- Community Health Systems (Fort Smith, AR)
- As a Remote Medical Denials / Appeals Specialist at Community Health Systems - Shared Services Center, you'll play a vital role in supporting our purpose ... scheduling, 401k and student loan repayment programs. The Remote Medical Denials / Appeals Specialist position is remote and full time, which is 40… more
- Genesis Healthcare (Seven Fields, PA)
- …your expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the ... place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time...appeal letters supporting the claim and reimbursement. Performs all appeals and denials recovery procedures needed to… 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
- 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
- St. Luke's University Health Network (Allentown, PA)
- … Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists ... Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity... and rejections. + Assists in preparing reports regarding denials to include volumes, number of appeals ,… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... pertaining to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and...appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment and mitigation… more
- Cuyuna Regional Medical Center (Crosby, MN)
- …completion of data entry, general clerical, ten key, and denials specialist standards administered by Cuyuna Regional Medical Center Human Resources staff. ... in Medicare EDI system DDE. + Reviews, researches and appeals denials of insurance claims. + Works...is $22.65 to $27.48. Benefits Flexible schedule Competitive wages Medical , Dental, Vision, & Life insurance options HSA option… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare ... you have the opportunity to make a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our team. **Job… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES & ESSENTIAL JOB...reflect the standard of care, as defined by the medical staff and the organization; utilizes clinical knowledge and… more
- Molina Healthcare (Columbus, OH)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... determine appeal and grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates... appeals and denials . + Strong verbal and written communication skills To… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data ... or AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and… more
- St. Luke's Health System (Twin Falls, ID)
- …to work. **What You Can Expect:** Under limited supervision, the Clinical Appeals Specialist 2, is responsible for managing client medical denials by ... determine if an appeal is warranted. + Reviews patient medical records and utilizes clinical and regulatory knowledge and...and maintain a single reporting location that reflects clinical denials and appeals activity. + Recommends improvements… more
- TEKsystems (Annapolis, MD)
- …Schedule : Monday - Friday (Normal Business Hours) Position Summary: As a Coding Appeals Specialist , you will be a crucial member of the denial management ... Hybrid Coding Appeals Analyst Opportunity to join one of Maryland's...as well as suggesting process improvements to reduce future denials . Benefits: + Exposure : Ability to join and… more
- University of Michigan (Ann Arbor, MI)
- …Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit practices for both ... inpatient and outpatient populations. They are knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will… more
- Priority Health Care (Marrero, LA)
- …also involves ensuring timely response from third-party payors, processing payor denials , documentation requests, and appeals , and monitoring day-to-day ... activities related to appeal follow-up and denials . Additionally, the Specialist is responsible for...by the manager in a timely manner. + Write appeals using established guidelines to resolve claim denials… 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...management or finance. *Experience* . Minimal: 2 -4 years medical billing and/or accounts receivables experience in a facility… more
- Johns Hopkins University (Middle River, MD)
- …payors in order to expedite payments. The Specialist will research and interpret medical policies regarding denials based on medical necessity. Will use ... Drafts and resolves non-standard appeals . + Researches medical policies to resolve denials based on...medical specialty environment. Classified Title: AR Revenue Cycle Specialist II Job Posting Title (Working Title): PB AR… more
- Robert Half Accountemps (Los Angeles, CA)
- …UB04 form, Medical software, Medical Billing, Medical Collections, Medical Appeals , Medical Denials , Hospital Billing, Hospital Inpatient, ... in Los Angeles is seeking a dedicated and driven Medical Revenue Cycle Specialist to join its...with insurance denials management and UB04. The Medical Revenue Cycle Specialist role demands an… more
- Robert Half Accountemps (Los Angeles, CA)
- …and actions taken on an account meticulously Requirements UB04 form, Medical Collections, Medical Denials , Medical Appeals , Hospital Revenue Cycle, ... offering a contract for a permanent position as a Medical Biller/Collections Specialist in the Healthcare, Hospitals,...Specialist , you will be tasked with managing insurance denials , comprehending the intricacies of the UB04 form, and… more
- Johns Hopkins University (Middle River, MD)
- …payors in order to expedite payments. The Specialist will research and interpret medical policies regarding denials based on medical necessity. Will use ... Drafts and resolves non-standard appeals . + Researches medical policies to resolve denials based on...medical specialty environment. Classified Title: AR Revenue Cycle Specialist II Job Posting Title (Working Title): AR Revenue… more
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