- Trinity Health (Farmington Hills, MI)
- **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves… more
- Trinity Health (Farmington Hills, MI)
- …Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues ... Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $20.6822-$31.0233) Performs day-to- day payment resolution… more
- CVS Health (Hartford, CT)
- …residence. Position OverviewAdministers review and resolution of clinical complaints and appeals . Interprets data obtained from clinical records to apply appropriate ... What you will do + Acts as a top-level specialist to implement best in class policies, plans, and...class policies, plans, and procedures in support of the Appeals area objectives. + Executes review of all clinical… more
- UT Health (Houston, TX)
- …as assigned. **Certification/Skills:** 1. Certified Professional Coder (CPC) or Certified Coding Specialist Physician-based (CCS-P). 2. Effective analytical and ... Remote Senior Compliance Coding Analyst -...meetings. Manages EPIC PB Edits and Requests for denial appeals . Reports review results to the Revenue Cycle Manager,… more
- PeaceHealth (Springfield, OR)
- …Health Information Administrator or Registered Health Information Technician or Certified Coding Specialist or Certified Professional Coder or Certified ... CPT industry standards and PeaceHealth guidelines. This is a remote position however the incumbent must reside in OR,...as directed. + Reviewing records for payor, RAC, regulatory denials/ appeals , and downgrades by providing in depth coding… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
- Providence (Portland, OR)
- …+ Concurrent Review (CCR) + SNF + Clinical Claims + Provider Reconsideration + Member Appeals + Medical + Coding + Reimbursement Policy + Coordinate and execute ... **Providence Health Plan is calling an Associate Utilization Review Specialist who will:** + Be responsible for all core...+ KMS + Benefit Grids + Handbooks + CES/JAMA coding configuration + Critically assess and prepare all cases… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... established performance targets (productivity and quality). Initiates and follows-up on appeals . Exercises good judgement in escalating identified denial trends or… more
- Johns Hopkins University (Middle River, MD)
- …who will be responsible for the collection of unpaid third-party claims and appeals , using various applications of JHM and JHU/ PBS billing applications. Works with ... to the claim's submission process, either electronically or by paper. The Specialist will be assigned payor groups of outstanding patient accounts. Various methods… more
- State of Colorado (Denver, CO)
- Cancer Surveillance Specialist - Health Professional III - 2169 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4437394) Apply Cancer ... Surveillance Specialist - Health Professional III - 2169 Salary $5,134.00...in the cancer registry database following standardized cancer data coding manuals. The position prepares abstracts for reportable cancer… more
- State of Colorado (Denver, CO)
- …LIFE/SOC SCI RESEARCHER/SCI IV/Human Dimensions Specialist - (Denver, CO) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4482803) Apply CPW ... LIFE/SOC SCI RESEARCHER/SCI IV/Human Dimensions Specialist - (Denver, CO) Salary $68,100.00 - $88,524.00 Annually Location Denver, CO Job Type Full Time Job Number… more
- TEKsystems (Honolulu, HI)
- TEKsystems in Hawaii is looking for a Healthcare Specialist to support one of the local healthcare companies in Hawaii! This role is primarily remote but ... and complex issues, including medical or payment policy questions and provider appeals . + Proactively resolve problems to ensure compliance with contract terms and… more
- SSM Health (Jefferson City, MO)
- … Associate (CCA) - American Health Information Management Assoc (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Assoc ... detail, and the ability to work independently in a remote setting. . Department: Coding . Patient...and Requirements:** Job Description PRIMARY RESPONSIBILITIES + Composes DRG/APC appeals based on medical record documentation, coding … more
- State of Colorado (Denver, CO)
- …Work Address 1313 Sherman St. Denver, CO 80204. This position is mostly a remote /hybrid position; however, you are required to report to this Denver location as ... and sick leave + Training Opportunities + Flexible work schedule options and remote -work options + Some positions may qualify for the Public Service Loan Forgiveness… more
- State of Colorado (Denver, CO)
- …plus generous vacation and sick leave + Flexible work schedule options and remote -work options + Career advancement opportunities throughout the State system + Some ... Management. Perform fund transfers, move expenses and revenues, change coding strings, change state timekeeping system coding ,...can be subject to change) - This is a Remote /Hybrid position - Work is primarily performed from a… more
- WellSpan Health (York, PA)
- …Required or + Certified Coding Associate within 1 year Required or + Certified Coding Specialist within 1 year Required or + Certified Coding ... Location: WellSpan Health, York, PA Schedule: Full Time Sign-On Bonus Eligible Remote /Hybrid Regular Apply Now See More Events Schedule Full-time: 40hrs/wk Hours:… more
- State of Colorado (Denver, CO)
- …long-term) disability coverage + Excellent work-life balance through flex schedules, flexplace/ remote work, and ad-hoc arrangements Some positions may qualify for ... work arrangement. + offers excellent work-life balance through flex schedules, flexplace/ remote work, and ad-hoc arrangements. Our Culture & Environment: Coloradans… more
- State of Colorado (Denver, CO)
- …EcoPass to all eligible State Employees + Flexible work schedule options and remote -work options + Some positions may qualify for the Public Service Loan Forgiveness ... intended to fill two Accountant III positions ( Revolving Loan Accounting Specialist and Accounting Operations Manager) Specific duties include but are not limited… more
- Indian Health Service (Gallup, NM)
- …to the individual. Prepares memoranda for correspondence for the reviewing appeals officer, identifies deficiencies and recommends appropriate course of action. ... programs; use of medical terminology; effective oral and written communication; fiscal coding procedures; accountability of funds; resolving a wide range of problems… more