- 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
- Baptist Memorial (Memphis, TN)
- Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational controls designed ... to ensure that processes and practices lead to appropriate adjudication of claims. This role requires...federal and state regulations and guidelines. The Quality Assurance Specialist will be responsible for analyzing and interpreting trends… more
- Trinity Health (Albany, NY)
- …outcomes and report findings * Upon identification of possible concurrent denials , forwards information to the appropriate Utilization Management /Concurrent ... **Employment Type:** Part time **Shift:** Day Shift **Description:** **Insurance Specialist - St. Peter's Hospital - PD Days** **Position Summary:** The Insurance … more
- East Boston Neighborhood Health Center (East Boston, MA)
- …the nurses and physicians on the front line of patient care, to the managers who lead and guide our staff, to the many support roles that keep our facilities running ... Department: Patient Accounts All Locations: East Boston Position Summary: The Billing Specialist II is responsible for organizing work flow to complete the timely… more
- Cuyuna Regional Medical Center (Crosby, MN)
- …1 -2 years of coding experience required. POSITION SUMMARY + The Coding Specialist position utilizes the acquired skill of assigning codes to medical diagnoses and ... in the medical record, transforming it into categorized meaningful data. The coding specialist reviews patient information at all levels of care and assigns codes… more
- Prime Healthcare (Aurora, IL)
- …(https://careers-primehealthcare.icims.com/jobs/186610/pharmacy-business-and-revenue-cycle- specialist ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Pharmacy Business and Revenue Cycle Specialist is responsible for ensuring that pharmacy related systems… more
- Henry Ford Health System (Troy, MI)
- …workflows, research and identification of root causes resulting in edits and denials , development of error prevention initiatives, and coordination with CBO staff, ... billing. + One (1) year of experience with resolving insurance payer denials . + Experience with both technical (UB) and professional (1500) billing, preferred.… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Reporting directly to department manager and under the general direction of the Lead Biller, the NeighborHealth Revenue Cycle Specialist performs a wide spectrum ... front line of patient care, to the managers who lead and guide our staff, to the many support...including but not limited to: Insurance verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim… more
- Beth Israel Lahey Health (Exeter, NH)
- Billing Specialist -Core Physicians + Full Time + Exeter, NH 03833 ... in a timely fashion. 2. Demonstrate proficiency and utilize practice management system. Appropriately document all transactions on patient accounts. 3. Provide… more
- Intermountain Health (Broomfield, CO)
- **Job Description:** No Summary Available Scope As a Reimbursement Specialist you need to know how to: Evaluate payment variances in Epic WQs against payer contracts ... Log findings and provides feedback to Hospital Billing AR Management , Cash Management , and Managed Care leadership....to leverage contract terms and mitigate revenue leakage and denials . - Help design and implement improvements to established… more
- Modivcare (PA)
- …action, such as benefit utilization, verification, waivers, urgent trip requests, and process denials . + Observes and advises the management team on customer ... and billing trends signaling abusive practices. + Reports to management the need to address abusive or fraudulent situations....Letters for denied claims or non-serviced requests. + May lead projects and perform other duties as assigned. We… more
- Trinity Health (Des Moines, IA)
- …Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing. . Makes process improvement recommendations to ... management as identified, specifically related to registration and charge...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- University of Rochester (Rochester, NY)
- …coding staff, resolving simple and complex questions and providing performance feedback to management . The Coding Lead is required to have demonstrated knowledge ... some aspects of billing office operations, including basic principles of staff management /supervision. The Coding Lead is expected to maintain expert knowledge… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500009 Utilization Management Work Shift: UR - Day (United States of America) Range: UR URCB ... and coordinates the identification, investigation, and resolution of provider DRG denials and grievances following state and federal regulations and guidelines for… more
- WellSpan Health (York, PA)
- …staff, Revenue Integrity, HIM and payer representatives to resolve line level denials .- Provides trend analysis to management , leadership, and insurance ... Writes and submits appeals when needed to overturn claim denials .- Accesses external payer sites for payer policies, claim.../ federal regulations or contract terms. + Assists Team Lead and Supervisor with onboarding and training new staff,… more
- Avera (Sioux Falls, SD)
- …will be spent educating Coder I, III and III coders along with helping others with denials management . **What you will do** + Review all aspects of a patient's ... staff to ensure a full capture of the clinical record. + Assist staff with denials management , including the processing of edits, serving as a subject matter… more
- Catalpa Health, Inc. (Appleton, WI)
- …2022 Revenue Cycle Representative Department: Administration Reports To: Revenue Cycle Lead Direct Reports: No FLSA Status: Full Time, Non-Exempt Employment ... OF THE ROLE The Revenue Cycle Representative reports to the Revenue Cycle Lead . The representative supports the office of the Chief Operating Officer and Financial… more
- UT Health (Houston, TX)
- …a minimum of nine (9) years of demonstrated experience in large team management , particularly within a healthcare or medical revenue cycle context. The AVP should ... interfaced transactions) processes for the practice plan into UTHealth's practice management system to ensure timely processing of professional fee charges. +… more
- Trinity Health (Columbus, OH)
- …to ensure proper pre-certification, documentation and coding are provided which impact denials . + Specialty: Surgical Access Specialist + Location: Remote + ... Hours of office: Monday - Friday **What You Will Do:** Oversight and management of the system surgical access process. . Analyze information and create reports,… more
- Trinity Health (Albany, NY)
- …reimbursement and compliance management as it relates to coding. Assists with denials management , complex case resolution and may perform coding tasks as ... findings to Supervisor and Regional Manager on a routine basis. Assists with denials , complex coding cases, claim edits and errors, and may perform coding duties… more