- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible ... review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials...anticipates and responds to a wide variety of issues/concernsThe Denials Specialist works independently to plan, schedule… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.The AR ... Specialist will provide continual and accurate documentation regarding eligibility,...information for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and… more
- Blanchard Valley Hospital (Findlay, OH)
- …to denials for documentation by collecting supporting evidence, writing appeals , and providing education when necessary. Duty 12: Fulfills Superuser role ... accurate, and that health information is available timely to support clinical care, expedite coding and billing and healthcare operations. JOB… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …guidelines set forth by the organization and payers).Provides and interprets clinical information submitted from the Physician, emphasizing the medical justification ... Physician offices, Case Management, Utilization Review, and patients to obtain supporting clinical data for the payer in order to obtain a pre-authorization.Obtains… more
- Option Care Health (Denver, CO)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... assist with Billing and Collection Training and completes "second level" appeals to payers.Hours: 6am -8am PSTJob Description: Job Responsibilities:Submits timely,… more
- Trinity Health (Farmington Hills, MI)
- …root causes of clinical denials . Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, ... Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity… more
- Trinity Health (Farmington Hills, MI)
- …Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the ... activities as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and… more
- Trinity Health (Farmington Hills, MI)
- …Remote Position (Pay Range: $20.6822-$31.0233) Responsible for reviewing all post-billed denials (inclusive of coding-related denials ) for coding accuracy and ... at a PBS location responsible for identifying and determining root causes of denials . Responsible for leveraging coding knowledge and standard procedures to track … more
- Trinity Health (Farmington Hills, MI)
- …Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of a ... Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials / appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for ... attorney referral. * Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing deadlines. * Communicates all… more
- Houston Methodist (Houston, TX)
- …staff; and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating... is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals … more
- University of Utah (Salt Lake City, UT)
- …Number** PRN38907B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt ... -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist ...knowledge of revenue cycle. + Working knowledge of insurance denials , appeals and expected reimbursement rates. +… more
- SSM Health (MO)
- …**Job Highlights:** We are seeking a highly skilled and detail-oriented Coder for Hospital Denials to join our team at SSM Health. You will be responsible for ... reviewing medical records and accurately coding diagnoses and procedures for hospital denials . This role requires strong analytical skills, attention to detail, and… more
- University of Virginia (Charlottesville, VA)
- …analyzes accounts receivable and takes appropriate action to resolve coding and global denials . + Posts denials /rejects into EPIC billing system. + Works complex ... high degree of accuracy and timeliness. Responds to inquiries from patients, clinical departments, and third parties by way of telephone, written correspondence and… more
- BrightSpring Health Services (Louisville, KY)
- …be met. This position will also support detailed level reporting and analytics, clinical appeals , root cause analysis, and address identified trends in reasons ... Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors,...Extensive experience in working with Payer requirements, ADR requests, Denials , Appeals , RAC/ZPIC responses + Ability to… more
- Houston Methodist (Houston, TX)
- …This Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...queues for complex payers and resolve accounts. + Manages denials and appeals efforts. Creates and submits… more
- HCA Healthcare (Nashville, TN)
- …a managed care, health plan, and/or hospital setting + A minimum of one-year experience with denials and appeals in a clinical setting preferred + A minimum ... Day Shift** Introduction Do you have the career opportunities as a Clinical Review Specialist you want with your current employer? We have an exciting… more
- LifePoint Health (Brentwood, TN)
- …Experience:*2 years of experience preparing appeals for DRG downgrades or writing clinical denials on behalf of payers. Strong knowledge of medicine and ... *DRG Downgrade Specialist * *Who we are:* At Lifepoint Health, we...as a navigator for the process flow and denial appeals of complex clinical coding cases. *Responsibilities:*… more
- Weill Cornell Medical College (New York, NY)
- …a Certified Professional Coder to investigate and resolve coding related insurance payment denials . The CBO partners with WCM Clinical Departments to increase ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...for their root causes thereby driving efficiencies, to include clinical documentation improvement and coding denials prevention.… more
- R1 RCM (Chicago, IL)
- …you will be responsible for key operational functions to include charge capture, clinical billing, appeals and advanced third-party or government audits. Every ... level reconciliation. + Share trends related to billing and appeals from a clinical perspective, provide transformation...Minimum 3 years' revenue cycle management in back-end working denials , appeals , and billing + Knowledge of… more
