• Denials Management Specialist

    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
    Catholic Health Initiatives (09/19/24)
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  • Denials Management Specialist

    Catholic Health Initiatives (Little Rock, AR)
    …claims, and charge entry. + Posting insurance or patient payments, keying in denials , posting zero insurance payments. + Searching for explanation of benefits from ... different payers, tracking down denials and zero pays. + Correcting claims, rebilling claims,...+ 1 year experience posting payments or working insurance denials at a hospital or physician office. **Pay Range**… more
    Catholic Health Initiatives (09/20/24)
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  • Utilization Management Coordinator…

    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
    Trinity Health (10/09/24)
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  • Coding Charges & Denials Specialist

    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
    Houston Methodist (09/18/24)
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  • Revenue Cycle Denials And Appeals…

    TEKsystems (Austin, TX)
    Description: Job Summary: The Revenue Cycle Denials and Appeals Specialist will be responsible for building and maintaining collaborative and productive ... relationships within the organization relating to Revenue Cycle Management , managing revenue cycle projects, driving performance in operations related to… more
    TEKsystems (10/31/24)
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  • Revenue Cycle Denials And Appeals…

    TEKsystems (Charlotte, NC)
    Description: The Revenue Cycle Denials and Appeals Specialist will be responsible for building and maintaining collaborative and productive relationships within ... the organization relating to Revenue Cycle Management , managing revenue cycle projects, driving performance in operations...the designated revenue cycle function, with a focus on Denials and Appeals * Performs analysis, identifies trends, presents… more
    TEKsystems (10/30/24)
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  • Coder II ( Denials ) - FT - Days

    Texas Health Resources (Arlington, TX)
    …assigned (eg, Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges) **Additional perks of being a ... **Coder II - Denials ** _Are you looking for a rewarding career...Coder Upon Hire **REQUIRED** or CCS-P - Certified Coding Specialist - Physician-based Upon Hire **REQUIRED** and Other Specialty… more
    Texas Health Resources (11/02/24)
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  • Collections Specialist / PA Third Party…

    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
    Hartford HealthCare (10/21/24)
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  • Inpatient Coding Denial Specialist

    HCA Healthcare (Nashville, TN)
    …your knowledge and expertise! **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for ... from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and regulations of… more
    HCA Healthcare (09/25/24)
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  • Revenue Cycle Specialist II

    Priority Health Care (Marrero, LA)
    …+ Assist with the preparation and delivery of items required for annual audits. Denials Management and Accounts Receivable Follow-Up: + Manage and resolve A/R ... and appeals, and monitoring day-to-day activities related to appeal follow-up and denials . Additionally, the Specialist is responsible for understanding and… more
    Priority Health Care (10/24/24)
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  • Revenue Cycle Specialist - Plastics…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
    Houston Methodist (09/21/24)
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  • Utilization Management Specialist

    Mount Sinai Health System (New York, NY)
    **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... - MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer Authorization & Denials Management .** Communicate with payer to obtain request for clinical… more
    Mount Sinai Health System (10/10/24)
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  • Specialist -Quality Assurance Denial…

    Baptist Memorial (Memphis, TN)
    Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational controls designed ... including federal and state regulations and guidelines. The Quality Assurance Specialist will be responsible for analyzing and interpreting trends associated with… more
    Baptist Memorial (10/16/24)
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  • Professional Billing Coding Reimbursement…

    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
    Columbus Regional Hospital (09/04/24)
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  • Medical Billing Coding Specialist

    TEKsystems (Appleton, WI)
    Description: The Medical Billing and Coding Specialist is a key position in the Revenue Cycle that manages the claim process, including accurate and timely claim ... important duties include coding, credentialing, and resolving claim issues and denials . Evaluate medical record documentation and coding to optimize reimbursement by… more
    TEKsystems (10/31/24)
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  • Revenue Cycle Specialist

    Randstad US (Franklin, TN)
    …a vital role in managing our accounts receivable (AR), claims processing, and denials management . Your expertise will ensure our revenue cycle operates ... revenue cycle specialist . + franklin , tennessee + posted october...a dedicated professional with a passion for revenue cycle management and a desire to contribute to a dynamic… more
    Randstad US (10/23/24)
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  • Appeals and Authorization Specialist

    Catholic Health Services (Melville, NY)
    …Appeals and Authorization representative will perform activities to resolve authorization denials for ambulatory practices, and facilitate appeals for hospital based ... services. SPECIFIC RESPONSIBILITIES AND DUTIES Review all authorization denials entered into the EPIC billing system. Update any authorizations that were either not… more
    Catholic Health Services (10/29/24)
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  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Bay City, MI)
    …and Responsibilities as Assigned:** 1. Supports activities consistent with Integrated Care Management Denials across all MHC subsidiaries. 2. Accountable for ... education sessions to maintain competency and knowledge of regulations in denials , utilization management , care management , clinical documentation,… more
    McLaren Health Care (09/26/24)
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  • Utilization Management Specialist NE

    Cleveland Clinic (Vero Beach, FL)
    …design and initiate special projects as supervised by the Team Manager. Utilization Management Specialist Join our team at Cleveland Clinic Indian River ... hospital stay or visit. Some of the responsibilities of a Utilization Management Specialist include medical record review, providing clinical information to… more
    Cleveland Clinic (10/31/24)
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  • Revenue Cycle Specialist -Revenue Integrity…

    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
    Weill Cornell Medical College (10/24/24)
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