- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... orientation. JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity and… more
- Syracuse Community Health Center (Syracuse, NY)
- POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic ... healthcare billing, coding, and insurance policies to identify root causes of denials , appeal incorrect decisions, and implement strategies to minimize future … 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 ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... requirements pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... data, payer medical policies, etc.), determines the causes for denials of payment and partners with management ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- HCA Healthcare (Brentwood, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital ... you will focus on the prevention and resolution of clinical claim denials by analyzing denial patterns, investigating and appealing denied claims, and collaborating… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - Friday ... 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials management , and knowledge of medical terminology,… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join...system issues, or user errors, and report findings to management . + Contribute to team development by assisting in… more
- TEKsystems (Denver, CO)
- Job Description + Denials Specialist is responsible for correction of all denied claims. + Does not bill on CPT Codes - they charge a flat rate per use, so most ... denied + Go internal and find the revenue cycle specialist that works with THAT payer to get the...sheets Qualifications + Min 6 months years experience in denials management + Very comfortable working on… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement ... documentation improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient… more
- Nuvance Health (Danbury, CT)
- …and trending all appeals and communicating on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team ... This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to...required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum… more
- UTMB Health (Galveston, TX)
- Revenue Cycle QA Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # ... **Preferred Qualifications:** + Associate Degree in Business, Finance, Health Information Management or related field. + Experience with customer service, insurance,… more
- Growth Ortho (Sioux Falls, SD)
- h1 data-start="108" data-end="187">Revenue Cycle Management Specialist - Payments, Denials , A/R (ASC Experience Required) Location: Flexible (Sioux Falls, SD ... you're passionate about healthcare and skilled in revenue cycle management for ambulatory surgery centers (ASCs), we'd love to...to hear from you. Position Overview The Revenue Cycle Specialist will play a key role in managing all… more
- Catholic Health (Buffalo, NY)
- …on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and ... between parties. This individual provides clinical oversight to the clinical denials team, ensuring payer contracts are being appropriately followed by all… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education to… 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 ... - MSH, Mount Sinai Hospital **Responsibilities** 1. **Admission: Payer Authorization & Denials Management .** Communicate with payer to obtain request for… more
- Beth Israel Lahey Health (Burlington, MA)
- …Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in order to ... Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …denial management . The individual is responsible for managing medical denials by conducting a comprehensive review of relevant clinical documentation. The ... Under the general supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical… more
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