- 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
- Tidelands Health (Myrtle Beach, SC)
- …and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials to ensure proper reimbursement of service rendered and to maintain an ... more
- CAIPA MSO LLC (New York, NY)
- …follow-up of outstanding claims payments. + Denial Management to include payer denials and denial solutions. + Use interpersonal and communications skills to obtain ... more
- Lompoc Valley Medical Center (Lompoc, CA)
- …and management. * Prepare analytic reports for review. * Provides feedback to Manager , Director and Pharmacy Director of reimbursement situations that may result in ... 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
- Tufts Medicine (Lowell, MA)
- …administration! This position has collaborative reporting responsibilities to each manager responsible for financial oversight particular to their service line. ... more
- Billings Clinic (Billings, MT)
- …authorizations; ensuring Passport pre-certification process is also met. * Reports denials and/or delays in the pre-certification process to physicians/other health ... more
- CommuniCare Health Services Corporate (Charleston, WV)
- …with the CBO cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and others. The CBO claims ... more
- Ventura County (Ventura, CA)
- …+ Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Health Information Management Senior Program ... more
- Intermountain Health (Murray, UT)
- **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides cost ... more
- Intermountain Health (Murray, UT)
- **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides cost ... more
- Houston Methodist (Sugar Land, TX)
- …as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/case manager of the patients' available benefits through insurance/managed care provider. ... more
- Penn Medicine (Philadelphia, PA)
- …+ Resolve benefits and billing issues for patients in conjunction with dept Billing Manager and operations staff. + Actively work self pay accounts + Review claims ... more
- Emanate Health (Covina, CA)
- …Specialist is responsible for denial and AR management as defined by Denial Manager . The Denial Specialist will possess and apply thorough knowledge of collections ... more
- Robert Half Accountemps (Sacramento, CA)
- …accounting systems through payer websites and phone calls. + Review claim denials , research underpayments, and perform appeals with payers. + Process bad debt ... more
- East Boston Neighborhood Health Center (East Boston, MA)
- …+ Maintains backlog of work that is consistent with levels established by PFS Manager , including use of EPIC work queues. + Maintains knowledge of medical and dental ... more
- Surgery Care Affiliates (Fort Walton Beach, FL)
- …POS, Worker's Com., self-pay and third-party reimbursement issues. + Works all denials and corrected claims collaborating with the biller and/or Business Office ... more
- Sea Mar Community Health Centers (Federal Way, WA)
- …trend analysis, and auditing coding accuracy. Position will also correct coding related denials and may be assigned to maintain system master files, run and work ... more
- Catholic Health Initiatives (Omaha, NE)
- …additional clinical information is not available, coordinate the process with the Care Manager for issuance of HINNs + Understand and use MCG/InterQual and other ... more