- 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- Hartford HealthCare (Farmington, CT)
- …Records / Health Information* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... for the development and implementation of an effective HIM Coding denials program consistent with regulatory and healthcare revenue cycle industry standards.… more
- Hartford HealthCare (Farmington, CT)
- …recognition programs and other common practices across the system. *_JOB SUMMARY_* The Denials Specialist 1 is responsible for HIM Coding denial resolution and ... **Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 1 / HIM Coding* **Location:**… more
- Insight Global (Skokie, IL)
- Job Description Insight Global is looking for a clinical denials specialist to join the team at one of your healthcare clients in Chicago. As a Clinical ... Denials Specialist you will be working with the denials team to review and analyze denials from a clinical perspective. This person will be responsible… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… 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 ... healthcare reimbursement, excellent problem-solving skills, and a proven track record in denials management. CHI St. Vincent Heart Clinic of Arkansas is a cardiology… more
- McLaren Health Care (Shelby Township, MI)
- **Position Summary** : The denials management specialist is responsible for timely and accurate follow-up and appeal of denials /rejections received from ... third-party payers. The specialist will work independently while managing their assigned work to ensure payer appeal/filing deadlines are met and achieve optimal payment for services rendered. **Essential Functions and Responsibilities:** 1. Monitors… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare ... opportunity to make a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our team. **Job Summary and… more
- UCHealth (Denver, CO)
- Description Healthcare Account Specialist , Denials Management Payer Audit This is a full-time (40 hrs/wk), Hourly, Days position on UCHealth's Denials ... Management Payer Audit team. You may be based in Fort Collins or Metro Denver CO. Prepares, reviews, and submits patient account billing. Work Schedule: Full Time Days Location: Denver or Fort Collins Pay range: $19.67 - $25.57 / hour. Pay is dependent on… more
- CenterWell (Jefferson City, MO)
- …our caring community and help us put health first** As an **Accounts 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. + Analyze each agency's outstanding monthly accounts… more
- Northwell Health (Melville, NY)
- …as needed. + Prior experience in Case Management, Utilization Review, and Appeals/ Denials , highly preferred. *Additional Salary Detail The salary range and/or hourly ... rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or… more
- UCHealth (Fort Collins, CO)
- …Requirements: + High school diploma or GED. + Professional Billing Medical Denials follow-up experience PREFERRED. + 6-12 months medical denials experience ... PREFERRED. We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives. UCHealth invests in its Workforce. UCHealth offers a Five Year Incentive Bonus to recognize… more
- Genesis Healthcare (Seven Fields, PA)
- …expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up ... and contracted payers. The follow up includes initial assessment of the denials received to determine the appropriate process. Once determined, established policy… more
- Dayton Children's Hospital (Dayton, OH)
- …Experience + Customer service in a call center setting (preferred) + Clinical denials experience (preferred) + EPIC experience is a plus + Insurance experience ... Education Requirements: GED, High School (Required) Certification/License Requirements: At Dayton Children's we believe that each moment counts with our patients, families and with each other. We are moving at a fast pace and are looking for the right talent… 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 ... million in active inventory and $70 million in denials through account follow up, appeals and resubmission actions. This position reports directly to the AR Follow… more
- Community Health Systems (Fort Smith, AR)
- As a Remote Medical Denials / Appeals Specialist at Community Health Systems - Shared Services Center, you'll play a vital role in supporting our purpose to help ... scheduling, 401k and student loan repayment programs. The Remote Medical Denials / Appeals Specialist position is remote and full time, which is 40 hours… more
- Priority Health Care (Marrero, LA)
- …and appeals, and monitoring day-to-day activities related to appeal follow-up and denials . Additionally, the Specialist is responsible for understanding and ... JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of...preparation and delivery of items required for annual audits. Denials Management and Accounts Receivable Follow-Up: + Manage and… more
- Northwestern Medical Center (St. Albans, VT)
- …payer correspondence to stay updated on specific payer rules and requirements. The Specialist will log and action any denials related to prior authorization ... retroactive authorizations, facilitating appeals, and providing interventions to prevent future denials from occurring. The Specialist may perform functions of… more
- Community Health Systems (Franklin, TN)
- …based on hospital and/or corporate policies/procedures. + In the event of concurrent denials , the UR Clinical Specialist reviews the denial and works with ... in such a way that minimizes the risk of denials after discharge. The hours for this position will...requirements. These discussions are to help the UR Clinical Specialist understand the reason for admission, and better be… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... or one year of patient accounts **Job Summary/Description:** The Patient Account Specialist will be responsible for billing all third party payers through a… more