- Hartford HealthCare (Farmington, CT)
- …Records / Health Information* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... for the development and implementation of an effective HIM Coding denials program consistent with regulatory and healthcare revenue cycle industry standards.… 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
- Insight Global (Skokie, IL)
- Job Description Insight Global is looking for a clinical denials specialist to join the team at one of your healthcare clients in Chicago. As a Clinical ... Denials Specialist you will be working with the denials team to review and analyze denials from a clinical perspective. This person will be responsible… more
- TEKsystems (Addison, TX)
- …arguments. Additional Skills & Qualifications: - Proven experience as an Appeals and or denials Specialist or in a similar role within a healthcare setting. - ... claim adjudication, and reimbursement methodologies. - Familiarity with insurance denials , appeals, and arbitration processes, including knowledge of payer-specific… more
- CenterWell (Atlanta, GA)
- …of our caring community and help us put health first** As a **Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure the ... coordination of claim activities and designated agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices. + Analyze… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… 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 ... healthcare reimbursement, excellent problem-solving skills, and a proven track record in denials management. CHI St. Vincent Heart Clinic of Arkansas is a cardiology… more
- AdventHealth (Altamonte Springs, FL)
- …contribute:** This position is responsible for investigating and appealing post-remit denials for all Inpatient and Outpatient clinical services across the system, ... best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and...you bring to the team:** . Reviewing and appealing denials for all clinical services across the AH system… more
- Catholic Health Initiatives (Little Rock, AR)
- …claims, and charge entry. + Posting insurance or patient payments, keying in denials , posting zero insurance payments. + Searching for explanation of benefits from ... different payers, tracking down denials and zero pays. + Correcting claims, rebilling claims,...+ 3 year's experience posting payments or working insurance denials at a hospital or physician office. **Pay Range**… more
- UCHealth (Fort Collins, CO)
- …action. Requirements: + High school diploma or GED. + Professional Billing Medical Denials follow-up experience HIGHLY PREFERRED. + 6-12 months medical denials ... experience HIGHLY PREFERRED. We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives. UCHealth invests in its Workforce. UCHealth offers a Five Year Incentive… more
- Amaze Health (Denver, CO)
- …Amaze Health is a company dedicated to empowering our patients with all the tools, resources, and medical support they need to take charge of their own healthcare. We ... don't just take care of people, we partner with them. Join our innovative team as we change healthcare in America, one patient at a time. We are looking for an independent, personable, fast learner to help us provide the best possible experience for every one… 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 ... million in active inventory and $70 million in denials through account follow up, appeals and resubmission actions. This position reports directly to the AR Follow… more
- HCA Healthcare (Nashville, TN)
- …your knowledge and expertise! **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for ... preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and regulations of all applicable… more
- Priority Health Care (Marrero, LA)
- …and appeals, and monitoring day-to-day activities related to appeal follow-up and denials . Additionally, the Specialist is responsible for understanding and ... JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of...preparation and delivery of items required for annual audits. Denials Management and Accounts Receivable Follow-Up: + Manage and… more
- UPMC (Pittsburgh, PA)
- …area of authorization related activities including pre-authorizations, notifications, edits, denials , etc.The Authorization Specialist shall demonstrate the ... University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to join their team at the** Heart Vascular...claim filing and elimination of payor rejections and or denials . + High School diploma or equivalent with 2… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # ... 2404993 **Patient Account Specialist - Revenue Cycle HB Billing and Denials (Partial Remote)** **Minimum Qualifications:** High School Diploma or equivalent. Two… more
- UTMB Health (Galveston, TX)
- Senior Patient Account Specialist - Revenue Cycle PB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... years Epic Revenue Cycle experience **Job Description** The Sr. Patient Account Specialist will be responsible for billing all third-party payers through a claims… more
- UTMB Health (Galveston, TX)
- Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health ... two years Epic Revenue Cycle experience. **Job Summary:** The Sr. Patient Account Specialist will be responsible for billing all third party payers through a claims… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …appropriate) on medical necessity, level of care, length of stay, authorizations and denials for patients. The UR Specialist is responsible for contacting ... skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical appeals (when… more
- Texas Health Resources (Arlington, TX)
- **Coder II - Denials ** _Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified_ **Coder II** _like you to join ... Professional Coder Upon Hire **REQUIRED** or CCS-P - Certified Coding Specialist - Physician-based Upon Hire **REQUIRED** and Other Specialty certification such… more
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