- Beth Israel Lahey Health (Burlington, MA)
- …escalation grids for submissions monthly or sooner as needed. 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy ... you're making a difference in people's lives.** The PFS Denial Specialist II role is vital to...interprets third party denials. 7. Initiates corrected claims and appeals according to payer guidelines. 8. Responds to incoming… more
- Beth Israel Lahey Health (Burlington, MA)
- …provider escalation grids for submissions monthly or sooner as needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy ... **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to...interprets third party denials. 7. Initiates corrected claims and appeals according to payer guidelines. 8. Responds to incoming… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has ... lives and you have the opportunity to make a difference. We are looking for a dedicated Denial Coding Review Specialist like you to be a part of our team. **Job… more
- Beth Israel Lahey Health (Burlington, MA)
- …interprets third party payments, adjustments and denials. Initiates corrected claims, appeals and analyzes unresolved third party and self-pay accounts, initiating ... by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2. Ability to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …interprets third party payments, adjustments and denials. Initiates corrected claims, appeals and analyzes unresolved third party and self-pay accounts, initiating ... by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2) Ability to… more
- HCA Healthcare (Largo, FL)
- …**Introduction** Do you want to join an organization that invests in you as an Appeals Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... make a difference. We are looking for a dedicated Appeals Specialist like you to be a...team, validating appeal criteria is met. + Compose technical denial arguments for reconsiderations. + Identify contract protection to… more
- HCA Healthcare (Brentwood, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Appeals Specialist opening with Parallon today and find out what it ... benefits may vary by location._** We are seeking a Appeals Specialist for our team to ensure...team, validating appeal criteria is met. + Compose technical denial arguments for reconsiderations. + Identify contract protection to… more
- Abbott (Plano, TX)
- …Our 114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist , Patient Therapy Access Team** **Position Location: 6600 Pinecrest ... **Plano, TX** currently has an opportunity for a **Sr. Appeals Specialist ** . This role is responsible...levels of appeal in the event of initial coverage denial . Manage complex appeals cases for assigned… more
- Rush Copley Medical Center (Aurora, IL)
- …and physician denials, documents appeals or clinical inpatient denials, conducts appeals as appropriate. Track denial outcomes, identify trends and work ... and revenue cycle leadership to prevent future clinical denials by communicating denial root causes and help develop education and process changes. Exemplifies the… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES & ESSENTIAL JOB...complaints. 14. Tracks and trends progress and outcomes of denial and appeal processes and compiles reports for division… more
- University of Michigan (Ann Arbor, MI)
- Inpatient Coding and Appeals Coordinator - Remote Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as ... experience that directly relate to this position. **Summary** The Inpatient Coding and Appeals Coordinator plays a vital role in the revenue cycle management of Rev… more
- Houston Methodist (Houston, TX)
- …is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment with ... specific current procedural terminology (CPT)/healthcare common procedure coding system (HCPCS), denial reasons, and appeals . Monitors recovery of payments and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Universal Health Services (Tredyffrin, PA)
- …established performance targets (productivity and quality). Initiates and follows-up on appeals . Exercises good judgement in escalating identified denial trends ... - Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR - Coding Surgical Work Days: Exemption Status: Non-Exempt Salary Range: ... all documentation standards are met for billing. + Analyze for invalid denial trends, payer specific carrier submission requirements & system optimization. +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …transform healthcare and serve as a leader of positive change. The **Appeal Nurse Specialist ** will be responsible for the timely review and submission of appeals ... level of care change determinations. Gathers and evaluates the information for appeals of Managed Care audits, clinical and technical denials by utilizing various… more
- Beth Israel Lahey Health (Burlington, MA)
- …in order to determine appropriate coding and initiate corrected claims and appeals . Duties include hands on coding, documentation review and other coding needs ... by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2. Responds to… more
- UNC Health Care (Chapel Hill, NC)
- …coverage with local and state Medicaid offices to obtain reversal of initial denial . Abstracts information, prepares appeals and represents UNC Health Care ... entire Medicaid application process from application to award or denial . Positions have authority to represent the Health Care...Care System at each of the four levels of appeals when applications are denied. **Responsibilities** : 1. Obtains… more
- State of Colorado (Denver, CO)
- ECMC Senior Oil & Gas Location Assessment Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4505689) Apply ECMC Senior Oil & Gas ... Location Assessment Specialist Salary $83,856.00 - $100,800.00 Annually Location Denver, CO...the OGDP application should be recommended for approval or denial , and communicate that suggested decision to the Director… more
- Trinity Health (Fort Wayne, IN)
- …Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and ... to benefits investigation, prior authorization request and submission, overturning appeals , and enrolling patient in financial assistance programs. Manages the… more