- R1 RCM (Salt Lake City, UT)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Appeals and Denials Manager** , you will serve as an ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...expert on clinical appeals and denials management. Every day you… more
- University of Michigan (Ann Arbor, MI)
- Revenue Cycle Coding Supervisor - Appeals & Denials Apply Now **Job Summary** The Denial Coding Supervisor provides subject matter expertise in physician ... medical coding, insurance billing , and follow-up activities....ID** 258393 **Working Title** Revenue Cycle Coding Supervisor - Appeals & Denials **Job Title** Revenue Cycle… more
- Northwell Health (Melville, NY)
- …as needed. + Prior experience in Case Management, Utilization Review, and Appeals / Denials , highly preferred. *Additional Salary Detail The salary range and/or ... and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor representative and… more
- UNC Health Care (Goldsboro, NC)
- … denials to Coding Supervisor. 4. Reviews and documents findings on all medical necessity and status denials . 5. Works closely with Patient Financial Services ... the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first...* Solid knowledge and understanding of provider reimbursement methodologies, medical terminology, and hospital and physician billing .… 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
- Hartford HealthCare (Farmington, CT)
- …coding denials to appropriate departments per established process. (Coding, Billing , Compliance, etc.) . Serves as the resource for coding denial questions ... 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)
- …The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists ... billing staff regarding outpatient denials for experimental,...and impact on revenue and trending. + Coordinates RAC appeals for complex case reviews for medical … more
- AdventHealth (Altamonte Springs, FL)
- …information needs . Experience in healthcare claims processing and proficiency with medical billing and remittance forms and processes, including 835 and ... to all. Under general supervision of the Supervisor of Denials Management, will be responsible for billing ...obtain claims status for denied claims . Defends and appeals denied claims, including researching underlying root cause, collecting… more
- R1 RCM (Chicago, IL)
- …you will do initial reviews, call insurance companies to resolve authorization and claim denials , write appeals and letters to insurance companies to resolve ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...denials , and follow up on appeals to the point of exhaustion or payment. To… more
- R1 RCM (Boise, ID)
- …will conduct root cause analysis to draft appeal letters to resolve any insurance company medical denials . To thrive in this role, you must excel in a ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...analytics, AI, intelligent automation, and workflow orchestration. As our ** Denials & AR Analyst** , you will help R1… more
- Guidehouse (Birmingham, AL)
- …supervisors and managers as needed with various projects and review and resolve denials . They will submit facility and non-clinical appeals and facilitate ... Required** **:** None **What You Will Do** **:** The Denials Patient Account Representative will manage, update and prepare...3 years related or general knowledge of payor-specific or medical specialty billing **What Would Be Nice… more
- 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 to ... health insurance, flexible scheduling, 401k and student loan repayment programs. The Remote Medical Denials / Appeals Specialist position is remote and… 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 (Alhambra, CA)
- …UB04 form, Medical Collections, Medical Denials , Medical Appeals , Hospital Revenue Cycle, Medical Billing , Basic Medical Terminology ... with insurance denials management and UB04. The Medical Insurance Billing Specialist role demands an...individual who can demonstrate an exceptional understanding of the medical billing and collections process and the… more
- Mount Sinai Health System (New York, NY)
- …Cycle Manager. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims, with experience in IDX billing ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components...payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts … more
- TEKsystems (Nashville, TN)
- …background Ability to comprehend EOB's, work denials and knowledge of appeals process Knowledge of billing secondary and tertiary carriers Experienced with ... Additional Skills & Qualifications Someone who is experienced within Medical Billing . They must be able to...They must be able to explain the process of appeals and denials , corrected claims, EOB'S. Preferred… more
- 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 ... and/or outpatient charges. Runs and works missing charges, edits, denials list and processes appeals . Posts ...to clinical staff, including CPT and ICD-10/10 code changes, medical necessity policies, coding/ billing information on new… more
- Mount Sinai Health System (New York, NY)
- …high school diploma/GED plus 3 years of relevant experience + 3 years experience in medical billing or health claims, with experience in IDX billing systems ... **Job Description** The Senior Billing Coordinator (Generalist) is responsible for multiple components...procedures. + May run and work missing charges, edits, denials list and process appeals . Posts … more
- WellSpan Health (York, PA)
- …trend analysis to management, leadership, and insurance liaison.- Writes and submits appeals when needed to overturn claim denials .- Accesses external payer ... and healthcare billing systems (Epic preferred). + Working knowledge of medical terms to help interpret edit resolution, claims remittance advice, medical … more
- ZOLL Medical Corporation (Broomfield, CO)
- …ambulance transportation field preferred. Denial Management - Research and determine claim denials and take appropriate action for payment within federal, state, and ... - Identify consistent payor or system trends that result in underpayments, denials , errors, etc. Payor Escalation - Ability to understand and navigate payor… more