- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... orientation. JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity and… more
- Catholic Health Initiatives (Little Rock, AR)
- **Overview** As our Denials Management Specialist at CHI St. Vincent Heart Clinic of Arkansas, you will help our revenue cycle team recover maximum ... reimbursement, excellent problem-solving skills, and a proven track record in denials management . CHI St. Vincent Heart Clinic of Arkansas is a cardiology… more
- AdventHealth (Altamonte Springs, FL)
- …cause and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and to all ... contribute:** This position is responsible for investigating and appealing post-remit denials for all Inpatient and Outpatient clinical services across the system,… more
- Catholic Health Initiatives (Little Rock, AR)
- …claims, and charge entry. + Posting insurance or patient payments, keying in denials , posting zero insurance payments. + Searching for explanation of benefits from ... different payers, tracking down denials and zero pays. + Correcting claims, rebilling claims,...+ 3 year's experience posting payments or working insurance denials at a hospital or physician office. **Pay Range**… more
- Trinity Health (Pontiac, MI)
- …medical record. 10 Participates in the appeal process when deemed necessary by the Denials Management Specialist on cases where payment has been denied. ... within the State of Michigan. Certified Professional in Utilization Review/ Management preferred. **C** **Special Skill / Aptitudes** Understanding of computers… 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 ... data, payer medical policies, etc.), determines the causes for denials of payment and partners with management ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Hartford HealthCare (Farmington, CT)
- …Records / Health Information* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... coding experience in an acute care hospital setting. . Two years denials review, auditing, management , mentoring and/or coder training experience. *Licensure,… more
- Texas Health Resources (Arlington, TX)
- …assigned (eg, Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges) **Additional perks of being a ... **Coder II - Denials ** _Are you looking for a rewarding career...Coder Upon Hire **REQUIRED** or CCS-P - Certified Coding Specialist - Physician-based Upon Hire **REQUIRED** and Other Specialty… more
- Hartford HealthCare (Farmington, CT)
- …and homecare to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- HCA Healthcare (Nashville, TN)
- …your knowledge and expertise! **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for ... from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and regulations of… more
- Priority Health Care (Marrero, LA)
- …+ Assist with the preparation and delivery of items required for annual audits. Denials Management and Accounts Receivable Follow-Up: + Manage and resolve A/R ... and appeals, and monitoring day-to-day activities related to appeal follow-up and denials . Additionally, the Specialist is responsible for understanding and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... - MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer Authorization & Denials Management .** Communicate with payer to obtain request for clinical… more
- Baptist Memorial (Memphis, TN)
- Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational controls designed ... including federal and state regulations and guidelines. The Quality Assurance Specialist will be responsible for analyzing and interpreting trends associated with… more
- Columbus Regional Hospital (Columbus, IN)
- …of professional coding experience required + 7 years of coding, auditing and/or denials management preferred + Bachelor's degree in Health Information ... to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is the region's ... be named a Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as liaison between the physicians and hospital departments to promote… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... coordinates denials with the attending physician and the Care Management physician advisor; prepares case reports; documents treatment plan, progress notes and… more
- UNC Health Care (Goldsboro, NC)
- …of the unique communities we serve. Summary: The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance ... and compliance guidelines Processes all assigned government and nongovernment accounts and denials for complex financial appeals, with a goal of bringing the… more
- Beth Israel Lahey Health (Danvers, MA)
- …lives.** Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** + **Benefits… more
- Cleveland Clinic (Vero Beach, FL)
- …design and initiate special projects as supervised by the Team Manager. Utilization Management Specialist Join our team at Cleveland Clinic Indian River ... hospital stay or visit. Some of the responsibilities of a Utilization Management Specialist include medical record review, providing clinical information to… more