- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the ... DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information… 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 findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,...data, payer medical policies, etc.), determines the causes for denials of payment and partners with management … 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
- 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
- UTMB Health (Galveston, TX)
- Revenue Cycle QA Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # ... up and documentation quality assurance reviews to Patient Accounts and Senior Patient Account Representatives in the Hospital Billing Department. Incumbent will… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The ... Senior Billing Specialist is responsible for multiple...procedures. + May run and work missing charges, edits, denials list and process appeals. Posts denials … more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... receivable recovery. This is a hands-on, senior -level role focused on accelerating cash flow, reducing outstanding...24 hours of service + Review and process claim denials and rejections, executing timely appeals and follow-up strategies… more
- Independent Health (Buffalo, NY)
- …Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals ... that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical… more
- Sanford Health (SD)
- …and industry audit practices and requirements. Conduct review of clinical-based denials (ie Medical Necessity, Level of Care) within required timeframes utilizing ... maintaining progress of regularly scheduled work. Implements effective medical case management strategies. Adapts language, tone, structure, and level of detail to… more
- Ascension Health (Glendale, WI)
- …specific experience required. **Additional Preferences** **Billing, A/R Follow Up, Denials Management experience preferred.** Personal vehicle, valid driver's ... **Details** + **Department:** Revenue Cycle Mgmt + **Schedule:** Monday-Friday / 8 hours per day. Hours will vary between 7AM-7PM depending on clinic needs. +… more
- The Institute for Family Health (New Paltz, NY)
- REVENUE CYCLE SPECIALIST I Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full Time Education Level None Salary Range $19.00 - ... Shift Day Job Category Admin - Clerical Description SUMMARY: The Revenue Cycle Specialist I is cognizant of the philosophy, standards, objectives and policies of the… more
- Henry Ford Health System (Troy, MI)
- … senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical ... involving all appropriate personnel. Prepares reports and recommendations for management and coordinates implementation. The Revenue Integrity Specialist … more
- Tufts Medicine (Burlington, MA)
- …setting (ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management , utilization review, denials management , or progressive leadership ... improvement and participates in hospital meetings such as UR, Case Management , Quality, and meetings with Physician Advisors/Champions. **Job Description** **Minimum… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, ... on staff and providing thorough education and feedback, projects assigned by management , and special requests to review coding for external departments such as… more
- Ventura County (Ventura, CA)
- …need and certification of skill. DEPARTMENT/AGENCY: Health Care Agency - Administration Senior Program Administrator is a Management classification and is not ... Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding Supervisor… more
- Children's Mercy Kansas City (Kansas City, MO)
- …beyond the walls of our hospital. Overview The Director of Care Management responsible for providing leadership, strategic planning, and oversight of daily ... operations of the case management department which includes utilization management , care...and cost effectiveness + Contributes as a partner with Senior Leadership as healthcare subject matter expert. + Acts… more
- New York State Civil Service (Queens, NY)
- …State NY Zip Code 11432 Duties Description Under the direction of the Senior Workers' Compensation Claims Referee, the duties of the Workers' Compensation Claims ... medical issues, may require the examination of a claimant by an impartial specialist in accordance with law and Board rules; determines specialty in field of… more
- Mount Sinai Health System (New York, NY)
- …experience are highly desirable. ? Excellent interpersonal skills and experience working with senior management and other leaders, along with the ability to ... clinical care and medical billing and reimbursement. This position will report to the Senior Director CDM of the Mount Sinai Health System This role will serve as… more
- Catholic Health Initiatives (Lufkin, TX)
- …**_License / Certification:_** Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) ... with limited oversight and may require direction from supervisor or more senior co-workers on complex cases. Accurately abstracts information from the service… more
- Ascension Health (Wauwatosa, WI)
- …is 24 hours in-house at St. Joseph Hospital with full support staff and specialist backup. + **Practice Detail:** Join a Premier OB/GYN Practice with 7 experienced ... by our outstanding achievements in FY 2025: Utilized care management to break down barriers to obtain: + -50%...appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. + Participates in inpatient… more