- 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...status + Track, document, and follow up on all denial activity within the billing system + Monitor payer-specific… 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
- Baptist Memorial (Memphis, TN)
- … - HS REVENUE ENHANCEMENT-ONCOLOGY CORPORATE (JOB ID: 15486) Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other ... education * Employee referral program Job Summary: Position: 18063 - Specialist -Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in... Denial Mitigation-Appeal Specialist II RN serves in a key role of... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the… more
- Baptist Memorial (Memphis, TN)
- Overview Job 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 ... and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes… 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
- 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
- Baptist Memorial (Memphis, TN)
- …to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities Reviews, assesses, ... and evaluates all communications received in order to optimize reimbursement. Evaluates clinical information and supportive documentation prior to initial appeal action in order to optimize reimbursement and utilization of resources. Prepares response to… 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 (Sayre, 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
- Cardinal Health (Fresno, CA)
- …ends when the patient's account balance is zero. **_Job Summary_** The Coding Denial Specialist is responsible for reviewing, analyzing, and resolving medical ... CPT, ICD-10, and HCPCS coding to support appropriate reimbursement and reduce denial rates. The specialist collaborates closely with billing, coding, clinical… 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
- Albany Medical Center (Albany, NY)
- …educator on developing training sessions and materials and working with the denial 's specialist for education and compliance. They optimize hospital ... educator on developing training sessions and materials and working with the denial 's specialist for education and compliance. They optimize hospital… more
- Northern Light Health (Brewer, ME)
- …authorizations requirements, patient eligibility, claim appeals processing, payment posting and denial resolutions. The Billing Specialist is responsible for ... Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement… more
- UnityPoint Health (Davenport, IA)
- …and provider offices-all while communicating with the team leaders (business coordinator/ denial management specialist , manager, and lead) and therapists to ... 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
- 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
- Insight Global (Miami, FL)
- …accounts according to companys policies and procedures. - Report any coding related denial to the Coding Specialist . - Performs other duties including but ... - Updates patient account information. - Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. - Runs… more
- UnityPoint Health (West Des Moines, IA)
- …and timeliness + Identifies issues and seeks direction from Manager and/or RN UM Specialist as needed Denial Request Coordination + Serves as primary point of ... established processes. Seeks necessary clinical direction of RN UM Specialist staff or Manager. + Coordinates appropriate and timely...contact for affiliate-level denial inquiries from internal and external sources under direction… 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 ... System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues . Work assigned accounts...Work assigned accounts with higher complexity (high dollars, specific denial records, etc) within Hospital Billing, Denial ,… 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
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