- 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
- Baptist Memorial (Memphis, TN)
- Overview Specialist- Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... 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
- Baptist Memorial (Memphis, TN)
- Overview Specialist- Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... 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
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as an Impatient Coding Denial Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... the opportunity to make a difference. We are looking for a dedicated Impatient Coding Denial Specialist like you to be a part of our team. **Job Summary 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
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Prebill Denial Analyst? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... a difference. We are looking for a dedicated Prebill Denial Analyst like you to be a part of...in eRequest to resolve outstanding issues. + Report insurance denial trends identified during daily assignments. + Identify problem… more
- Baylor Scott & White Health (Dallas, TX)
- …delivering exceptional experience. **Job Summary** You, as a Registered Nurse in the Denial Resource Center at Baylor Scott & White Health, manage denials and ... earnestly participating in their implementation. + By closely examining denial trends, you will categorize them based on impacts...and procedural variations amongst others. + You will record denial data and appeal findings in an electronic system.… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** The Denial Specialist will identify, review, and interpret third-party payments, adjustments, and ... expected by management. Analyzes work queues and other system reports. Identifies denial /non-payment trends and reports them to the Billing Supervisor. Ability to… more
- Hartford HealthCare (Farmington, CT)
- …estimates and collection of patient cost share with a focus on claim denial prevention by collaborating with clinical teams, business partners and insurance payers. ... established requirements in an effort to facilitate payer follow up and support denial dispute 7. True to HHC Mission and Values, demonstrate positive and effective… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: Works closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, and ... in work queue and incoming fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials...timeframe. 8. Documents and updates the denials in the denial tracking tool timely and accurately. 9. Collects and… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... staff for single or low volume errors. Report high volume coding denial trends to the coordinator + Maintain meticulous documentation, spreadsheets, account, and… more
- Premier Health (Dayton, OH)
- …The DMCA is responsible for resolving third party payor denials and identifying denial trends by payer. The DMCA is knowledgeable of third party payer contracts, ... and Medicaid guidelines, and other regulations which impact the utilization or denial of provider services. Essential Duties & Functions: 1. Responds positively to,… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Finance* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accts Rec & Denial Spec 2 / PA Third Party Follow Up* **Location:** ... *Connecticut-Farmington-9 Farm Springs Rd Farmington (10566)* **Requisition ID:** *25153575* more
- Virtua Health (Mount Laurel, NJ)
- …* Identifies items to be billed by procedure and services performed. * Obtains necessary documentation for billing and obtains pre-certifications. * Enters all ... At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing… 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
- Mohawk Valley Health System (Utica, NY)
- …and education within the CDI department, providing comprehensive oversight of denial processes and educational initiatives. This position combines clinical expertise ... staff. The Specialist develops specialized educational initiatives while managing denial processes and responses, maintaining compliance with regulatory guidelines… more
- UNC Health Care (Hendersonville, NC)
- …(RAC) Coordinator (RN) is responsible and accountable for all Care Management Denial and Recovery Audit Contractor (RAC) requests and follow-ups, including tracking ... coordinating and completing the appeal process. Responsibilities: * Coordinates the Denial and RAC process, including requests, follow-ups, tracking of approvals and… more
- Children's Mercy Kansas City (Kansas City, MO)
- …hospital. Overview The Denials Prevention Analyst is directly responsible for reviewing current denial data to determine denial trends and provide root cause ... This position will collaborate with internal stakeholders to review denial trends and assist in identifying and tracking implementation of… more
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