- TEKsystems (Addison, TX)
- …the appeals and arbitration process for denied or underpaid claims , ensuring timely and accurate submissions. - Prepare compelling appeal letters, supporting ... Additional Skills & Qualifications: - Proven experience as an Appeals and or denials Specialist or in...Specialist or in a similar role within a healthcare setting. - In-depth knowledge of healthcare … more
- Molina Healthcare (Georgetown, KY)
- …Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct...a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge,… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The DRG Appeals Analyst - CDI Liaison is responsible for analyzing medical records, claims data, and coding on all diagnoses and procedures ... Medical Association Current Procedural Terminology (CPT-4) Coding system; and Healthcare Common Procedure Coding System (HCPCS) codes supporting the patient's… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY... in accordance with contracts, calling payers on open claims , sending appeals on denied claims ... date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience… more
- Robert Half Accountemps (Fort Wayne, IN)
- …is in the healthcare industry and will involve follow-ups on medical claims . The workplace environment is business casual and requires a high level of ... interaction with doctor offices. Responsibilities: * Follow-up on insurance claims and patient claims payments. * Provide customer service in relation to medical… more
- Robert Half Accountemps (West Palm Beach, FL)
- …accounts and taking decisive actions when necessary * Administering claims and appeals in line with healthcare regulations * Conducting billing functions and ... Description We are looking for a proficient Medical Billing/ Claims /Collections specialist to join our dynamic...specialist to join our dynamic team in the healthcare industry. This role will be based in West… more
- Hartford HealthCare (Newington, CT)
- …collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and ... this is *your moment.* **Job:** **Finance / Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Third Party… more
- Maxim Healthcare Services (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... The Reimbursement Specialist I reviews branch sales for appropriate documentation,...reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and… more
- Option Care Health (Olympia, WA)
- …or Intake/Admissions experience **Preferred Qualifications:** + 2-3 years of billing and claims experience in the healthcare industry. + Knowledge of HCPCS ... with Billing and Collection Training and completes "second level" appeals to payers. Hours: 6am -8am PST **Job Description:**...ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends… more
- Randstad US (Duluth, GA)
- revenue cycle specialist - hybrid. + duluth , georgia +... + Medical Billing + Processing and completing the appeals process for medical claims + Payment ... per hour + temporary + high school + category healthcare support occupations + referenceAB_4604646 job details We are...+ Payment Posting + AR Follow Up + Medical Appeals + Medical Claims Processing + Medical… more
- CEENTA (Huntersville, NC)
- Primary Objective The Insurance Specialist creates and sends medical claims for the insurance companies and the patients. The Insurance Specialist is ... correct amount. Other responsibilities include following up on unpaid claims , clarifying discrepancies, reviewing bills, and confirming eligibility. Essential… 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 ... management and appeals process in a collaborative environment with revenue cycle...FUNCTIONS** + Analyzes data from various sources (medical records, claims data, payer medical policies, etc.), determines the causes… more
- Robert Half Accountemps (Charleston, SC)
- …seeking a Medical Billing Specialist to join our team in the healthcare industry based in Charleston, South Carolina. The role is critical in ensuring accurate ... accounts receivable and conduct necessary follow-ups * Efficiently file appeals and work on denied claims *...Proven ability to work in a fast-paced and dynamic healthcare environment * Relevant qualifications in medical billing or… more
- Jet Health (Fort Worth, TX)
- …offs of reimbursement dollars. + Collect all necessary information to prepare claims and follow-through with corrections, resubmission, or appeals to resolve ... or by paper according to payor guidelines. + Research, correct, and resubmit rejected and denied claims . + Prepare appeals to all denied claims . + Review and… more
- Teleflex (Wayne, PA)
- …appropriate reimbursement tools as necessary to internal and external customers * Support the claims and appeals process including the tracking of claims and ... Reimbursement Access Specialist **Date:** Sep 12, 2024 **Location:** Wayne, PA,...our vision to become the most trusted partner in healthcare , we offer a diverse portfolio with solutions in… more
- Methodist Health System (Dallas, TX)
- …cycle management, specifically in addressing and resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in… more
- Robert Half Accountemps (Reseda, CA)
- … will be responsible for calling insurance companies to resolve unpaid and rejected claims . The Medical Collections Specialist must have 2+ years of experience ... in the healthcare industry. Duties: * Follow up with insurance companies...as requested in a timely manner. * Submits timely appeals and follows up on claims at… more
- Spectrum Billing Solutions (Skokie, IL)
- …or home/office hybrid position. Responsibilities: + Research and resolve insurance denials + File appeals on denied or underpaid claims + Check claim status on ... Billing Solutions is a revenue cycle management company for healthcare organizations. We are looking to add a passionate...add a passionate and skilled Revenue Cycle AR Collections Specialist to our growing team. The ideal candidate will… more
- Beth Israel Lahey Health (Burlington, MA)
- …reviews, and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay ... Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. 17.Works...preferred Experience: 2 - 3 years of experience in healthcare denials. Skills, Knowledge & Abilities: Working knowledge of… more
- Beth Israel Lahey Health (Charlestown, MA)
- …reviews, and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay ... Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. 17)...preferred Experience: 2 - 3 years of experience in healthcare denials. Skills, Knowledge & Abilities: Working knowledge of… more
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