- HCA Healthcare (Nashville, TN)
- …Sign-On Bonus Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? We have an exciting ... group of colleagues. Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating positive patient interactions is valued? If you… more
- CenterWell (Marietta, GA)
- …of our caring community and help us put health first** As an **RCM Claims Denial Specialist - MAV1/A** **c** **counts Receivable Specialist ** , you will: ... + Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.… more
- Crouse Hospital (Syracuse, NY)
- The DRG Denial Specialist works under the Inpatient Coding Manager and oversees compliance with coding standards and regulations. Advises and assists in ... improvement plans for coding and DRG assignment issues. Validates assignment of codes and provides trending and analysis of coding and DRG issues. Works using the mission, vision, and values of the hospital. Requirements Education: Associates Degree in Health… more
- Carle (Urbana, IL)
- Outpatient Denial /Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... clinical documentation review to establish and manage clinical and prior authorization denial appeals for the Carle enterprise. Represents Carle in clinical meetings… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 3484 - Specialist - Denial II RN Facility: BMHCC Corporate Office Department: HS ... services to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities + Reviews,… more
- Nuvance Health (Danbury, CT)
- …manner in collaborationand working closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, ... in work queue and incoming fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials...timeframe. 8. Documents and updates the denials in the denial tracking tool timely and accurately. 9. Collects and… more
- Guthrie (Sayre, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on… more
- United Health Services (Binghamton, NY)
- …per hour, depending on experience. Overview Under the direction of the Denial 's Manager the Recoveries Specialist is Responsible for validating dispute/denied ... Denials Recovery Specialist I - Per Diem, 33 Lewis Rd...DOS. Responsibilities will include calling payors to confirm key denial reasons and solutions to adjudicate the resolution for… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital financial ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health… more
- Virtua Health (Marlton, NJ)
- …analysis of CDI Specialist and HIM APR-DRG severity level assignment and denial management.* The CDI Specialist is the primary source to verify diagnoses ... coding, but ICD-10 certification is preferred. As a Clinical Documentation Improvement Specialist , you will utilize your OASIS and coding expertise to guide, train… more
- Northern Light Health (South Portland, ME)
- …authorizations requirements, patient eligibility, claim appeals processing, payment posting and denial resolutions. The Billing Specialist is responsible for ... Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement… more
- McLaren Health Care (Bay City, MI)
- …Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both ... internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing activities, reviews outcomes and communicates findings… more
- 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 ... exposure caused by front end claim edits and retrospective denial of payments for services provided. This position will...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity Location: Midtown Org Unit: AR - Coding Medicine Work Days: Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary ... standards are met for billing. + Analyze for invalid denial trends, payer specific carrier submission requirements & system...as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is required. + Should be certified from… more
- UPMC (Cumberland, MD)
- UPMC Revenue Cycle is hiring a Payment Specialist II to join our team. The Payment Specialist II will work Monday through Friday during business hours at our ... payers to the appropriate billing system(s). As the Payment Specialist II you will manage electronic remittance file retrieval...Department to determine how to follow up on a denial . Verify that funds are in the bank prior… more
- University of Colorado (Aurora, CO)
- JDC IOP Insurance Specialist - 34664 University Staff **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of ... Psychiatry** **Job Title:** **JDC IOP Insurance Specialist ** **Position: #00826736 - Requisition: #34664** **Job Summary:** **Key Responsibilities:** + Evaluate… more
- State of Colorado (Denver, CO)
- ECMC Location Assessment Specialist (EPS II) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4649055) Apply ECMC Location Assessment ... Specialist (EPS II) Salary $74,604.00 - $90,000.00 Annually Location...consultatory entities, and a statement of recommended approval or denial of the application. + Participates in Commission hearings… more
- Beth Israel Lahey Health (Danvers, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... cause and accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to ensure the… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Outpatient Administrative Specialist will obtain routine and non-routine insurance pre-authorizations, providing insurance companies with procedural ... about additional codes or documentation needed. Will manage the denial process and works the insurance denial ...the denial process and works the insurance denial workqueue, providing additional information to payors in order… more
- R1 RCM (Boise, ID)
- …operating costs and enhancing the patient experience. As our Revenue Integrity specialist , you will be responsible for key operational functions to include charge ... government audits. Every day you will provide day-to-day charge review/reporting, denial support, appeals coordination, and reimbursement analysis. To thrive in this… more