- 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, excellent problem-solving skills, and a proven track record in denials management . CHI St. Vincent Heart Clinic of Arkansas is a cardiology… more
- Trinity Health (Pontiac, MI)
- …medical record. 10 Participates in the appeal process when deemed necessary by the Denials Management Specialist on cases where payment has been denied. ... within the State of Michigan. Certified Professional in Utilization Review/ Management preferred. **C** **Special Skill / Aptitudes** Understanding of computers… 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 ... data, payer medical policies, etc.), determines the causes for denials of payment and partners with management ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly ... includes review and rework of all types of PFS denials . Good writing and analytical skills are a must....that they are maintained at the levels expected by management . 2. Analyzes work queues and other system report… more
- Laurelwood Healthcare Center (Elkton, MD)
- …to other members of the rehab team. + Collaborates with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. + ... Conducts staff/family training and education when appropriate by formal and informal in-services as well as consultations. + Maintains accurate billing information in accordance with facility procedures daily, including training/re-training of team members,… more
- St. Mary's Healthcare (Amsterdam, NY)
- …recognize and resolve billing inconsistencies. * Reviews commercial and government claim denials and audit requests and coordinates attempts to overturn denials ... of charging and billing, and collection efforts. * May educate case management staff and other departments regarding payer changes and denial/appeal process.… more
- Texas Health Resources (Arlington, TX)
- **Coding and Denials Analyst** _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ **Coding/ Denials Analyst** ... an acute care setting **REQUIRED** 2 Years Performing billing and coding denials resolution preferred **Licenses and Certifications** CCS - Certified Coding … more
- Hartford HealthCare (Newington, CT)
- …and homecare to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… more
- Beth Israel Lahey Health (Danvers, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… more
- Robert Half Accountemps (Charleston, SC)
- Description We are seeking a Medical Billing Specialist to join our team in the healthcare industry based in Charleston, South Carolina. The role is critical in ... with a focus on insurance claims, account receivables, claim denials , and medical coding. This role offers a contract...to detail and accuracy * Strong organizational and time management skills * Excellent communication and interpersonal skills *… more
- Boys Town (Omaha, NE)
- …claims related to clinical/facility charges. Reviews and completes daily workflow of denials and no response from insurance payers for HCFA/UBO4, chart notes/faxes ... Accurately resubmits claims for payment to prevent and reduce further rejections/ denials . Communicates common denials /rejections to help streamline and improve… 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 party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Beth Israel Lahey Health (Charlestown, MA)
- …America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Columbus Regional Hospital (Columbus, IN)
- …of professional coding experience required + 7 years of coding, auditing and/or denials management preferred + Bachelor's degree in Health Information ... to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... named six times by Forbes as a Best Employer. Position Summary:The CDI Specialist serves as liaison between the physicians and hospital departments to promote… more
- UNC Health Care (Goldsboro, NC)
- …of the unique communities we serve. Summary: The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance ... and compliance guidelines Processes all assigned government and nongovernment accounts and denials for complex financial appeals, with a goal of bringing the… more
- Butterfly Effects (Deerfield Beach, FL)
- …Therapy Provider is looking for passionate candidates for the position of Collections Specialist . Butterfly Effects is seeking to add a Collection Specialist to ... needs of the Billing and Collections department. The Collections Specialist will join a team that strives to maintain...CPT codes, and all claim details relating to claim denials or underpayments. + Ensure all research is done… more
- St. Luke's University Health Network (Allentown, PA)
- …to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for ... Performs insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization, then notify… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR - Coding Medicine Work Days: Weekly Hours: 35.00 Exemption Status: ... Coder to investigate and resolve coding related insurance payment denials . The CBO partners with WCM Clinical Departments to...as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is required.** + Should be certified from… more
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