- Blanchard Valley Health System (Findlay, OH)
- …Valley Facility and Professional services as well as the appeal of denials /rejections from third-party payers. The specialist will manage their assigned ... with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating to denials ....to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment… more
- Accounting Now (Tampa, FL)
- … Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely mannerThis ... The Denials Specialist performs advanced-level work related...fax, etc Documents and summarizes all rationale for all appeals in EPICDocuments communications with medical office… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …Benefit verification result call. Welcome calls. Advanced alternate coverage research. Appeals / Denials . Intakes and reports adverse events as directed. Provides ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...reports any reimbursement trends/delays to management team (eg billing denials , claim denials , pricing errors, payments, etc.).… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility, ... and providing online verification. Responsible for reviewing all primary payments and denials for accuracy as well as sending out initial claims, corrected claims… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …of Protected Health InformationAbility to manage changeExtensive knowledge of medical terminology Must possess detailed understanding and knowledge of insurance ... and interprets clinical information submitted from the Physician, emphasizing the medical justification for a procedure, in order for completion of the… more
- Accounting Now (Pinellas Park, FL)
- … Billing and Collections Specialists in St Petersburg, Florida. Billing & Collections Specialist The medical billing and collection specialist is responsible ... of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking… more
- St. Mary's Healthcare (Amsterdam, NY)
- …government claim denials and audit requests and coordinates attempts to overturn denials by drafting appeals , negotiating with payers, or following up with ... claim payment. * Establishes and maintains positive and cooperative relationships with medical staff and care coordination leaders to ensure ongoing compliance with… 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 ... functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** +...various sources ( medical records, claims data, payer medical policies, etc.), determines the causes for denials… more
- University of Utah (Salt Lake City, UT)
- …**Requisition Number** PRN39530B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E ... of U Health - Academics **Department** 00209 - Univ Medical Billing - Oper **Location** Other **City** Other **Type...knowledge of revenue cycle. + Working knowledge of insurance denials , appeals and expected reimbursement rates. +… more
- Carle (Urbana, IL)
- Outpatient Denial/ Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... appeals for the Carle enterprise. Represents Carle in clinical meetings and writing appeals on outpatient accounts where medical necessity, level of care or… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding ... related claim denials for professional services, FQHC, MSO, and ASCs across...documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process.… 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 ... (both medical and surgical) to assure properly assigned diagnostic related...have been applied to the claim. **RESPONSIBILITIES** 1. Analyzes denials and determines when an appeal should be filed… more
- Robert Half Accountemps (Charleston, SC)
- …and Billing Functions * Knowledge of Medical Billing, Claim Denials , Insurance Denials , and Medical Denials * Expertise in Medical Coding, ... Description We are seeking a Medical Billing Specialist to join our...with a focus on insurance claims, account receivables, claim denials , and medical coding. This role offers… more
- Hartford HealthCare (Newington, 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 $70 million in denials through account follow up, appeals and...management or finance. *Experience* . Minimal: 2 -4 years medical billing and/or accounts receivables experience in a facility… more
- Beth Israel Lahey Health (Burlington, MA)
- …Billing Office. 15. Independently works on the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims...complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims… more
- Beth Israel Lahey Health (Danvers, MA)
- …Billing Office. 15. Independently works on the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. ... you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims...complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims… more
- The Mount Sinai Health System (New York, NY)
- …for information to prevent denials /recover payment. i$~ Requests or provides Medical Records as required for appeals , On/Off-site Insurance reviews in both ... **JOB DESCRIPTION** Reviews medical admission record & continued stay for plan...Responsible for the maintenance of accurate data for approvals, denials and appeals (in coordination with UM… more
- Weill Cornell Medical College (New York, NY)
- …claim status and billing guidelines to substantiate corrected claim submissions, written appeals , coding and medical necessity reviews. + Researches and ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...Coder to investigate and resolve coding related insurance payment denials . The CBO partners with WCM Clinical Departments to… more
- Robert Half Accountemps (Van Nuys, CA)
- …to collect insurance payments. Requirements Medical Billing, Medical Collections, Medical Appeals , Medical Denials , HMO PPO, Hospital Billing, ... San Fernando Valley is looking to add a Hospital Medical Collections Specialist to the team. The...care * Provide training for Collector I positions * Appeals and denials management. * Engage in… more
- Robert Half Accountemps (Laguna Hills, CA)
- …cash and DSO goals. Requirements Medical Collections, Medical Billing, Medical Appeals , Medical Denials , Laboratory experience, Pathology, HMO ... Laboratory company is in the need of a remote Medical Billing Collections Specialist . The Medical...if appropriate. Identify and report root causes associated with denials . * Timely, effective processing of assigned appeals… more
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