- AeroVironment (Simi Valley, CA)
- …and consistent communication with employees, managers, third-party administrators (TPAs), healthcare providers, and internal HR partners. The specialist ... Type** Regular **Job Description** **Summary** The People & Culture Sr. Benefits Specialist supports the employee experience by serving as the subject matter expert… more
- University of Southern California (Los Angeles, CA)
- … Management Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials ' and ' claims rejections,' specific to ICD-10-CM, ... responds, and documents findings, correspondence, and notes regarding coding-related ' claims denials ' and ' claims rejections'...will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with… 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...to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare … 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...to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare … 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 ... denials and conduct thorough research to resolve outstanding claims . + Analyze patterns and trends in denied ...healthcare providers, and insurance carriers to facilitate effective claims management. + Stay current on payer requirements, and… 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 ... all payers. Is responsible for the submission of clean claims to all third-party payers for all hospital and...Click here (https://www.aspirus.org/about) to learn more. Position BILLING & DENIALS SPECIALIST I - CENTRAL BILLING OFFICE… 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
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... make a difference. We are looking for a dedicated Claims Resolution Specialist like you to be...Specialist is responsible for applying fundamental knowledge of healthcare revenue cycle practices and procedures as it relates… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... not limited to, the following: 1) Processes and/or posts deposits, payments, denials , and adjustments. 2) Reconciles manual and electronic batches, 3) Performs other… 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 ... the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have...it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires… more
- Molina Healthcare (ID)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...guidelines for appeals and denials . * Customer service experience. * Strong organizational and… more
- HCA Healthcare (Pensacola, FL)
- **Description** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and ... care like family! Jump-start your career as a(an) Billing Specialist today with HCA Florida West Cardiology Specialists. **Benefits**...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
- Masonicare (Wallingford, CT)
- …and delinquent responses to the attention of Manager. Process- corrections - and generate- claims for re-processing. - - Reviews denials and zero pay claims ... Billing Specialist Job Location: Wallingford Center, Connecticut Billing ...records. May prepare regularly scheduled or special reports on claims , suspense, denials , credit balances and payment… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials . Investigate coding issue. Audits. + Follow-up on rejected ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.… more
- Bozeman Health (Bozeman, MT)
- …in accordance with payer billing policies. Monitor, resolve or escalate payer denials , returned claims , claim edits, correspondence and report payer claim ... Position Summary: The Insurance Billing Specialist 's main focus is to obtain maximum and...and all related entities, hospital (HB) and/or professional (PB) claims from third party payers. Supports the timely development… more
- Molina Healthcare (Doral, FL)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
- SERV Behavioral Health System (Hamilton, NJ)
- …Receivable Specialist will be responsible for billing and submitting claims and handling escalated billing and collection issues. The Senior Accounts receivable ... SERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental... specialist serves as a subject matter expert in complex… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....entry. 6. May run and work missing charges, edits, denials list and process appeals. Posts denials … more
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