- Accounting Now (Tampa, FL)
- …Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and...to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely manner. This… more
- University Medical Center of El Paso (El Paso, TX)
- Job Description: The Denials and Appeals Specialist follows up on denied claims from commercial and contracted payers. Performs timely and appropriate validation ... reviewing, utilization review, managed care, and/or claims denials and appeals processing required. License/Registration/Certification: Certified Clinical Documentation Specialist… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... to work with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating...to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims… 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
- Banner Health (AZ)
- …looking to leverage your abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing concurrent inpatient denials ... expertise and oversight in the determination of the clinical appeals and denial management process resulting in significant savings for the organization.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital denied accounts ... interprets third party denials 7. Initiates corrected claims and appeals according to payer guidelines. 8. Initiates denial... appeals according to payer guidelines. 8. Initiates denial write off when appropriate after thorough review. 9.… 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 (Brentwood, TN)
- …to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has committed up to ... are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our...and process or appeal as appropriate + Compose technical denial arguments for reconsideration, including both written and telephonically… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for A/R, ... Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing...timely to prevent past filing deadlines. * Communicates all denial write offs to Collection Supervisor, and Collections Manger.… 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
- 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
- Iowa Department of Administrative Services (Des Moines, IA)
- Environmental Specialist Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4286695) Apply Environmental Specialist Salary $50,731.20 - ... IA Job Type Full-time Job Number 24-01765 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 04/25/2024 Closing Date 5/10/2024 11:59 PM Central… 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
- Transdev (Oakland, CA)
- …and making determinations of paratransit eligibility and establishing reasons for denial of ADA eligibility appropriate for presentation during an Appeals ... eligibility, including category, conditions of eligibility and reasons for denial . + Present individual cases of eligibility denial...and professional manner (both verbal and written) to an Appeals Panel for an Appeals Hearing process.… 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
- Hologic (San Diego, CA)
- Medical AR Specialist San Diego, CA, United States Biotheranostics provides comprehensive and proprietary diagnostic solution for metastatic cancer. The company ... with a high level of knowledge, skills and experience, Accounts Receivable Specialist performs a variety and full range functions related to Biotheranostics customer… more
