- Baptist Memorial (Memphis, TN)
- Overview Specialist- Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in a key...coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our revenue. The… more
- Baptist Memorial (Memphis, TN)
- …Job Summary * The position may be filled in Memphis, TN; Jackson, MS The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle ... coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our revenue. The... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system. *_Position Summary:_* Support revenue cycle denial prevention for both hospital and professional billing by analyzing data, ... dashboards to aid in the identification and strategic planning of denial prevention initiatives. Efficiently audit accounts to validate data and effectiveness… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... departments, and revenue cycle teams to identify and address denial trends. This role plays a critical part in...denials, and ensure compliance with payer guidelines. As a Denial Coordinator at Community Health Systems (CHS) - SSC… more
- Cardinal Health (Nashville, TN)
- …when the patient's account balance is zero. **_Job Summary_** The Authorization Denial Specialist is responsible for reviewing and resolving claim denials related to ... updates on appeal status + Track, document, and follow up on all denial activity within the billing system + Monitor payer-specific authorization requirements and… more
- Alameda Health System (San Leandro, CA)
- Patient Financial Services Denial Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Pro + Services As Needed / Per Diem - Day + $35.26 / Hour + Req ... + FTE:0.01 + Posted:May 15, 2025 **Summary** **SUMMARY:** The PFS Denial Specialist is responsible for validating dispute reasons following Explanation of… more
- Avera (Sioux Falls, SD)
- …(CMS). Be apart of something great! **Position Highlights** **Position Summary** The Denial Prevention Analyst coordinates facility wide denial and denial ... trends in order to identify and implement prevention opportunities. Furthermore, the Denial Prevention Analyst works accounts in Denial Management desktop to… more
- Baptist Memorial (Memphis, TN)
- Overview SPECIALIST-AUTHORIZATION DENIAL - HS REVENUE ENHANCEMENT-ONCOLOGY CORPORATE (JOB ID: 15486) Summary Authorization Denial Specialist ensures that ... to appropriate staff. * Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement Requirements, Preferences… more
- Baptist Memorial (Memphis, TN)
- Overview The Denial Escalation Coordinator's primary focus will be to escalate accounts outside the payer's formal appeal process to secure payment for services ... processes and practices lead to appropriate adjudication of claims for denial prevention. This role requires thorough understanding of regulatory requirements,… more
- Omaha Children's Hospital (Omaha, NE)
- …efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. **Essential ... methods to ensure payments from third party payors. Organize open accounts by denial type or payer to quickly address in bulk with representatives over the… more
- BronxCare Health System (Bronx, NY)
- …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... and Information Services to improve systems communication, tracking and reporting ie denial , hold and activity reports. - Maintains a Clinic Insurance Eligibility… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accts Rec & Denial Spec 2 / Rev Cycle Prof Svcs Adm* **Location:** ... *Connecticut-Farmington-9 Farm Springs Rd Farmington (10566)* **Requisition ID:** *25158203* more
- Baptist Memorial (Memphis, TN)
- …to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities Reviews, assesses, ... and evaluates all communications received in order to optimize reimbursement. Evaluates clinical information and supportive documentation prior to initial appeal action in order to optimize reimbursement and utilization of resources. Prepares response to… more
- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials ... clinical documentation practices. *_Position Responsibilities:_* *Key Areas of Responsibility* * Denial Resolution* . Review DRG validation denials from payers,… more
- Arnot Health (Elmira, NY)
- …on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management ( denial /prior auth) will review and appeal as appropriate for concurrent and retrospective ... authorization and denial activities for Arnot Health. Identify, track and trend,...and or payments. Assists in tracking/trending by payer for denial reason items such as prior authorization, untimely filing,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Epic Hospital Billing System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues . Work assigned accounts with higher complexity ... (high dollars, specific denial records, etc) within Hospital Billing, Denial , & Follow Up various work queues while maintaining established productivity… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** Responsible for assisting the Denial Management team with various duties including understanding the denial , ... filing system from various payers for record management, reviewing denial data from our all payers for accuracy of...understanding of medical policies and applies them to current denial situations. Attends payer meetings as needed. 3. Contacts… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Epic Hospital Billing System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues + Work assigned outstanding and denied accounts ... within Hospital Billing, Follow Up, & Denial work queues while maintaining established productivity requirements. +...why a claim was not processed for payment or denial . + Performs all Hospital Billing, Follow Up, and… more
- Dignity Health (Bakersfield, CA)
- …and application of defined levels of hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases ... appropriate. - Identify cases that require additional case management. - Composes denial letter in a manner consistent with federal regulations, state regulations,… more
- Hartford HealthCare (Farmington, CT)
- …progress.* * *_Position Responsibilities:_* *Key Areas of Responsibility* *Management, Auditing, Denial Prevention and Management* . Manages a team of Clinical ... HealthCare (HHC). . Accountable for DRG downgrade denials prevention and internal denial appeal processes. Creates HHC strategies for denial prevention. .… more
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