- Carle (Urbana, IL)
- Outpatient Denial / Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... clinical documentation review to establish and manage clinical and prior authorization denial appeals for the Carle enterprise. Represents Carle in clinical… more
- University of Utah (Salt Lake City, UT)
- …PRN39530B **Job Title** Outpatient /Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt ... documentation and coding. This position analyzes codes, charges and denial trends for complex or specialty services and will...-H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist … more
- The Mount Sinai Health System (New York, NY)
- …(NCO) for second level of appeal. Prepares concurrent review information for Review/ Appeals Nurses Meets timeframe for reviews/ appeals as specified by ... for the maintenance of accurate data for approvals, denials and appeals (in coordination with UM Manager and management). Prioritizes insurance Request/Denials… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Procedural Billing Specialist III is a senior level individual, responsible for multiple components of the billing process for specialized or ... Performs specialized coding services for complex or more specialized inpatient and outpatient medical office visits. Reviews physician coding and provides updates. +… more
- University of Virginia (Charlottesville, VA)
- …Health that the Central Billing Office has assigned AR responsibility. + Performs inpatient/ outpatient follow up and working insurance denials, appeals claims as ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow...handles and resolves all Insurance billing follow up and denial issues to ensure all facilities within UVA Health… more
- The Mount Sinai Health System (New York, NY)
- …Performs specialized coding services for complex or more specialized inpatient and outpatient medical office visits. Reviews physician coding and provides updates. + ... financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. + Develops and manages fee… more
- Seattle Children's (WA)
- …creation of educational materials. Experience in revenue cycle functions, including coding denial management and appeals process. Experience in research of payer ... with the Revenue Integrity and Clinical staff in researching error patterns and denial issues and trends relating to facility coding accuracy. Coordinate the work of… more
- Truman Medical Centers (Kansas City, MO)
- …+ Associates Degree + Certificate in Medical Billing + Proficient knowledge of claim denial and appeals process **Working at University Health is about making a ... search for positions and apply.** BH Patient Accounts Billing Specialist 101 Truman Medical Center **Job Location** UH Behavioral...and 2 buildings. UH 1 is UH's beautiful specialty outpatient clinics and day-surgery center and UH 2 is… more
- Huron Consulting Group (Chicago, IL)
- …are now and create your future. **Qualifications** The Utilization Management Specialist is responsible for ensuring the appropriate utilization of healthcare ... patient outcomes while managing healthcare costs. The Utilization Management Specialist ensures compliance with regulatory requirements and organizational policies.… more
- Sanford Health (ND)
- …supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting ... (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist -Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient … more