- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision ... the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... clinical documentation practices. *_Position Responsibilities:_* *Key Areas of Responsibility* *Denial Resolution * . Review DRG validation denials from payers,… more
- University of Southern California (Alhambra, CA)
- …federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all ... PFS about possible reimbursement. Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of … more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information...data gathering on medical resource utilization, and, as appropriate, resolution of inpatient denials , as well as… more
- Saratoga Hospital (Saratoga Springs, NY)
- HIS Denials Specialist (Inpatient) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: 8a-4p ... About the Role We're looking for a dedicated HIS Denials Specialist to join our team and...coordinates educational and training programs regarding trends in coding denials + Initiates corrective action to ensure resolution… more
- Penn Medicine (East Petersburg, PA)
- …shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am ... (8 hour shifts) Location: Remote Department: Account Resolution Summary: + Maximizes cash collections and ...in an appropriate manner. Responsibilities: + Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or… more
- Robert Half Office Team (Carmel, IN)
- Description Our team is seeking a detail-oriented Medical Denials Specialist to join a fast-paced healthcare environment and ensure accurate, timely ... resolution of denied medical claims. This position would support...preferred. + Minimum 2 years' experience in medical billing, denials management, or health insurance claims. + Strong understanding… more
- Nuvance Health (Danbury, CT)
- …delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ... any egregious payer behaviors to internal leadership for assistance in resolution . *Responsibilities:* * Review all inpatient admission and observation cases using… more
- Rochester Regional Health (Rochester, NY)
- …Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, ... JOB TITLE: Collections and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial...remittances and adjustments, and ensure timely and accurate account resolution in line with payer requirements. + Appeals &… more
- Texas Health Resources (Arlington, TX)
- …Coding in an acute care setting REQUIRED 2 Years Performing billing and coding denials resolution preferred Licenses and Certifications CCS - Certified Coding ... Inpatient Coding Denials Analyst _Are you looking for a rewarding...Specialist 12 Months REQUIRED or CCA - Certified Coding...Able to analyze and resolve complex coding related claim denials in a manner that ensures accurate and optimal… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** RAD-O-BRO Data Acct Receivable **Location:** Fully ... office hours per department needs **Summary:** + The Account Resolution Specialist I reports to the Supervisor...resolution as well as follow up work queue denials transferred from Professional Billing Office that require department… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** Medicine Revenue Cycle **Location:** Penn ... office hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor...investigate and follow up on claim edits and work denials and underpayments by insurance carriers regarding open balance… more
- UNC Health Care (Goldsboro, NC)
- …SSI. 2. Works accounts from follow up work queues in Epic. 3. Works denials in Epic towards resolution . 4. Coordinates with other teams/departments/payors to ... **Description** Summary: The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance accounts to an… more
- University of Utah (Salt Lake City, UT)
- …leadership and/or departments. + Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of ... PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA… more
- McLaren Health Care (Mount Pleasant, MI)
- …departments/staff, as well as external departments in support of timely issue resolution , process improvement initiatives, and response to inquiries to payer ... denials . **Essential Functions and Responsibilities as Assigned:** 1....denial trends and selecting the most appropriate method for resolution . 6. Provides support in response, tracking and completion… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... Patient Accounting Department resolving hospital Managed Care payment variances and/or denials . **Job Responsibilities may include the following, but are not limited… more
- HCA Healthcare (Plano, TX)
- …We want your knowledge and expertise! **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for applying correct coding ... Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for… more
- Growth Ortho (Sioux Falls, SD)
- h1 data-start="108" data-end="187">Reimbursement Specialist - Payments, Denials , A/R (ASC Experience Required) Location: Flexible (Sioux Falls, SD preferred, but ... love to hear from you. Position Overview The Reimbursement Specialist will play a key role in managing all...our ASC operations. This includes billing, payment posting, denial resolution , A/R follow-up, and patient balance processing. While each… more
- TEKsystems (Denver, CO)
- Medical Appeals Specialist (Fully Remote) Make a measurable impact by overturning denials , recovering missed revenue, and improving patient account outcomes. As ... a Medical Appeals Specialist , you'll combine deep payer policy knowledge with analytical...research, writing strategic appeals, and driving high‑stakes follow‑ups to resolution . What you'll do 1) Research & Claims Audit… more
- Aveanna Healthcare (Chandler, AZ)
- Medical Insurance Collections Specialist (REMOTE) ApplyRefer a FriendBack Job Details Requisition #: 209124 Location: Chandler, AZ 85286 Category: Medical ... Accountability, Trust, Innovation, Compliance, and Fun. Position Overview The Collections Specialist is responsible for following up with invoices that have been… more