- 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- CenterWell (Atlanta, GA)
- …of our caring community and help us put health first** As a **Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure the ... Our care teams include nurses, physical therapists, occupational therapists, speech -language pathologists, home health aides, and medical social workers -… more
- UTMB Health (Galveston, TX)
- Sr . Patient Account Specialist - Revenue Cycle PB Billing & Denials **Galveston, Texas, United States** **New** **Hot** Business, Managerial & Finance UTMB ... experience. Minimum of two years Epic Revenue Cycle experience **Job Description:** The Sr . Patient Account Specialist will be responsible for billing all… more
- UTMB Health (Galveston, TX)
- Senior Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health ... experience. Minimum of two years Epic Revenue Cycle experience. **Job Summary:** The Sr . Patient Account Specialist will be responsible for billing all third… more
- Trinity Health (Livonia, MI)
- …Verification and Authorization (NoVA), Billing and Follow-up, Customer Service, Denials , and Payment (Cash) Posting colleagues. Responsible for flexing across ... Notification Verification and Authorization (NoVA), Billing and Follow-up, Customer Service, Denials , and Payment (Cash) Posting colleagues across numerous state and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper ... medical needs are met at the highest level. The Sr Coding Compliance Auditor's primary focus will be to...HCC diagnoses via claims. + Works to resolve claims denials and reports denial trends to leadership + Demonstrates… more
- WMCHealth (Valhalla, NY)
- Sr . Revenue Integrity Analyst- On-site position Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non-Clinical Department: ... Internal Applicant link Job Details: Job Summary: The on-site Sr . Revenue Integrity Analyst reviews and revises accounts to achieve… more
- BayCare Health System (Clearwater, FL)
- …trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions as the ... assigned by the supervisor including but not limited to processing concurrent denials . + Preferred experience includes Critical Care or Emergency Nursing RN.… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*Pre-Registration Representative Senior *to join our Financial Securing team. This full-time role will primarily work remotely ... (day). *Purpose of this position:*The pre-registration specialist confirms all patient demographic information is current and complete, verifies insurance… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Coding Specialist position is responsible for applying correct coding conventions to patient charge encounters in a clinical ... edit related coding errors in the electronic health record. In addition, the Sr Coding Specialist position is responsible for reviewing, correcting and appealing… more
- Beth Israel Lahey Health (Burlington, MA)
- …job, you're making a difference in people's lives.** Based in Burlington, the Senior Financial Clearance Specialist position has a primarily remote schedule, ... most effective and positive manner possible. + Researches claim edits and payment denials related to financial clearance and works closely with the Lahey Patient… more
- Beth Israel Lahey Health (Burlington, MA)
- …functions that cover an enterprise-wide scope, the PFS Revenue Billing Specialist role is responsible for identifying, researching and resolving various Professional ... issues for all commercial and government payors. The Revenue Billing Specialist 's duties primarily involve registration error, coverage and eligibility related… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake ... + Report all payments on collection claims to the Collections Specialist (s) + Attend required hospital-wide orientations, meetings, and in-services + Demonstrate… more
- Vanderbilt University Medical Center (Nashville, TN)
- …action plans on trends related to patient account inquiries and payer denials . . KEY RESPONSIBILITIES * Processes claims, payments, adjustments, refunds, denials ... , and unpaid patient and insurance balances. * Accesses and corrects, if needed, demographic, insurance and financial information. * Provides accurate account maintenance and documentation. * Serves as a liaison with insurance companies, third party payors,… more
- Mount Sinai Health System (New York, NY)
- …and captured. + Ensures that documentation supports charges to prevent denials /underpayments and to ensure adherence to compliance standards. + Follow-up on ... schedule updates. + Responsible for resolving any coding related errors, edits and denials that are identified by the physician practices or practice billing system.… more
- Citizens (Glen Allen, VA)
- …challenges? Citizens Bank is seeking a Single Point of Contact (SPOC) Relationship Specialist to serve as the primary liaison for borrowers throughout the default, ... Clearly communicate decisions and next steps, including modification approvals or denials , and guide borrowers through alternative solutions when needed. + Financial… more
- JPMorgan Chase (Irvine, CA)
- …will make you a great fit for a role as a Business Operations Specialist within the Specialized Processing Services team of Commercial Real Estate! As a Business ... Ops Specialist in the Specialized Processing Services team of Commercial...as WAS data corrections, LAR edits, mailed letters, verbal denials , etc. + Monitors and sends follow up requests… more
- GAP Solutions Inc (Arlington, VA)
- …considers initial requests over a certain dollar threshold, and appeals of denials of waiver requests, by individuals who, due to equitable considerations, seek ... judgment and perform work independently with limited guidance and review by senior government staff. + Independently identify potential problems and issues impacting… more
- Sanford Health (SD)
- …and industry audit practices and requirements. Conduct review of clinical-based denials (ie Medical Necessity, Level of Care) within required timeframes utilizing ... clinical criteria sets, knowledge of payor regulations, and considerable clinical judgment, to determine appropriateness of care. Coaches patients and families on how to be proactive in managing their own care. Consults on the process for identifying and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Procedural Billing Specialist III is a senior level individual, responsible for multiple components of the billing process for ... and/or outpatient charges. Runs and works missing charges, edits, denials list and processes appeals. Posts denials ...edits, denials list and processes appeals. Posts denials on a timely basis. + Provides comprehensive denial… more