- Aftermath Billing (Port Saint Lucie, FL)
- …medical billing or collections. Strong knowledge of insurance processes, EOBs, and denial management . Familiarity with CPT/ICD-10 coding and behavioral health ... billing practices. Excellent communication and negotiation skills. Proficient with billing software and Google Suite. Proficient with CollabMD software Ability to work independently and as part of a team in a fast-paced environment. Benefits: Competitive… more
- PharmaCord (Cincinnati, OH)
- …document belongs to a real person who is looking for thorough and efficient management of their records. You'll adjust your approach to their needs by communicating ... This includes completing benefit investigations, tracking prior authorizations / denial appeals, and assisting patients or other callers/stakeholders through… 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 ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
- North Country Family Health Center (Watertown, NY)
- …identify and remedy initial claim errors, working collaboratively with billing, coding, and denial management teams. The RCM Specialist must be knowledgeable ... Revenue Cycle Management (RCM) Specialist Watertown, NY (http://maps.google.com/maps?q=238+Arsenal+Street+Watertown+NY+USA+13601) Job Type Full-time Description… more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by Denial Manager. The Denial ... experience such as clinical denials or reference to a denials management department. Thorough knowledge of medical terminology and coding. **Minimum License… more
- Sanford Health (SD)
- …- $34.50 **Department Details** Remote position **Job Summary** Facilitates the denial and appeal process through exercising clinical expertise and clinical by ... maintaining progress of regularly scheduled work. Implements effective medical case management strategies. Adapts language, tone, structure, and level of detail to… more
- McLaren Health Care (Grand Blanc, MI)
- …experience in an acute healthcare facility** **.** American Case Management Certification (ACM), Certified Clinical Documentation Specialist (CCDS) ... **Position Summary:** Responsible for assisting the Corporate Director Denials Management in providing regional management of day-today operation and workflow of… more
- Hartford HealthCare (Farmington, CT)
- …now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the ... system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate coding assignment for ICD-10,… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing ... follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future...Medical Staff teams to ensure a unified approach to denial management and appeals. . Serve as… more
- Beth Israel Lahey Health (Charlestown, MA)
- …necessary documentation needed to have claims reprocessed/adjudicated** **Informs and/or transfers to management of any problem accounts and or denial trends ... oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing… more
- McLaren Health Care (Mount Clemens, MI)
- …Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both ... internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing activities, reviews outcomes and communicates findings… more
- University of Michigan (Ann Arbor, MI)
- …regulations. The Specialist will utilize technology to track and monitor denial trends and coordinate documentation improvement efforts. As a key resource for ... Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials...outcomes, and training impact, and present regular reports to management . + Illuminate common denial trends and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay. This… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable,...recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing… 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 ... feasibility of submitting appeals. + Works with revenue cycle management and staff to ensure claim edit/ denial ...of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… more
- Fairview Health Services (St. Paul, MN)
- … reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... over 5,120 contracted workers of varying professions in facilities management , information technology, environmental, administrative, purchasing, and contracting, ISD… more
- Prime Healthcare (Ontario, CA)
- …seeking new members to join our corporate team! Responsibilities The Clinical Appeals Specialist (CAS) is responsible for performing denial reviews for inpatient ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229068/clinical-appeals- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Stanford Health Care (Palo Alto, CA)
- …information and clarify clinical documentation to support appeals. + Collaboration with Management : Identify and escalate denial patterns to the Manager of ... **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue...plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related… more
- City of New York (New York, NY)
- …is provided to those who fail to meet requirements. Your Impact: The Risk Management Specialist will identify and address potential risk for fraud. The ... of HPD's Section 8 program rules. Responsibilities: The Risk Management Specialist will be responsible for the...forward with assistance, entering into repayment agreement or subsidy denial or termination based on the research conducted with… more
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