- United Health Services (Binghamton, NY)
- Denials Recovery Specialist I, 33 Lewis Rd United Health Services is seeking a Denials Recovery Specialist I to join our Denials Recovery ... department at 33 Lewis Rd in Binghamton, NY. This position is benefits eligible. Shift Day Hours per week: 40 Salary range: $18.56 - $26.92 per hour, depending on experience. Overview Resolving denied insurance claims, for payment. Qualifications… 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- HSS (New York, NY)
- …Denials Specialist will have responsibility for the management, reporting, recovery , and prevention of clinical and technical denials received on Hospital ... committed to our Mission, you too can be part of our transformation across the enterprise. Denials Specialist Denials Management Full Time Overview: The … more
- Trinity Health (Farmington Hills, MI)
- …Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves payment… more
- Queen's Health System (Honolulu, HI)
- …audits, creating reports and implementing process changes, to minimize and/or prevent denials . * Follows up on insurance claims with outstanding balances; leads ... zero balance analysis. Creates, reviews and distributes accounts receivable reports on denials , audits, payment trends, and AR status. * Meets with department staff… more
- HCA Healthcare (Brentwood, TN)
- …We want your knowledge and expertise! **Job Summary and Qualifications** As a Denials Coding Review Specialist , you will be responsible for applying correct ... have the career opportunities as a Denial Coding Review Specialist you want with your current employer? We have...it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. What you will do in… more
- Henry Ford Health System (Troy, MI)
- …processes, including the use of coding knowledge to effectively design insurance recovery and patient pay workflows, research and identification of root causes ... resulting in edits and denials , and assisting with developing error prevention initiatives and...design and continuous evaluation of insurance follow up and recovery functions and workflow, to organize work based on… more
- Granville Health System (Oxford, NC)
- …the use of Present on Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive ... Summary:#The CDI Specialist is responsible for improving the overall quality...both the physician and the hospital.# #Reviews medical necessity denials and provides constructive feedback to providers.# #Works with… more
- Sharp HealthCare (San Diego, CA)
- …to determine whether patient is meeting skilled care criteria based on MCG Recovery Care Guidelines and Healthplan SNF guidelines. Performs data entry related to ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more
- TERROS, Inc. (Phoenix, AZ)
- …is pleased to share an exciting and rewarding opportunity for an Accounts Receivable Specialist Iw orking at our Central Avenue location in Phoenix, AZ . Reporting ... use treatment for the last 50 years. We help people live their lives in recovery and we save lives every day. Terros Health is a healthcare organization of caring… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …section at the Columbus VA Ambulatory Care Center. Clinical Documentation Improvement Specialist are skilled in classifying medical data from patient health records ... of the facility database as well as all cost recovery programs. Expertly searches the patient health record to...efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to… more
- Helio Health Inc. (Utica, NY)
- Overview Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare ... issues. The Patient Access Specialist (PAS)meets with patients entering our programs to collect...follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid… more
- R1 RCM (Boise, ID)
- As our Revenue Integrity specialist , you will be responsible for key operational functions to include charge capture, clinical billing, appeals and advanced ... Revenue Cycle Management (RCM). + Often leading key projects to include Recovery Audit Contractors (RAC) Program, Charge Description Master (CDM), Texas Medicaid… more
- Educational Alliance, Inc. (New York, NY)
- …culture, and civic engagement. The Role: Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and ... on Issue Tracker, identify and resolve billing issues, and follow up on denials if required + Review Service documentation and Billing files for accuracy and… more
- Henry Ford Health System (Troy, MI)
- …ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible ... party requirements. Additional Information + Organization: Corporate Services + Department: CBO Insurance Recovery - HB + Shift: Day Job + Union Code: Not Applicable… more
- Robert Half Accountemps (Grand Rapids, MI)
- Description We are looking for a Claims Specialist to join our team in Grand Rapids, MI. This role involves handling all aspects of workers compensation lost time ... of the claim. * Inform insureds, claimants and attorneys of claim denials when applicable. * Prepare reports on investigation, settlements, denials … more
- Mohawk Valley Health System (Utica, NY)
- …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors (RAC's). + Assist with mitigating barriers to discharge… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... initiatives j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent… more