- HCA Healthcare (Nashville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Work from Home you ... resources you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals.… more
- Hartford HealthCare (Farmington, CT)
- …recognition programs and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and ... **Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 1 / HIM Coding* **Location:**… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and rejections. + Assists in preparing reports regarding denials to include volumes, number of appeals ,...TRAINING AND EXPERIENCE: + Minimum of 2-5 years of clinical nursing experience in an acute care hospital setting… more
- AdventHealth (Altamonte Springs, FL)
- …will contribute:** This position is responsible for investigating and appealing post-remit denials for all Inpatient and Outpatient clinical services across the ... bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to...will bring to the team:** . Reviewing and appealing denials for all clinical services across the… more
- Robert Half Accountemps (Los Angeles, CA)
- Description The Hospital Denials Specialist is responsible for reviewing, analyzing, and resolving denied or underpaid claims from insurance payers. This role ... + Collaborate with internal departments, such as medical billing, coding, and clinical teams, to obtain necessary documentation for appeals submissions. +… more
- St. Luke's Health System (Twin Falls, ID)
- …a great place to work. **What You Can Expect:** Under limited supervision, the Clinical Appeals Specialist 2, is responsible for managing client medical ... sources to provide and maintain a single reporting location that reflects clinical denials and appeals activity. + Recommends improvements and modifications… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN41434B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals & Coding Specialist III **Job Grade** E **FLSA Code** ... attributes too. We are looking for an experienced **Medical Appeals & Coding Specialist ( MAC )...1 & 2 team members. 3. Monitor and resolve denials and appeals to ensure timely collection.… more
- AscellaHealth (Berwyn, PA)
- … process. + Respond to Prior Authorization denials and submit appeals , collecting appropriate clinical support to substantiate the formal response. + ... What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate… more
- Community Health Systems (Fort Smith, AR)
- …authorization issues related to appeals , providing necessary data for resolving inpatient/ clinical denials . + Performs other duties as assigned. + Complies ... **Job Summary** The Appeals Specialist I is responsible for...+ Researches and resolves claim discrepancies, including underpayments, incorrect denials , and incomplete charges, using knowledge of revenue codes,… more
- Rush University Medical Center (Chicago, IL)
- …each case. **Summary:** This position reviews initial clinical facility and physician denials , documents appeals for clinical inpatient denials , ... years of experience in clinical setting. * Knowledge/experience in utilization management, denials or appeals management in hospital or physician denials … more
- CaroMont Health (Gastonia, NC)
- …and DRG Denial Management and Appeals based on departmental needs. The Clinical Documentation and Denial Specialist is responsible for assisting the denial ... with Health Information Management, Utilization Review and Clinical Documentation Specialist to mitigate coding denials . This position is for CaroMont… more
- Independent Health (Buffalo, NY)
- …coding guidelines and financial policies/contracts. + Responsible for all reconsideration clinical appeals to include review of records, consultation with ... and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding… more
- Catholic Health Services (Farmingdale, NY)
- …of regulatory appeals related to home care services, including insurance denials , service coverage disputes, and reimbursement issues. Review denials and ... Overview The Quality Assurance Regulatory Specialist plays a pivotal role in overseeing the...with internal teams to gather necessary medical documentation and clinical data to support the appeals process.… more
- Robert Half Accountemps (Charleston, SC)
- …* Perform the posting of charges and payments * Maintain a thorough clinical appeal process for all inpatient denials , ensuring appropriate documentation is ... offering a temporary to permanent employment opportunity for a Medical Billing Specialist in the Healthcare sector, located in Charleston, South Carolina, United… more
- R1 RCM (Salt Lake City, UT)
- …day, you will contact payors to facilitate medical discussions regarding concurrent clinical denials . This position involves timely communication with payors to ... analytics, AI, intelligent automation, and workflow orchestration. The **Peer-to-Peer Support Specialist ** will be responsible for non- clinical tasks related to… more
- CAIPA MSO LLC (New York, NY)
- …and/or Leadership team MINIMUM QUALIFICATIONS + 2+ years of experience in claims denials , rejections and appeals . + Excellent communication and customer service ... Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an… more
- Hackensack Meridian Health (Hackensack, NJ)
- …j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the...and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC.… more
- Montrose Memorial Hospital (Montrose, CO)
- …requirements, utilizing available clinical resources for documentation improvement, and facilitating appeals for coverage denials . All About You : + High ... to ongoing treatments due to payer coverage restrictions or denials . + Secondly, the Prior Authorization Specialist ...or denials . + Secondly, the Prior Authorization Specialist minimizes the patient's financial risk with a thorough… more
- Trinity Health (Albany, NY)
- …denial coordination with Patient Business Service (PBS) centers; including analysis of clinical documentation, assist in appeals as needed, root cause analysis ... Full time **Shift:** Day Shift **Description:** **Revenue Integrity Charge Specialist ** If you are looking for a full time...experience desired. + Experience and knowledge of working on appeals for insurance denials and identifying root… more
- Tidelands Health (Myrtle Beach, SC)
- …of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify ... and accuracy. Responsible for resolving coding edits, account checks, rejections, and denials to ensure proper reimbursement of service rendered and to maintain an… more