- 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
- Baptist Memorial (Memphis, TN)
- …as obtaining authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management experience, or ... Overview Specialist - Denial Mitigation II RN Job Code:...nursing program Training Description Minimum Required Preferred/Desired Nursing, Case Management or Denial Management . Familiarity… more
- Baptist Memorial (Memphis, TN)
- …as obtaining authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management experience, or ... may be filled in Memphis, TN; Jackson, MS The Denial Mitigation-Appeal Specialist II RN serves in...nursing program Preferred/Desired Training Minimum Required + Nursing, Case Management or Denial Management . Familiarity… more
- UnityPoint Health (Davenport, IA)
- …patients and provider offices-all while communicating with the team leaders (business coordinator/ denial management specialist , manager, and lead) and ... OP Administration + Shift: M-F; 2p-6pm + Job ID: 160751 Overview Intake Insurance Specialist Part Time M-F; 2pm-6pm Davenport, IA Function as a member of the… more
- Cardinal Health (Nashville, TN)
- …ends when the patient's account balance is zero. **_Job Summary_** The Authorization Denial Specialist is responsible for reviewing and resolving claim denials ... follow-up **_Qualifications_** + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, Medicaid,… 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 + ... #:41693-30873 + FTE:0.01 + Posted:May 15, 2025 **Summary** **SUMMARY:** The PFS Denial Specialist is responsible for validating dispute reasons following… more
- Omaha Children's Hospital (Omaha, NE)
- …and people with disabilities. **A Brief Overview** The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers ... efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. **Essential… more
- Novant Health (NC)
- …and timeliness, unbilled claims management , claim edits and denial management . + The Corporate Coding Audit Response Specialist will be involved in ... benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for...not be limited to: coding audits, charge edit and denial audits, commercial payers, and CMS payers. Responses will… 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 that ... oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing… 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
- HCA Healthcare (Nashville, TN)
- …resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere ... that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has...following resources to identify the root cause of the denial /downgrade + Explanation of Benefits/Remittance Advice + Payer … 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 ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- PeaceHealth (Vancouver, WA)
- …AK or TX to be eligible for consideration. **Job Summary** Coding Denials Specialist analyzes, processes, and resolves claim denial requests. Provides support to ... **Description** PeaceHealth is seeking a Coding Denials Specialist . This position is remote but does require...a wide range of payer deadlines, and reporting on denial functions. **Essential Functions** + Reviews medical records as… more
- Weill Cornell Medical College (New York, NY)
- …critical thinking and analytical skills. + Ability to meet daily coding and denial management production requirements along with quality as per Company norms. ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...standards are met for billing. + Analyze for invalid denial trends, payer specific carrier submission requirements & system… 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
- TEKsystems (Houston, TX)
- …Dakota, Delaware, New Mexico, Vermont, Hawaii, Oklahoma, Wisconsin Description Denials Specialist is responsible for correction of all denied claims. This company ... - then go internal and find the revenue cycle specialist that works with THAT payer to get the...into various buckets based on the cause of the denial - and work with the internal revenue cycle… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more
- Alameda Health System (Oakland, CA)
- Care Management Specialist + Oakland, CA + Highland General Hospital + HGH Care Coordination + Services As Needed / Per Diem - Day + Care Management + ... Denial Letters, patient choice forms; regularly updates Care Management team. 10. Supports any audits with coordinating medical...field. Required Experience: One year experience in a case management specialist position in an acute care… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleInsurance Denials Specialist Position LocationFort Collins, CO Work LocationPosition qualifies for hybrid/in-office work ... a thriving arts and entertainment industry. Position Summary The Insurance Denials Specialist will provide excellent customer service and guidance to all CSU… more
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