- 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 ... to make appropriate decisions and is accountable for reviewing denials for level of care, medical necessity, and as...care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials … 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Coding Denials Specialist. This position is remote but does require the associate to live / work in OR, WA, AK or TX to be ... eligible for consideration. **Job Summary** Coding Denials Specialist analyzes, processes, and resolves claim denial requests. Provides support to HIM Coding Process… more
- Catholic Health Initiatives (Little Rock, AR)
- **Responsibilities** The Denials RN is responsible and accountable for receiving, processing and documenting all concurrent denials for assigned facilities. The ... within the revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs a root cause analysis of the concurrent… more
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleInsurance Denials Specialist Position LocationFort Collins, CO Work LocationPosition qualifies for hybrid/in-office work ... thriving arts and entertainment industry. Position Summary The Insurance Denials Specialist will provide excellent customer service and guidance...is denied. It will also be necessary to appeal denials and train staff with registration or coding … more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- HCA Healthcare (San Antonio, TX)
- …you want to join an organization that invests in you as an Inpatient Coding Denials Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of...our team. **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for… more
- Saratoga Hospital (Saratoga Springs, NY)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital, 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... people. About the Role We're looking for a dedicated Denials Assistant to join our team and help us...patient outcomes in a fast-paced healthcare env ironment. The Denials Assistant provides clerical support to the various roles… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel ... Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** + Directs staff performance regarding UR and the… more
- Texas Health Resources (Arlington, TX)
- **Manager Billing Coding and Denials ** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... work hours: Monday-Friday 8:00a-5:00p **Summary** The Billing, Coding & Denials Manager will oversee all aspects of claim review...will oversee all aspects of claim review and coding denials management for all THPG providers and specialties. In… more
- Holzer Health System (Bidwell, OH)
- The Denials Management Coordinator is a competent, experienced professional that fulfills their role with little supervision while demonstrating growing skill and ... obtain information and data essential in coordinating the recovery efforts for denials received by processing accounts in the patient accounting system(s), routing… more
- ClearChoiceMD (Concord, NH)
- …and understand the need for excellent, expedient care. The Accounts Receivable Denials Specialist is a member of the ClearChoiceMD/CareWell Urgent Care billing team. ... an internal company role responsible for working all payer denials . This role will work directly in Waystar and...Experity to work and review all rejection and payer denials . The Accounts Receivable Denialist Specialist will also review… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Prebill Denials Analyst you want with your current employer? We have an exciting ... colleagues. Do you want to work as a Prebill Denials Analyst where your passion for creating positive patient...and expertise! **Job Summary and Qualifications** Seeking a Prebill Denials Analyst who will review post discharge, prebill accounts… more
- CenterWell (Honolulu, HI)
- …part of our caring community and help us put health first** The ** Denials Management Specialist** is responsible to respond to, monitor and analyze all governmental ... not limited to ADR's, CERTS, RAC's, ZPIC's, SMRC's, and all other revenue-driven denials and requests. Guides and coordinates with the branch staff in developing… more
- HCA Healthcare (Richmond, VA)
- …is recognized. Submit your application for the opportunity below: Clinical Denials Coding Review Specialist Parallon. **Benefits** Parallon, offers a total rewards ... may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure...to apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist, who is responsible for applying… more
- Robert Half Office Team (Little Rock, AR)
- Description We are looking for a skilled Insurance Claims & Denials Coordinator to join our healthcare team in Little Rock, Arkansas. This Contract-to-Permanent ... offers an excellent opportunity for professionals experienced in medical insurance claims and denials . In this role, you will play a vital part in ensuring the… more
- Robert Half Office Team (Little Rock, AR)
- Description We are looking for a skilled Insurance Claims & Denials Coordinator to join our healthcare team in Little Rock, Arkansas. In this Contract-to-permanent ... will play a vital role in managing and resolving insurance claims and denials , ensuring accurate processing and timely follow-ups. This opportunity offers a stable… more
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials Mitigation Manager, you will serve as the first line of ... communication from the Denials Mitigation Services department to the client team(s). Every...client team(s), manage and lead client meetings, and analyze denials data by denial categories. To thrive in this… more
- Robert Half Office Team (Little Rock, AR)
- Description We are looking for an experienced Insurance Claims & Denials Coordinator to join our healthcare team in Little Rock, Arkansas. This Contract-to-Permanent ... with a strong background in managing medical insurance claims, processing denials , and ensuring accurate resubmissions. If you thrive in a detail-oriented… more