- Trinity Health (Farmington Hills, MI)
- …Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of a team ... and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new systems...adjustment and appeal letters to resolve payment rejections and/or denials . + Updates and refiles timely, accurate claims. +… more
- Johns Hopkins University (Middle River, MD)
- …claim's submission process, either electronically or by paper. The AR Revenue Cycle Specialist II will use a comprehensive knowledge of claims submission ... in order to expedite payments. The AR Revenue Cycle Specialist II will research and interpret medical...and diagnosis coding. + Demonstrated experience resolving third-party payor insurance processing issues, including appeals and denials .… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Entity:** CPUP **Location:** Hospital of ... **Hours:** Full time regular **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor of...investigate and follow up on claim edits and work denials and underpayments by insurance carriers regarding… more
- Beth Israel Lahey Health (Burlington, MA)
- …Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in order to ... Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Penn Medicine (Radnor, PA)
- …Surgery** **Hours: Full Time, per departmental needs** **Summary:** The Accounts Resolution Specialist II reports to the Supervisor of Billing; this individual ... will investigate and follow up on claim edits and work denials and underpayments by insurance carriers regarding open balance to obtain payment. Act as a… more
- Guthrie (Towanda, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing...for the position. Essential Functions: 1. Identifies and evaluates denials for assigned payers and/or specialties to determine specific… more
- University of Utah Health (Salt Lake City, UT)
- …integral to our mission. EO/AA_ This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. ... medical advancement, and overall patient outcomes. **Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims. + Performs… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY * The Revenue Cycle Specialist II will be responsible for the review, minor analysis, trending and follow up of Third Party Claims ... to include the identification, billing and collection of payments. The Revenue Cycle Specialist II will actively engage with other departments to ensure timely… more
- UPMC (Wexford, PA)
- …Life Changers! UPMC Children's Community Pediatrics is hiring a Full-Time Payment Applications Specialist II to support the office in Wexford. Prior pediatric ... and adjustment transactions including electronic processes. Responsible for posting denials , patient and insurance refunds. **Responsibilities:** + Adhere… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …Virginia Mason Franciscan Health, is currently looking for a full-time Patient Access Specialist II for the fast-paced Franciscan Patient Access team in Tacoma. ... Strong customer service skills are also necessary. **If ASSIGNED TO PATIENT ACCESS SPECIALIST II :** This job is responsible for performing the duties associated… more
- Beth Israel Lahey Health (Plymouth, MA)
- …+ Review medical documentation and encounter forms and assign CPT, ICD-10, HCPCS II and modifiers based on documentation and payor requirements. + Demonstrate a ... newsletters, payor policy updates and coding manuals. + Resolve coding edits and denials in a timely manner. Identify opportunities to reduce denials and… more
- ProMedica Health System (Toledo, OH)
- …management system for payment. 6. Accurately reviews and updates demographic and insurance information in the practice management system. 7. Perform a variety of ... up and collection functions for all payers including self-pay. 8. Verify insurance benefits, limits, and patient obligations. 9. Contact patients for necessary… more
- WellSpan Health (York, PA)
- …line level denials .- Provides trend analysis to management, leadership, and insurance liaison.- Writes and submits appeals when needed to overturn claim ... Patient Financial Services Representative II Location: WellSpan Health, York, PA Schedule: Full...Cycle functions including, submitting electronic and / or manual insurance claims, resolves claim edits, performs insurance … more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW INSURANCE TALENT ACQUISITION SPECIALIST MCI is looking for an experienced insurance recruiter to help us with our staffing needs and find ... people to continue to grow and expand. You'll network with up-and-coming insurance professionals, identify top talent, and recruit them to our company. Candidates… more
- Queen's Health System (Honolulu, HI)
- …audits, creating reports and implementing process changes, to minimize and/or prevent denials . * Follows up on insurance claims with outstanding balances; ... in denials and instruct on preventative measures to prevent/reduce future denials . II . TYPICAL PHYSICAL DEMANDS: * Essential: standing, sitting, walking,… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but ... or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health… more
- UPMC (Williamsport, PA)
- The Authorization Specialist will perform authorization activities of inpatient, outpatient, and emergency department patients, denial management, and all revenue ... which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization-related activities including… more
- HCA Healthcare (Nashville, TN)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...in Presa. Prescriptive Authority (RFINCP), including resignations, terminations, LOAs, denials , terminations, or withdrawals in accordance with facility and… more
- HCA Healthcare (Dulles, VA)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...Practitioner Dictionary/Database to reflect all board actions including approvals, denials or terminations in accordance with CPC-28 and MSS-013.… more