- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... orientation. JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity and… more
- 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
- McLaren Health Care (Shelby Township, MI)
- **Position Summary** : The denials management specialist is responsible for timely and accurate follow-up and appeal of denials /rejections received from ... 3. Assists with claim audits as necessary 4. Makes management aware of any issues or changes in the...or other projects identified by direct supervisor or CBS management . 8. Works independently with other departments to resolve… more
- UCHealth (Denver, CO)
- Description Healthcare Account Specialist , Denials Management Payer Audit This is a full-time (40 hrs/wk), Hourly, Days position on UCHealth's Denials ... Management Payer Audit team. You may be based in Fort Collins or Metro Denver CO. Prepares, reviews, and submits patient account billing. Work Schedule: Full Time Days Location: Denver or Fort Collins Pay range: $19.67 - $25.57 / hour. Pay is dependent on… 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
- Hartford HealthCare (Farmington, CT)
- …Records / Health Information* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... coding experience in an acute care hospital setting. . Two years denials review, auditing, management , mentoring and/or coder training experience. *Licensure,… more
- Hartford HealthCare (Farmington, CT)
- …recognition programs and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and ... **Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 1 / HIM Coding* **Location:**… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare ... you have the opportunity to make a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our team. **Job… more
- Northwell Health (Melville, NY)
- …plus specialized certifications as needed. + Prior experience in Case Management , Utilization Review, and Appeals/ Denials , highly preferred. *Additional Salary ... Review standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews… more
- Genesis Healthcare (Seven Fields, PA)
- …expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up ... and contracted payers. The follow up includes initial assessment of the denials received to determine the appropriate process. Once determined, established policy… 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 ... **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
- Hartford HealthCare (Farmington, 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
- 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
- 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
- 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 ... be named six times by Forbes as a Best Employer. Position Summary:TheCDI Specialist serves as liaison between the physicians and hospital departments to promote… 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 the region's ... be named a Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as liaison between the physicians and hospital departments to promote… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... coordinates denials with the attending physician and the Care Management physician advisor; prepares case reports; documents treatment plan, progress notes and… more
- UT Health (Houston, TX)
- …Denial Specialist collaborates with members of the Revenue Cycle Management (RCM) team including Clinical Documentation Improvement (CDI) to identify trends and ... Coding Denial Specialist - Rev Cycle **Location:** Houston, Texas **Hot**...billing, with a focus on identifying and resolving coding-related denials . This role involves analyzing denied claims, determining the… more
- Robert Half Accountemps (Los Angeles, CA)
- …extensive knowledge and first-hand experience in dealing with insurance denials management and UB04. The Medical Revenue Cycle Specialist role demands an ... is seeking a dedicated and driven Medical Revenue Cycle Specialist to join its respectable hospital. The Medical Revenue...and collection processes 2. Using effective strategies for insurance denials management 3. Thorough understanding of the… more