- 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
- 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
- Datavant (Olympia, WA)
- …professional, educational and life experiences to realize our bold vision for healthcare . The Specialist is responsible for identifying, analyzing, and resolving ... proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing,...certification preferred. + Minimum 3-5 years of experience in healthcare revenue cycle with focus on denials … more
- Syracuse Community Health Center (Syracuse, NY)
- POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic ... Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems,… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into...United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York's Southern Tier comprising four… more
- Rochester Regional Health (Rochester, NY)
- …Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, ... to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare ...critical part in the revenue cycle management of the healthcare organization by identifying trends in denials … more
- Catholic Health (Buffalo, NY)
- …based on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and ... documenting the appeals process for denied claims denied due to reasons including, but not limited...parties. This individual provides clinical oversight to the clinical denials team, ensuring payer contracts are being appropriately followed… more
- Robert Half Accountemps (San Diego, CA)
- Description We are looking for a dedicated Medical Insurance Claims Specialist to join our team on a contract basis in San Diego, California. In this role, you ... will manage insurance claims , verify patient eligibility, and ensure accurate processing of...a commitment to delivering excellent service to patients and healthcare professionals. Responsibilities: * Verify patients' insurance coverage, including… more
- Stanford Health Care (Palo Alto, CA)
- …assignments, while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, ... **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue...II plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals… more
- Molina Healthcare (IA)
- …(COB), subrogation and eligibility criteria. + Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... Healthcare is hiring for an Appeals & Grievance Specialist . This role is 100% remote and will work...the Pacific Time Zone. This role provides support for claims activities including reviewing and resolving member and provider… more
- Molina Healthcare (Tampa, FL)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... Molina Healthcare is hiring for a Medicare Appeals & Grievances Specialist . This position is remote and will be working Pacific Standard hours. Highly Qualified… more
- Hartford HealthCare (Farmington, CT)
- …& Denial Specialist II assures timely and accurate submission of claims on UB04 or HCFA1500 (bills), monitor responses from clearinghouse, review Electronic File ... And this is *your moment.* **Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accounts Receivable & Denial Specialist II *… more
- HCA Healthcare (Jacksonville, FL)
- **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... individual is recognized. Submit your application for the opportunity below:Collections Specialist with HCA Surgery Ventures Group at the Jacksonville Central… more
- Molina Healthcare (Orem, UT)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Hartford HealthCare (Farmington, CT)
- …matters. And this is*your moment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Revenue Integrity Specialist / Revenue ... Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every… more
- Robert Half Accountemps (Alhambra, CA)
- …with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies. 6. Responsible for identifying patterns ... must be successful with investigating, tracking, and resolving denied medical insurance claims . The Medical Collections Specialist must have 2 years medical… 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
- Mom's Meals (Ankeny, IA)
- …+ Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials , and aging + Other tasks as assigned, including but ... Position SummaryThe Billing Specialist is responsible for performing specified financial tasks...work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims , patient… more
- Excelsior Orthopaedics Group (Amherst, NY)
- Job Summary The Billing Specialist plays a critical part in maintaining the financial integrity of the practice by ensuring accurate and efficient billing and ... from insurance carriers and patients on a timely basis. The Billing Specialist must possess comprehensive experience in orthopedic or surgical billing, a solid… more
- Community Health Systems (Fort Smith, AR)
- …identifying discrepancies, and applying appropriate transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with ... **_Job Summary_** _The Remote Insurance Reimbursement Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure accuracy,… more