- Virtua Health (Mount Laurel, NJ)
- …as resource to Patient Financial Services staff for reporting problems and denials on individual claims. Assist in researching coding issues, provide guidance and ... more
- Callen-Lorde Community Health Center (New York, NY)
- …functions, including pre-service insurance verification, billing, accounts receivable follow-up, denials management, and payment posting. This role will also manage ... more
- Johns Hopkins University (Middle River, MD)
- …to expedite payments. The Specialist will research and interpret medical policies regarding denials based on medical necessity. Will use a working knowledge of local ... more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $78,773.63 - $122,099.12 Under direction of the Manager of Utilization Management, the Utilization Management Specialist is responsible for ... more
- Beth Israel Lahey Health (Newburyport, MA)
- …all essential functions of Clinical Secretary job description. Assists Clinical Manager and Director with department operations. **Job Description:** _Join Anna ... more
- Covenant Health Inc. (Knoxville, TN)
- …ability to interpret guidelines is required. Ability to create reports related denials , errors and other related work sheets. Recruiter: Kathleen Rice || ... more
- Insight Global (Los Angeles, CA)
- …and medical consultants. In addition to daily interaction with the Department Manager and Assistant Manager , this position also interacts with Executive ... more
- Masonicare (Wallingford, CT)
- …claims processing. Brings problems and delinquent responses to the attention of Manager . Process- corrections - and generate- claims for re-processing. - - Reviews ... more
- Billings Clinic (Billings, MT)
- …(Non-Exempt) Starting Wage:$22.78 - $28.48 per hour Under general supervision of the Manager of Pre-Access, the supervisor is responsible for the supervision of the ... more
- Mount Sinai Health System (New York, NY)
- …Maintains open dialogue with the Department Administrator and/or Revenue Cycle Manager on billing activity and current concerns. **Qualifications** + Associates ... more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …criteria to determine medical necessity; reviews and processes concurrent denials that require medical necessity determinations; processes appeals and ... more
- Geisinger (Danville, PA)
- …and office staff to ensure completion on all peer to peer review and denials . Acts as a liaison for all financial matters to insurance companies, departments and ... more
- Community Health Systems (Franklin, TN)
- …policies. This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate ... more
- Covenant Health Inc. (Knoxville, TN)
- …follow-up of hospital accounts is essential to ensure payment and prevent denials from insurance companies. Employees in this role work independently as assigned ... more
- HCA Healthcare (Manchester, NH)
- …actions on a practitioner's RFC, R-RFC, including resignations, terminations, LOAs, denials , terminations, or withdrawals in accordance with CPC-28 and MSS013. ... more
- Mount Sinai Health System (New York, NY)
- …to ensure timely charge entry. 6. May run and work missing charges, edits, denials list and process appeals. Posts denials in EPIC/IDX on a timely ... more
- Mount Sinai Health System (New York, NY)
- …4. Ensure that documentation and coding supports billings to prevent denials and underpayments. 5. Follow-up with providers regarding missing clinical documentation ... more
- The Institute for Family Health (New Paltz, NY)
- …Explanation of Benefits for designated accounts and posts payments and denials accurately upon receipt. + Provides clerical support to senior representatives ... more
- Mount Sinai Health System (New York, NY)
- …in accordance with policies and procedures. + May run and work missing charges, edits, denials list and process appeals. Posts denials in IDX on a timely basis. ... more
- UNC Health Care (Hendersonville, NC)
- …Contractor (RAC) requests and follow-ups, including tracking of approvals and denials as well as coordinating and completing the appeal process. Responsibilities: ... more