- St. Mary's Healthcare (Amsterdam, NY)
- …and resolve billing inconsistencies. * Reviews commercial and government claim denials and audit requests and coordinates attempts to overturn denials by ... 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)
- …coding staff; and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), determines the causes for denials of payment and partners… more
- TEKsystems (Addison, TX)
- …to strengthen appeal arguments. Additional Skills & Qualifications: - Proven experience as an Appeals and or denials Specialist or in a similar role within a ... processes, claim adjudication, and reimbursement methodologies. - Familiarity with insurance denials , appeals , and arbitration processes, including knowledge of… 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
- 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 **FLSA ... of U Health - Academics **Department** 00209 - Univ Medical Billing - Oper **Location** Other **City**...knowledge of revenue cycle. + Working knowledge of insurance denials , appeals and expected reimbursement rates. +… more
- Carle (Urbana, IL)
- …appeals for the Carle enterprise. Represents Carle in clinical meetings and writing appeals on outpatient accounts where medical necessity, level of care or ... Outpatient Denial/ Appeals Specialist- RN + Department: Revenue Cycle -...revenue cycle management on clinical matters.Reviews outpatient post payment denials when medical necessity is being questioned.… more
- Genesis Healthcare (Philadelphia, PA)
- …support to validate next action.As needed, facilitates communication with designated billing /business offices in support of Denials Management process.Provides ... management team by conducting a comprehensive analytical review of patient's medical records. Appeal Writer/ Reimbursement Analyst will write sound, sensible and… more
- HCA Healthcare (Nashville, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Appeals Team Lead with Parallon you can be a part of an organization ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...our organization. We are looking for an enthusiastic Clinical Appeals Team Lead to help us reach our goals.… more
- Robert Half Accountemps (Charleston, SC)
- …Claim Administration * Experience with Benefit and Billing Functions * Knowledge of Medical Billing , Claim Denials , Insurance Denials , and Medical ... 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
- Keystone Lab (Asheville, NC)
- …Inc. - Asheville, NC An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most ... resolving issues with payers prior to write-off. + Send appeals when appropriate or provide medical documentation...payer contact. + Ensure that goals set for claims, denials , suspensions, and appeals on aged accounts… more
- Robert Half Accountemps (Van Nuys, CA)
- …collect insurance payments. Requirements Medical Billing , Medical Collections, Medical Appeals , Medical Denials , HMO PPO, Hospital Billing ... Medical Collections Specialist will be responsible for overseeing billing and collection processes within a hospital setting. The... and denials management. * Engage in Appeals , Billing Functions, Claim Administration, and Collection… more
- Beth Israel Lahey Health (Burlington, MA)
- …to work and resolve all back end high dollar, complex, and aged physician billing denials as assigned. Reviews and completes continuous daily work queue volume ... on questions and accurate registration of insurance and or processing physician billing denials . 9. Proactively identifies problems and opportunity for… more
- Beth Israel Lahey Health (Danvers, MA)
- …customer on questions and accurate registration of insurance and or processing billing denials . 9. Proactively identifies problems and opportunity for ... and Managers to obtain required information. Additional tasks include researching medical policies, payer billing guidelines, claim requirements, and written… more
- The Mount Sinai Health System (New York, NY)
- …**QUALIFICATIONS** + Associates Degree, or high school diploma/GED + 7 years experience in medical billing or health claims, with experience in IDX billing ... **JOB DESCRIPTION** Responsible for multiple components of the billing process for specialized or complex pre and...payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts … more
- The Mount Sinai Health System (New York, NY)
- …**QUALIFICATIONS** + Associates Degree, or high school diploma/GED. + 10 years experience in medical billing or health claims, with experience in billing ... ISM, Icahn School of Medicine **REQUIRED SKILLS** Communication Microsoft Office Suite medical billing **ABOUT US** **Strength Through Diversity** The Mount… more
- Tufts Medicine (Tyngsboro, MA)
- …Qualifications** **:** 1. Associate's degree. 2. Five (5) years of experience in a medical billing and collection environment for a medical services provider ... health insurers, follows up with health insurers about submitted claims, and performs appeals for non-clinical denials , etc. An organizational related support or… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …preferably in physician office setting. + Medical Appeals and Denials : 2-3 years. (Required) + Orthopedic medicine billing knowledge and experience ... insurance coverage and patient responsibility on claim + Post denials , correcting charges, filing appeals , and following...HS diploma or GED equivalent required + 2+ years medical billing experience required + EMR experience… more
- University of Utah (Salt Lake City, UT)
- … billing process from eligibility to completion of payment process. Providing medical billing and collection processes by verifying eligibility and benefits, ... as typing), walking. Seldom: Bending, reaching overhead. **Minimum Qualifications** Three years medical billing experience or equivalency (one year of education… more
- Robert Half Accountemps (Arcadia, CA)
- …Hospital UB 04 experience. Requirements Medical Billing , Medical Collections, Medical Appeals , Medical Denials , UB04 form, HMO PPO, Hospital ... process of billing and collection. Train and guide staff on medical billing practices. Develop strategies for improving collection processes. Maintain… more
- ZOLL Medical Corporation (Broomfield, CO)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... field preferred. Responsibilities + Denial Management - Research and determine claim denials and take appropriate action for payment within federal, state, and payor… more