RCM (Chicago, IL)
- …coders and coding team members who conduct a comprehensive review of coding denials and formulate appeals based on documentation and/or make coding change ... more
- Rush University Medical Center (Chicago, IL)
- …of each case. **Summary:** This position reviews initial clinical facility and physician denials , documents appeals for clinical inpatient denials , conducts ... more
- Nuvance Health (Danbury, CT)
- …leadership and operational oversight for a team of utilization review staff, denials and appeals specialists, non-clinical support staff while partnering with ... more
- Virtua Health (Mount Laurel, NJ)
- …payment of claims.Assists customers with denial related questions.Prepares and maintains appeals for denials .Position Responsibilities:* Identifies items to be ... more
- Beth Israel Lahey Health (Burlington, MA)
- …Specialist will identify, review, and interpret third-party payments, adjustments, and denials . Initiates corrected claims, appeals , and analyzes unresolved ... more
- Covenant Health Inc. (Knoxville, TN)
- …Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. ... more
- Community Health Systems (Franklin, TN)
- (Full Time, Remote) The Denials Coordinator is responsible for working assigned denials and appeals claims by communicating with all necessary departments to ... more
- Surgery Care Affiliates (Boise, ID)
- …Effectively and independently manages second level reimbursement issues, contracted and non-contracted denials and appeals . + This is a demanding environment, ... more
- Catholic Health Services (Farmingdale, NY)
- …of regulatory appeals related to home care services, including insurance denials , service coverage disputes, and reimbursement issues. Review denials and ... more
- Brockton Hospital (Brockton, MA)
- …external review agencies, to coordinate activities involved in medical record review, denials , appeals and reconsideration hearings. Works closely with the ... more
- PeaceHealth (Vancouver, WA)
- …matter content expert and change agent with in-depth knowledge of workflow related to denials and appeals management. Performs in depth reviews of clinical DRG ... more
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