- Stanford Health Care (Palo Alto, CA)
- …assignments, while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, ... **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue...II plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals… more
- Mom's Meals (Ankeny, IA)
- …+ Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials , and aging + Other tasks as assigned, including but ... Position SummaryThe Billing Specialist is responsible for performing specified financial tasks...work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims , patient… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials . Investigate coding issue. Audits. + Follow-up on rejected ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.… more
- Mom's Meals (Ankeny, IA)
- …+ Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials , and aging + Other tasks as assigned, including but ... to reconcile A/R payments + Validate accuracy of system posted A/R payments + Backup claims denial team as needed + Prepare and submit electronic claims , paper … more
- Cameo Dental Specialists (Lagrange, IL)
- Overview Revenue Cycle Specialist Cameo Dental Specialists We are seeking a detail-oriented and motivated Revenue Cycle Specialist to join our team. Under the ... direction of the Revenue Cycle Supervisor, the Revenue Cycle Specialist is responsible for a variety of revenue cycle functions, including charge entry, payment… more
- Aftermath Billing (Port Saint Lucie, FL)
- …Collector is responsible for managing accounts receivable for behavioral health claims , including follow-up with insurance payers and patients. This role plays ... health of our clients by working to resolve billing issues, processing denials , and facilitating collections in compliance with all applicable regulations. Key… more
- Centers for Independence (Milwaukee, WI)
- **Billing Specialist II** **Job Details** **Job Location** CFI Main Campus - Milwaukee, WI **Position Type** Full Time **Education Level** High School Diploma, HSED, ... Percentage** None **Job Category** Finance **Description** **Job Purpose** : The Billing Specialist II is responsible for all facets of billing and collections for… more
- US Physical Therapy (Twin Falls, ID)
- …departments. **Qualifications** + 1+ years of experience in medical billing, insurance claims , or revenue cycle management ( healthcare or physical therapy ... step in your career and impact your community. **Job Description** + Submit claims to payers electronically and monitor for timely receipt. Follow up on outstanding… more
- HCA Healthcare (Brentwood, TN)
- … colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of ... our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us...it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires… 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… 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...to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare … more
- Datavant (Hartford, CT)
- …professional, educational and life experiences to realize our bold vision for healthcare . The Specialist is responsible for identifying, analyzing, and resolving ... proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing,...certification preferred. + Minimum 3-5 years of experience in healthcare revenue cycle with focus on denials … 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 ... Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems,… 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...United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York's Southern Tier comprising four… more
- Rochester Regional Health (Rochester, NY)
- …Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, ... to insurance companies, following up on unpaid or denied claims , and ensuring timely reimbursement for healthcare ...critical part in the revenue cycle management of the healthcare organization by identifying trends in denials … more
- Catholic Health (Buffalo, NY)
- …based on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and ... documenting the appeals process for denied claims denied due to reasons including, but not limited...parties. This individual provides clinical oversight to the clinical denials team, ensuring payer contracts are being appropriately followed… more
- Robert Half Accountemps (Northbrook, IL)
- …* Proven experience in medical billing, claims , and collections within a healthcare environment. * Strong knowledge of medical denials and appeals processes. ... Description We are looking for an experienced Medical Billing/ Claims /Collections specialist to join our team...opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting.… more
- Hartford HealthCare (Farmington, CT)
- …& Denial Specialist II assures timely and accurate submission of claims on UB04 or HCFA1500 (bills), monitor responses from clearinghouse, review Electronic File ... And this is *your moment.* **Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accounts Receivable & Denial Specialist II *… more
- Molina Healthcare (MI)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...guidelines for appeals and denials . * Customer service experience. * Strong organizational and… more
- Molina Healthcare (Orem, UT)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
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