- Tidelands Health (Myrtle Beach, SC)
- …Required or + Registered Health Information Technician - American Health Information Management Association Required or + Certified Coding Specialist - American ... Health Information Management Association Required or + Certified Coding Specialist - Physician-based - American Health Information Management Association… more
- AeroVironment (Simi Valley, CA)
- …Type** Regular **Job Description** **Summary** The People & Culture Sr. Benefits Specialist supports the employee experience by serving as the subject matter expert ... an expert level of customer service, support, and project management in all areas of Leave of Absence and...Leave of Absence and Workers' Compensation. The Sr. Benefits Specialist is accountable for administering and coordinating all employee… more
- Emanate Health (Covina, CA)
- …appeals, billing, adjustments, EOB review, correspondence and managing all types of denials . Works on special complex high priority projects as assigned by ... management . **Job Requirements** **M** **inimum Education Requirement :** High School diploma or equivalent, or work experience in lieu of High School Diploma.… more
- Stony Brook University (Stony Brook, NY)
- …to include tracking hours used/taken, sending timely notifications of leave approvals or denials , and working closely with payroll to ensure that pay for employees ... to leaves and time reports. + Collaborate with the Workers' Compensation Specialist on employee leaves related to accidents and injuries. + **Collective Bargaining… more
- University of Southern California (Los Angeles, CA)
- …federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve ... this position will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties:… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient 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 Inpatient Coding Denials Specialist will also handle audit-related and compliance… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - Friday ... 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials management , and knowledge of medical terminology,… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing and Denials Specialist Department: Revenue CycleLocation: SLH - Regional Administrative CampusHours Per Week: Per Diem Schedule: ... Between 8am-4pm SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...taking corrective actions. RESPONSIBILITIES: + Medical Billing & Claims Management : Submit and track insurance claims, resolve denials… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Denials Specialist (Financial Specialist I) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5185663) Apply Denials ... to client payment processes, create, run, and analyze reports in automated billing/ management information system. Also analyzes insurance denials to determine… more
- Robert Half Office Team (Carmel, IN)
- Description Join our dynamic healthcare team as a Medical Denials Specialist , where you will play a vital role in resolving denied medical claims efficiently and ... field preferred. + Minimum 2 years' experience in medical billing, denials management , or health insurance claims. + Strong understanding of coding standards… more
- Nuvance Health (Danbury, CT)
- …and trending all appeals and communicating on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team ... This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to...required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum… more
- Trinity Health (Hartford, CT)
- …for services. **What you will do** + Responsible for authorization and denials within Case Management ensuring appropriate authorization for inpatient hospital ... with authorization and denial processes + Supports the needs of the Case Management Utilization Coordinator team using data, system reports, and analytics + Develops… more
- Northwell Health (Melville, NY)
- …standard and regulations. + Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews ... + Inpatient clinical experience; 4+ years preferred. + Prior Acute Case Management and/or Utilization Review experience, preferred. + Must have experience with… more
- Northwell Health (Melville, NY)
- …standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews ... and formulates appeal letters to support appropriateness of admission and continued length of stay. Ensures compliance with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education to… more
- Carle Health (Champaign, IL)
- Overview Proficient in Revenue Cycle Account Billing Specialist 2 responsibilities. Additionally, serves as an expert resource for escalated account activities for ... interpreting payment remittance advice in order to post insurance payments, denials , transfers, and adjustments. Represents Carle in external accounts receivable… 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 ... care company? We're looking for a qualified_ Coder II ( Denials ) _like you to join our Texas Health family._...Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the issues resulting in ... denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... - MSH, Mount Sinai Hospital **Responsibilities** 1. **Admission: Payer Authorization & Denials Management .** Communicate with payer to obtain request for… more
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