- Aftermath Billing (Port Saint Lucie, FL)
- …experience in behavioral health medical billing or collections. Strong knowledge of insurance processes, EOBs, and denial management. Familiarity with CPT/ICD-10 ... for managing accounts receivable for behavioral health claims, including follow-up with insurance payers and patients. This role plays a vital part in ensuring… more
- PharmaCord (Cincinnati, OH)
- …This includes completing benefit investigations, tracking prior authorizations / denial appeals, and assisting patients or other callers/stakeholders through ... reimbursement processes. The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients,… more
- Guthrie (Sayre, PA)
- …correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work ... individual payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross… 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 ... across all Hartford HealthCare hospitals, medical group and homecare. Accounts Receivable & Denial Specialist II is responsible for the following when a claim… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/ insurance verification activities to improve denial rates and enhance revenue. In-service ... - Develops with Clinic Operations corrective action plans to improve insurance identification and reporting. - Coordinates with Patient Financial Services (PFS)… 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 ... Exchanges private healthcare information with other facilities, such as insurance companies and pharmacies, according to regulations. Demonstrates experience working… 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
- 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
- Fairview Health Services (St. Paul, MN)
- … reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report… more
- Spectrum Billing Solutions (Skokie, IL)
- …company for healthcare organizations. We are looking to add a passionate and skilled Insurance AR Collections Specialist to our growing team. The ideal candidate ... Competitive salary + Healthcare benefits including medical, dental & vision + Flexible PTO Insurance AR Collections Specialist | A/R Collections Specialist |… more
- Robert Half Accountemps (St. Louis, MO)
- …Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in ... focusing on prompt reimbursement. Skillfully handle the collection of insurance claims, ensuring accuracy and completeness. Execute comprehensive claims processing,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Insurance Specialist MSH PT Days 4/Days Week (Days Vary) 8a-1p with Every Weekend** To maintain front end operations of the Case Management ... + Demonstrates the ability to perform clinical/technical/service/administrative tasks: + Prioritizes Insurance Requests / Denials when received in the department as… more
- Community Health Systems (Fort Smith, AR)
- **_Job Summary_** _The Remote Insurance Reimbursement Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure accuracy, ... payer guidelines while maintaining productivity and accuracy standards._ _As a Remote Insurance Reimbursement Specialist at Community Health Systems (CHS) -… 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 information ... into electronic tracking system including the following: Process payer denial correspondence mail, end of day reports and fax,...relevant info available to PFS for billing purposes. Contact insurance companies and set up peer to peer telephone… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing...and patterns that need to be addressed. Serves on Denial Task Force(s) and assists in developing action plans… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Health Insurance Recovery Specialist ** **Job Class: Human Services Program Specialist 2** **Agency: Human Services Dept** + **Job ID** : ... cases where a third party such as medical/dental/vision/pharmacy/long term care insurance exists. The position administers the Third Party Liability (TPL) program,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …or documentation needed. Will manage the denial process and works the insurance denial work queue, providing additional information to payors in order to ... Job Summary: The Outpatient Administrative Specialist will obtain routine and non-routine insurance...attempt to reverse the denial . Communicates with providers and patients about … more
- Banc of California (Santa Ana, CA)
- …employee resource groups, and more. TOGETHER WE WIN(R) **THE OPPORTUNITY** The Flood and Insurance Specialist will play a pivotal role in managing and overseeing ... aspects of our flood and/or insurance operations. This position requires extensive knowledge of flood...color, religious creed (including religious dress and grooming practices), denial of Family and Medical Care Leave, disability (mental… more
- Access: Supports For Living (Middletown, NY)
- …the organization, including working with appropriate programs, front desk staff, remit, denial management and insurance verifications areas to aid in the ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Jul...creation, submission, and uploading of claims with providers and insurance companies, including but not limited to daily procedure… more
- Beth Israel Lahey Health (Burlington, MA)
- …by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2. Responds to ... incoming insurance /office calls with professionalism and helps to resolve callers'...in a timely fashion. 5. Observes irregularities in the cash/ denial posting process and reports them immediately to the… more
