- MAG Industries LTD (Tyrone, PA)
- Job DescriptionJob Description Credit and Returns Specialist About MAG Industries If you think you are the right match for the following opportunity, apply after ... MAG Industries is seeking a detail oriented and organized Credit and Returns Specialist to join our finance and customer operations team. This position is… more
- University of Southern California (Alhambra, CA)
- …federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve ... this position will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties:… more
- Penn Medicine (East Petersburg, PA)
- …Our employees shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between ... with appropriate documentation. + Ensures that all activities related to denials management functions meet department requirements, maximize revenue collection,… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... requirements pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance… more
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the ... Denials Resolution Specialist is responsible for resolving...and result in prompt and accurate payment. + Keeps management informed of changes in billing requirements and rejection… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - Friday ... 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials management , and knowledge of medical terminology,… more
- Saratoga Hospital (Saratoga Springs, NY)
- HIS Denials Specialist (Inpatient) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: 8a-4p ... About the Role We're looking for a dedicated HIS Denials Specialist to join our team and...with HIS Coders, payers, Department Directors, Clinical Managers, Case Management , Patient Access, and PFS What You'll Do +… more
- Nuvance Health (Danbury, CT)
- …and trending all appeals and communicating on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team ... This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to...required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum… more
- Robert Half Office Team (Carmel, IN)
- Description Our team is seeking a detail-oriented Medical Denials Specialist to join a fast-paced healthcare environment and ensure accurate, timely resolution ... field preferred. + Minimum 2 years' experience in medical billing, denials management , or health insurance claims. + Strong understanding of coding standards… more
- Trinity Health (Hartford, CT)
- …for services. **What you will do** + Responsible for authorization and denials within Case Management ensuring appropriate authorization for inpatient hospital ... with authorization and denial processes + Supports the needs of the Case Management Utilization Coordinator team using data, system reports, and analytics + Develops… more
- UNC Health Care (Kinston, NC)
- …, or compliance experience preferred. + Minimum 1 year clinical denials management preferred. + **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice ... the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first...and works collaboratively with the Physician Advisor and Case management Assistants. 4. Reviews and documents findings on all… more
- Rochester Regional Health (Rochester, NY)
- JOB TITLE: Collections and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM ... SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...taking corrective actions. RESPONSIBILITIES: + Medical Billing & Claims Management : Submit and track insurance claims, resolve denials… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This ... to ensure all follow-up dates are current. + Analyzes denials to determine appropriate actions, completes appeals, or routes...required + Associate Degree or higher in Health Information Management preferred + 1-3 years of experience in medical… more
- Northwell Health (Melville, NY)
- …standard and regulations. + Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews ... + Inpatient clinical experience; 4+ years preferred. + Prior Acute Case Management and/or Utilization Review experience, preferred. + Must have experience with… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education to… more
- Texas Health Resources (Arlington, TX)
- Inpatient Coding Denials Analyst _Are you looking for a rewarding career with an award-winning company? We're looking for a qualified_ Inpatient Coding Analyst _like ... in an acute care setting REQUIRED 2 Years Performing billing and coding denials resolution preferred Licenses and Certifications CCS - Certified Coding Specialist… more
- 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 ... care company? We're looking for a qualified_ Coder II ( Denials ) _like you to join our Texas Health family._...Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the issues resulting in ... denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted.… more
- Houston Methodist (Houston, TX)
- …utilization review functions through point of entry, observation progression of care management , concurrent review and denials reviews. Additionally, the URSN ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered...denials , and pre-bill team members, as well as management . The URSN position helps drive change by identifying… more
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