- Guthrie (Sayre, PA)
- …to individual payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor ... resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on… more
- Baptist Memorial (Memphis, TN)
- …claims and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the ... Overview Specialist - Denial Mitigation II RN Job Code:...Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA...be filled in Memphis, TN; Jackson , MS The Denial Mitigation-Appeal Specialist II RN serves in… more
- Baptist Memorial (Memphis, TN)
- …claims and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the ... 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 as… 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 ... appeals or corrected claims to reduce revenue loss. The specialist works closely with clinical, billing, and authorization teams... denial trending to leadership. + Document all denial resolution activities in billing system +… 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
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all ... must be able to respond knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal is to resolve all of the… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Ophth Clinical Support Location: Penn Presbyterian ... 39th Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor...make appropriate adjustment. Exercising good judgement in escalating identified denial trends or root cause of denials to mitigate… more
- Select Medical (Camp Hill, PA)
- **Overview** **Claims Resolution Specialist ** **Starting at $18.50 per hour** **ON-SITE** Do you enjoy puzzles and research? Are you results-oriented? If so, our ... Claims Resolution Specialist position may be a phenomenal...Claims Resolution Specialist position may be a phenomenal career for you...balances for accounts that have received a payment or denial , or that are greater than 30 days from… more
- Select Medical (Camp Hill, PA)
- **Overview** **Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are ... you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal...balances for accounts that have received a payment or denial , or that are greater than 30 days from… more
- University of Virginia (Charlottesville, VA)
- …of the Central Billing Office assigned team(s). Performs area specific billing, denial , follow up and customer service functions of a complex and specialized ... Lead representative will train and mentor colleagues in billing, denial and follow up teams with the skills of...goal is to resolve all of the insurance billing denial and follow up issues to meet CBO goals… 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 ... and clinical documentation practices. *_Position Responsibilities:_* *Key Areas of Responsibility* * Denial Resolution * . Review DRG validation denials from… more
- Beth Israel Lahey Health (Charlestown, MA)
- …for payment or denial . . Performs all Hospital Billing, Follow-Up, and Denial activities necessary to obtain payment/ resolution of claims. . Review the ... oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing… more
- HCA Healthcare (Nashville, TN)
- …asked to perform Coding Integrity Specialist III (CIS-III) or Coding Account Resolution Specialist III (CARS-III) duties + Reviews all official data quality ... resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Jul 11, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management of the company. The… more
- St. Luke's University Health Network (Allentown, PA)
- …the reasons causing the denial and takes the necessary action to resolve the denial and/or resolution of the account. + Seeks resolution to problematic ... of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... guidance and advice to lower-grade specialists; assist in the resolution of issues and other problems being encountered during...decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or… 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: Full Time ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that… more
- Robert Half Accountemps (Scottsdale, AZ)
- Description We are looking for a detail-oriented Medical Billing Specialist to join our team in Scottsdale, Arizona. In this long-term contract position, you will ... and efficiency of medical billing processes, primarily focusing on Medicaid claims and denial management. This is an excellent opportunity to contribute to a rapidly… more
- SERV Behavioral Health System (Hamilton, NJ)
- … Specialist will follow-up on unpaid claims including denied and held claims, denial review and resolution , corrected claims, denial appeals, payment ... posting as requested, contractual write offs and other adjustments, secondary billing. ESSENTIAL DUTIES & RESPONSIBILITIES: + Acute attention to detail with excellent verbal and written communication skills. + Intermediate MS Office (Word & Excel) skills is… more