- Virtua Health (Marlton, NJ)
- …comparative analysis of CDI Specialist and HIM APR-DRG severity level assignment and denial management .* The CDI Specialist is the primary source to ... When symptoms in the medical record require further documentation, the CDI Specialist queries the physician for a specific diagnosis/procedure for more accurate DRG… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Denial Coding Review Specialist like you to...or AAPC preferred " Parallon provides full-service revenue cycle management , or total patient account resolution, for HCA Healthcare.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital denied accounts ... equivalent. Bachelor's degree preferred. 2-3 years' experience in a hospital billing/coding, Denial Management environment related field. Must have experience in… more
- Baptist Memorial (Memphis, TN)
- …organizational skills. Experience Preferred: Five years clinical experience and 3-5 years case management or denial management experience. Minimum: RN, 5 ... education + Employee referral program Job Summary: Position: 3484 - Specialist - Denial II RN Facility: BMHCC Corporate Office Department: HS Denial… more
- Emanate Health (Covina, CA)
- …#19 ranked company in the country. **J** **ob Summary** The Senior Denial Specialist supports the activities of Revenue Cycle Management (RCM) of all Emanate ... presentations for the purposes of supporting operational excellence. The Senior Denial Specialist possess thorough knowledge of charge capture, registration,… more
- Beth Israel Lahey Health (Burlington, MA)
- …in A/R and ensures that they are maintained at the levels expected by management . Analyzes work queues and other system reports and identifies denial /non-payment ... order to identify paid claims or root cause of denial when assessing physician inpatient denials. 3. Responds to...in a timely fashion. 5. Observes irregularities in the cash/ denial posting process and reports them immediately to the… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in A/R and ensures that they are maintained at the levels expected by management . Analyzes work queues and other system reports and identifies denial /non-payment ... order to identify paid claims or root cause of denial when assessing physician inpatient denials. 3) Responds to...in a timely fashion. 5) Observes irregularities in the cash/ denial posting process and reports them immediately to the… more
- HCA Healthcare (Brentwood, TN)
- …to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has committed up to ... are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our...and process or appeal as appropriate + Compose technical denial arguments for reconsideration, including both written and telephonically… more
- St. Luke's Health System (Boise, ID)
- …a great place to work. **What you can expect from this role:** The Coding Denial Specialist is responsible for providing support in the function areas of Revenue ... RHIT (Registered Health Information Technician), or any American Health Information Management Association (AHIMA) coding credential, or any American Academy of… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts ... analyst for further review as well as upper management . 10. Initiates denial write off when...needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior… more
- MyFlorida (Tallahassee, FL)
- …Resident Denial , Non-Resident Denial , Permanent Bar, Rescind Denial , Criminal Grants, Sealed/Expunged and Monthly Management spreadsheets. Performs other ... REGULATORY PROGRAM SPECIALIST - 43000997 Date: Apr 29, 2024 Location:...given if the degree is in insurance or risk management . Additional requirements: + Collecting, evaluating, and analyzing data.… 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
- 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 ... must be within commuting distance to the Wayne, PA headquarters. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician… 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 will facilitate, coordinate, and approve medically… more
- MyFlorida (Tallahassee, FL)
- PROGRAM SPECIALIST IV-DOE - 48003675 Date: Apr 11, 2024 Location: TALLAHASSEE, FL, US, 32399 The State Personnel System is an E-Verify employer. For more information ... . Requisition No: 827235 Agency: Department of Education Working Title: PROGRAM SPECIALIST IV-DOE - 48003675 Pay Plan: Career Service Position Number: 48003675… more
- Beth Israel Lahey Health (Burlington, MA)
- …Based through AHIMA) Experience: 1-2 years of experience in billing, coding, denial management environment related field. Skills, Knowledge & Abilities: + ... that they are maintained at the levels expected by management . Analyzes work queues and other system reports and...Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Proficiency w/ Honors, or Certification) Experience: 3 years of experience in denial management environment related field. Experience in training and staff ... **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims, aged claims and denied claims… more
- Beth Israel Lahey Health (Danvers, MA)
- …& Registration: Billing Certification Preferred Experience: 3 years of experience in denial management environment related field. Experience in training and ... **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims, aged claims and denied claims… more
- Alameda Health System (San Leandro, CA)
- SLH Care Management Specialist + San Leandro, CA + San Leandro Hospital + SLH Social Services + Services As Needed / Per Diem - Day + Care Management + Req ... (IM) letters, Denial Letters, patient choice forms; regularly updates Care Management team. 10. Supports any audits with coordinating medical records with HIM;… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Revenue Tax Specialist 1 or 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4488682) Apply Revenue Tax Specialist 1 or 2 Salary ... of returns and taxpayer accounts and the approval or denial of refunds. The division also manages the Tax...(CPG) and may be filled as a Revenue Tax Specialist 1 or 2 depending upon the qualifications of… more
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