- Aftermath Billing (Port Saint Lucie, FL)
- …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 salary… more
- PharmaCord (Cincinnati, OH)
- …This includes completing benefit investigations, tracking prior authorizations / denial appeals, and assisting patients or other callers/stakeholders through ... in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist ), CHES (Certified Health Education Specialist ) or CCM in… more
- Emanate Health (Covina, CA)
- …care system in the United States, and the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by ... Denial Manager. The Denial Specialist will possess and apply thorough knowledge of collections and the ability to apply the knowledge to all aspects of a… more
- Hartford HealthCare (Farmington, CT)
- …to ensure Hartford HealthCare will always be the first. The Accounts Receivable & Denial Specialist II assures timely and accurate submission of claims on UB04 ... all Hartford HealthCare hospitals, medical group and homecare. Accounts Receivable & Denial Specialist II is responsible for the following when a claim is… 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 ... reviewing medical records for medical necessity and policy requirements. Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by… 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 ... and Information Services to improve systems communication, tracking and reporting ie denial , hold and activity reports. - Maintains a Clinic Insurance Eligibility… 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 ... coordinating follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future downgrades by… more
- Guthrie (Towanda, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital financial ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …Code. This role evaluates applications and provides recommendations for the approval or denial of licenses. The specialist also assesses incident reports and ... visit our website for details: https://fpocf.org/careers/ POSITION OBJECTIVE: The Licensing Specialist serves as the primary point of contact for prospective foster… 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 in ... 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 The… more
- McLaren Health Care (Grand Blanc, MI)
- …practice standards. 5. Assists with managing the revenue cycle by reducing clinical denial write offs 6. Assists in running reports and utilizes tools for reporting ... assist with vendor tool management. 7. Oversees maintaining an accurate database of all denial activity to closure to help manage and track denial hand-offs… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accts Rec & Denial Spec 2 / Rev Cycle Prof Svcs Adm* **Location:**… more
- Northern Light Health (Brewer, ME)
- …claim cycle including prior authorizations requirements, patient eligibility, and coding denial resolutions. The Coding Specialist is responsible for continuing ... Week: 10.00 Work Schedule:No Hours Assigned *Temporary Position* Summary: The Coding Specialist is responsible for coordination of and participation in the coding… more
- Beth Israel Lahey Health (Charlestown, MA)
- …oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing ... Hospital Billing System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues** **Work assigned accounts with higher complexity (high… 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...involves performing high-level, complex primary and secondary clinical validation denial case reviews to obtain and scrutinize denials to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital Billing will be responsible for the ... completion of senior level Accounts Receivable tasks. The Senior Specialist will be responsible for the highest complexity for...System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues . Investigate and resolve… more
- UHS (Binghamton, NY)
- …OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital role, you will ... the prevention and resolution of clinical claim denials by analyzing denial patterns, investigating and appealing denied claims, and collaborating across departments… 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, in collaboration...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more
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