- Tidelands Health (Myrtle Beach, SC)
- …and help people live better lives through better health!** **Provider Coding Specialist ** Are you passionate about quality and committed to excellence? Consider ... Overview** Under the supervision of the Coding Supervisor, the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes, CPT,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The Payment Application Specialist researches, audits, reconciles and applies all cash receipts to AR accounts. Is skilled at researching, auditing, and ... entity/general ledger account using designated adjustment codes. Processes payments and denials with the correct denial/remittance codes and applies denials… 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 ... areas of Leave of Absence and Workers' Compensation. The Sr. Benefits Specialist is accountable for administering and coordinating all employee leaves and… 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. Bilingual Spanish preferred. **Minimum Experience Requirement :** Three years' billing experience is… 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
- 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 process, submitting claims to insurance companies, following up… 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 billing process, submitting claims to insurance companies,… 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 ... and analyze reports in automated billing/management information system. Also analyzes insurance denials to determine the reason and document the system of record… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a Billing & Denials Specialist to join our team! The Billing and Denial Specialist I ... aspirus.org. Click here (https://www.aspirus.org/about) to learn more. Position BILLING & DENIALS SPECIALIST I - CENTRAL BILLING OFFICE Location Req ID 95040 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 ... Friday, 8:00 am - 5:00 pm Primary Responsibilities: + Review insurance denials and conduct thorough research to resolve outstanding claims. + Analyze patterns… 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 all ... position will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties: + CODING… 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 clinical ... recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing… more
- Trinity Health (Hartford, CT)
- …services. **What you will do** + Responsible for authorization and denials within Case Management ensuring appropriate authorization for inpatient hospital ... and Implements strategies to optimize all aspects of authorization and denials supporting hospital revenue integrity team through a comprehensive approach **Minimum… more
- Northwell Health (Melville, NY)
- …Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge ... gaps. Job Responsibility + Serves as liaison between the patient and facility/physician and the third party payer. + Prepares and defends level of care and medical necessity for assigned case. + Collaborates with physician advisor, payor representative and… more
- Northwell Health (Melville, NY)
- …Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge ... gaps. Job Responsibility Serves as liaison between the patient and facility/physician and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case… more
- Nuvance Health (Danbury, CT)
- …delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ... and trending all appeals and communicating on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team with… more
- Cardinal Health (Indianapolis, IN)
- …equivalent work experience preferred + 1+ years experience as a Medical Biller or Denials Specialist preferred + Strong knowledge of Microsoft excel + Ability to ... data to Commercial (MCO) and government (Medicare/Medicaid) providers + Denials resolution for unpaid and rejected claims + Preparing, reviewing… more
- HCA Healthcare (Ocala, FL)
- …We want your knowledge and expertise! **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for applying correct coding ... Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for… more
- Hartford HealthCare (Farmington, CT)
- …Follow Up/ Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of ... $550 million in active inventory and $70 million in denials , assisting with the effective resolution of denials... denials , assisting with the effective resolution of denials , underpayments and credit balances. These numbers will increase… more
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