- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- TEKsystems (Milwaukee, WI)
- …the Role We are seeking a detail-oriented and proactive Insurance Billing and Follow-Up Specialist II to join our team on a contract basis. This role is critical ... eligibility and claim status for unpaid claims. + Review and resolve payment denials and discrepancies. + Respond to customer service inquiries related to billing… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** *This is a remote based position* Identifies, reviews, and interprets third party payments, adjustments and ... coding denials for all professional services. Reviews provider documentation in...codes, at least annually or as introduced or required. 3 . Reviews and analyzes rejected claims and patient inquiries… more
- Henry Ford Health System (Warren, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. ... Responsible for obtaining and tracking approvals, denials , and additional information requests received from third party...and is leading the Future of Health: Detroit, a $ 3 billion investment anchored by a reimagined Henry Ford… more
- Henry Ford Health System (Troy, MI)
- …ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible ... academic medical centers and is leading the Future of Health: Detroit, a $ 3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn… more
- TEKsystems (Denver, CO)
- Description We are seeking a highly analytical and relationship-driven Medical Billing Specialist with a focus on denials management. This is not your typical ... working relationships. Qualifications Experience: + Minimum 6 months in denials management from a provider environment + 3...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Penn Medicine (Philadelphia, PA)
- …you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** Otorhinolaryngology Administration **Location:** Hospital of the ... Mon-Fri hybrid schedule regular office hours. **Summary:** + The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are… more
- Spectrum Billing Solutions (Skokie, IL)
- …organizations. We are looking to add a passionate and skilled Insurance AR Collections Specialist to our growing team. The ideal candidate will use their skills and ... reimbursement rate negotiation, and accounts receivable collections. This is a remote or home/office hybrid position. Responsibilities: + Research and resolve… more
- State of Colorado (Denver, CO)
- …The capacity to identify and resolve issues related to benefit applications, claims, and denials . The specialist must be able to advocate on behalf of clients, ... Benefits Specialist - Administrator II MHTLH Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5097180) Apply...care. Description of Job This position is deemed 100% Remote Work. This position will comply with the OCFMH/Mental… more
- Tufts Medicine (Burlington, MA)
- **Location: 100% Remote ** **Certification and experience required for this role** **About Tufts Medicine:** Tufts Medicine is a leading integrated health system ... Nursing 2. Active Registered Nurse (RN) license in Massachusetts or compact state 3 . Five (5) years' experience in an acute-care hospital setting (ICU, ED, Critical… more
- Tufts Medicine (Burlington, MA)
- **Location: 100% Remote ** **Certification and experience required for this role** **About Tufts Medicine:** Tufts Medicine is a leading integrated health system ... Nursing 2. Active Registered Nurse (RN) license in Massachusetts or compact state 3 . Five (5) years' experience in an acute-care hospital setting (ICU, ED, Critical… more
- South Middlesex Opportunity Council (Framingham, MA)
- …Mental Health / Substance Abuse Clinic. To be considered you must have at least 2- 3 years' experience in medical billing with a focus on payment posting and accounts ... Time Off: All full-time employees can accrue up to 3 weeks of vacation, and 2 weeks of sick...checks and EOBs and reconcile posted totals. + Review denials and partially paid claims and resolve discrepancies +… more
- New England Cancer Specialists (Westbrook, ME)
- Job Descriptions: New England Cancer Specialists has an opportunity for a full-time Remote Prior Authorization Specialist . This position will join a varied team ... and customer service to our customers. The Prior Authorization Specialist will handle non-clinical administrative aspects of patient care...pay, new employees are eligible to earn up to 3 .4 weeks of Paid Time Off in their first… more
- Children's Hospital Los Angeles (Glendale, CA)
- …That Matters.** **Overview** **Schedule:** Day Shift; 1 day onsite 4 days remote **Purpose Statement/Position Summary:** The Medi-Cal Specialist is responsible ... for billing and collection of MediCal and CCS claims. Responds to denials , RTD's and resolves problems regarding billing and collection matters. Billing and… more
- Novant Health (NC)
- Job Summary Why This Role Matters As a Coding Audit Response Specialist , you will have the ability to be an educational resource to a dynamic team of coders, while ... and successes, accurate and timely processing of account details, denials , and be able to capture and communicate information....RHIA licensure. + High School Diploma or GED. + 3 + years of experience coding in acute care facility… more
- Sanford Health (SD)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote SD (Central Time) **Location:** Remote , SD **Address:** **Shift:** 8 Hours ... **Weekly Hours:** 40.00 **Salary Range:** $21.50 - $34.50 **Department Details** Remote position **Job Summary** Facilitates the denial and appeal process through… more
- TEKsystems (Des Moines, IA)
- About the Role We are seeking a skilled and detail-oriented Coding Specialist II to support automation initiatives within our business office. This is a contract ... based on project needs and performance. As a Coding Specialist II, you will be responsible for reviewing inpatient...(≥95% accuracy). + Perform charge entry and resolve coding-related denials . + Support data collection and analysis for training… more
- Trinity Health (Livonia, MI)
- …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. Page 3 3 . Three ( ... or other indicators that could impact quality data and hospital reimbursement. 3 . Codes Inpatient health records utilizing encoder software and consistently uses… more
- HonorHealth (AZ)
- …care organization, community services and more. With nearly 17,000 team members, 3 ,700 affiliated providers and close to 2,000 volunteers dedicated to providing high ... Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the… more
- Ventura County (Ventura, CA)
- …strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification combined with extensive supervisory experience overseeing other ... Incumbents may be eligible for educational incentive of 2.5%, 3 .5%, or 5% based on completion of an Associate's,...(1) Regular vacancy that may be considered for a hybrid/ remote work option. TENTATIVE SCHEDULE OPENING DATE: 4/4/25 CLOSING… more