- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Under the general guidance of the Manager of A/R Follow Up the Payor Recovery Specialist is responsible to review large balance open accounts ... receivable and obtain correct reimbursement from multiple payor sources. The Payor Recovery Specialist is also responsible to review open accounts that… more
- St. Luke's Health System (Boise, ID)
- …is truly a great place to work. **What You Can Expect:** The Billing and Recovery Audit Specialist is responsible for supporting various aspects of the Revenue ... Cycle, including Billing, Reimbursement, and Insurance Recovery . This role ensures adherence to company policies, procedures,...and all follow-up until the audits are complete. Resolve payor audit records requests + Track and coordinate resolution… more
- Queen's Health System (Honolulu, HI)
- …facility, demonstrating good working knowledge of Medicare, Medicaid, Third Party payor requirements. SNF/ICF, ICD-9/ICD-10 and DRG. * Prior experience in report ... preparation and analysis. * Experience to demonstrate effective written and oral communication skills and interpersonal skills. * Experience to demonstrate ability to lead/conduct meetings with other departments and staff. * Experience with Windows… 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 ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and skills… more
- HCA Healthcare (Ocala, FL)
- …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 ... want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions... is responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and… more
- Penn Medicine (East Petersburg, PA)
- …future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am (8 hour shifts) ... + Analyzes and researches denials and follows-up with the appropriate payor , practice, and/or patient to resolve denial. Provides missing or additional… more
- Hospice of Michigan (Ann Arbor, MI)
- …professional standards of care, compliance with regulatory requirements, third-party payor reimbursement models, and organization policies and procedures through use ... to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC) etc., requests and participates in appeal… more
- Mohawk Valley Health System (Utica, NY)
- …admission. + Monitor observation and the application of the 2nd Midnight across payor types (CMS regulation). + Perform concurrent review and escalation of cases not ... and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of… more
- State of Colorado (Denver, CO)
- …for overtime compensation. Department Contact Information Jessica Boyer, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... to: + Leading the procurement processes and contract negotiations of the recovery and cost avoidance contracts, including the drafting of RFPs for solicitation,… more
- BrightSpring Health Services (San Antonio, TX)
- …on a regular basis to the physicians, external case manager/ payor and/or patient/family members.. Schedules/facilitates interdisciplinary case conferences with the ... in the state of practice.. Current certification as Certified Brain Injury Specialist (CBIS) preferred.. Current BLS (Basic Life Support) First Aid and CPR… more
- Stanford Health Care (Palo Alto, CA)
- …monitoring records. + Researches, abstracts and communicates federal, state, and payor documentation, and billing rules and regulations; stays current with Medicare, ... Licensure required . or + CCS - Certified Coding Specialist required . or + CPC and/or CCSP -...patients and families to focus on health, healing and recovery ._ _You will do this by executing against our… more
- University of Colorado (Aurora, CO)
- …documentation according to established documentation timelines and in adherence with payor source(s) standards and clinic policy + Expected to demonstrate high ... using brief treatment modalities with an emphasis on time effective, recovery oriented, evidenced-based treatment. + Experience with co-occurring mental health and… more