- Fairview Health Services (St. Paul, MN)
- **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... requirements pertaining to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance… more
- Trinity Health (Farmington Hills, MI)
- …clinical and comprehensive payer and appeals knowledge in reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and appealing ... colleagues responsible for identifying and determining root causes of clinical denials . Participates in payer meetings and supports the review and resolution… more
- Trinity Health (Farmington Hills, MI)
- …Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and ... location responsible for identifying and determining root causes of clinical denials . Responsible for leveraging clinical knowledge and standard procedures to track… more
- SSM Health (MO)
- …(AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA), Certified Professional Coder (CPC(R)) - American Academy ... **Job Highlights:** We are seeking a highly skilled and detail-oriented Coder for Hospital Denials to join our team at SSM Health. You will be responsible for… more
- Texas Health Resources (Arlington, TX)
- …reimbursement, and coding . Assists the management team with Fiscal Management of coding resources and processes . Professional Accountability **Additional ... **Coding and Denials Document Analyst** _Are you looking for a...resolution preferred **Licenses and Certifications** CCS - Certified Coding Specialist 12 Months **REQUIRED** or CCA - Certified Coding… more
- Texas Health Resources (Arlington, TX)
- …assigned (eg, Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges) **Additional perks of being a ... **REQUIRED** and Associates's Degree Related field preferred **Experience** 2 Years Professional (Profee) Coding experience. Completion of advanced level training in… more
- Beth Israel Lahey Health (Charlestown, MA)
- …lives.** Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Beth Israel Lahey Health (Charlestown, MA)
- …America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… 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 ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial submission.… more
- Houston Methodist (Houston, TX)
- …for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform collections ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...activities on complex denials and prepare complex appeals on outstanding insurance balances… 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 ... Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Beth Israel Lahey Health (Burlington, MA)
- …educate Directors & Managers on workflows to help optimize revenue flow and prevent denials downstream for assigned areas. The Billing Specialist will also work ... 40 **Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to … more
- Universal Health Services (Tredyffrin, PA)
- …Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... must be within commuting distance to the Wayne, PA headquarters. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Appeal Nurse Specialist ** will be responsible for the timely review and submission of appeals for ... care inpatient and/or outpatient claims to insurance companies for reconsideration of denials and/or level of care change determinations. Gathers and evaluates the… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... coordinates denials with the attending physician and the Care Management physician advisor; prepares case reports; documents treatment plan, progress notes and… more
- UNC Health Care (Goldsboro, NC)
- …of the unique communities we serve. Summary: The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance ... and compliance guidelines Processes all assigned government and nongovernment accounts and denials for complex financial appeals, with a goal of bringing the… more
- Universal Health Services (Denison, TX)
- …focused care to the Texoma region for over 50 years. The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by ... criteria to meet or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for denials correcting… more
- Weill Cornell Medical College (New York, NY)
- …school diploma or GED in related field **Experience** + Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). + Should be ... interpersonal, verbal and communication skills. **Licenses and Certifications** + Certified Professional Coder Certificate (CPC) or Certified Coding Specialist … more
- Community Clinic Inc. (Silver Spring, MD)
- …challenge denials and reverse the denial decision. + Files appeal of denials in a timely and professional manner within the specified timeframes as ... for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support...timely manner, and customer's needs are met in a professional and courteous manner. Key Functions & Responsibilities +… more