- TEKsystems (Addison, TX)
- …to strengthen appeal arguments. Additional Skills & Qualifications: - Proven experience as an Appeals and or denials Specialist or in a similar role ... processes, claim adjudication, and reimbursement methodologies. - Familiarity with insurance denials , appeals , and arbitration processes, including knowledge of… more
- 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 ... functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** +...and findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Coding Specialist position is responsible for applying correct coding conventions to patient charge encounters in a clinical ... edit related coding errors in the electronic health record. In addition, the Sr Coding Specialist position is responsible for reviewing, correcting and appealing… more
- HCA Healthcare (Nashville, TN)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... your knowledge and expertise! **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake ... + Report all payments on collection claims to the Collections Specialist (s) + Attend required hospital-wide orientations, meetings, and in-services + Demonstrate… more
- LogixHealth (Bedford, MA)
- …and billing specialists doing similar work. Duties and Responsibilities + Review all denials on an explanation of benefits (EOB) and work on issues/errors until ... Review A/R reports to follow up on any unpaid claims + Submit required appeals when needed + Submit any required documentation to insurance companies as requested +… more
- Tufts Medicine (Lowell, MA)
- …all escalated accounts to ensure timely resolution; submits corrected claims and appeals on administrative denials as required. 7. Responsible for correspondence ... the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures… more
- 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 ... inpatient, and/or outpatient charges. Runs and works missing charges, edits, denials list and processes appeals . Posts denials on a timely basis. + Provides… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... strategic initiatives j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written… more
- CaroMont Health (Gastonia, NC)
- …retrospective clinical reviews/ appeals as part of denial process. The UR Specialist will be cross trained to work for the Commercial Resource Analyst when ... attending physicians regarding utilization issues. Collaborates with discharge planning specialist and other disciplines. Retrospectively reviews discharged medical record… more
- WMCHealth (Valhalla, NY)
- …Internal Applicant link Job Details: Job Summary: The Senior Coder is responsible for addressing appeals ... Senior Coder Company: NorthEast Provider Solutions Inc. City/State:...expected. Does related work as required. Responsibilities: . Addresses appeals to insurance denials to facilitate expedient… more
- Hartford HealthCare (Farmington, CT)
- …identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. *_Position ... Services (CMS) Recovery Audit Contractor (RAC), Executive Health Resources (EHR), appeals and legal requestor(s), National Government Service (NGS), 3. Livanta and… more