- Maury Regional Health (Columbia, TN)
- Title:Collections Specialist - Denials - Patient Accounts Location:MRMC ANNEX Position Shift:Full-Time Position Summary:The Collection Specialist is ... package and complementary parking on campus At Maury Regional Health, we prioritize clinical excellence and compassionate care in all that we do as evidenced by:… more
- Blanchard Valley Health System (Findlay, OH)
- …Acts as a liaison between all departments and provides education to clinical staff, corporate compliance, physicians and other personnel regarding payer changes and ... Collections Managers & Supervisors, Patient Financial Services Educator & Compliance Specialist , Patient Financial Services Director and Revenue Cycle Director on… more
- Option Care Health (Austin, TX)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.Ensures compliance with policies and guidelines… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …providers for the past 13 years in a row. The AR Specialist will provide continual and accurate documentation regarding eligibility, authorization, and other ... insurance coverage information for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and providing online… more
- Accounting Now (Pinellas Park, FL)
- …in St Petersburg, Florida:Medical Collector The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of ... and/or paper claims, monitoring claim status, researching rejections and denials , documenting related account activities, posting adjustments and collections of… more
- Northeast Georgia Health System, Inc (GA)
- …questions from other departments and for assisting in reviewing and responding to denials . May be called upon to represent coding in meetings. Minimum Job ... QualificationsLicensure or other certifications: Certified Coding Specialist (CCS)Educational Requirements: High School Diploma or GED. Must pass an advanced coder… more
- Trinity Health (Farmington Hills, MI)
- …Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity ... location responsible for identifying and determining root causes of clinical denials . Responsible for leveraging clinical...and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to… more
- Trinity Health (Farmington Hills, MI)
- …Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves payment… more
- Trinity Health (Farmington Hills, MI)
- …Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of a ... relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new systems and processes are created.… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials /appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for A/R, ... on accounts. Including but, not limited to Managed Care, Reimbursement, Clinical , Admissions, Facility Business Office Manager, Coding, Case Management, HIM and… more
- SSM Health (MO)
- …**Job Highlights:** We are seeking a highly skilled and detail-oriented Coder for Hospital Denials to join our team at SSM Health. You will be responsible for ... reviewing medical records and accurately coding diagnoses and procedures for hospital denials . This role requires strong analytical skills, attention to detail, and… more
- St. Luke's University Health Network (Allentown, PA)
- …clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes ... coding errors and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal. Claim corrections will be made after review… more
- Texas Health Resources (Arlington, TX)
- …Professional Coder Upon Hire **REQUIRED** or CCS-P - Certified Coding Specialist - Physician-based Upon Hire **REQUIRED** and Other Specialty certification such ... Hire Preferred **Required Skills** . Advanced knowledge of procedural and clinical diagnosis coding pertaining to professional billing. . Knowledge of third-party… more
- Rush Copley Medical Center (Aurora, IL)
- **Position Summary** : The Appeals Specialist RN reviews inpatient hospital denials , clinical validation requests, and upheld denials after ... coders, insurance companies and revenue cycle leadership to prevent future clinical denials by communicating denial root causes and help develop education and… more
- Alameda Health System (San Leandro, CA)
- …made to discontinue the process; assumes the responsibility for coordinating and appealing clinical denials per department policy; develops any appeal letters to ... Care Management Clinical Appeals Specialist + San Leandro,...Management team when cases do not meet criteria; coordinates denials with the attending physician and the Care Management… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit ... across the Home Health enterprise for all payor types striving to improve clinical documentation and minimize lost revenue. Conducts analysis on timely submission of… more
- Tufts Medicine (Burlington, MA)
- …can't wait to grow alongside you. **Job Profile Summary** The role of the Clinical Documentation Integrity (CDI) Specialist III is responsible for concurrent and ... of the medical record to improve overall quality and completeness of clinical documentation. The CDS III facilitates and obtains appropriate modifications to … more
- Albany Medical Center (Albany, NY)
- …contract and works diligently toward the identification, mitigation, and prevention of clinical denials . In addition to contacting payers and providers via ... America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre-Authorization Specialist will assist the Patient...ensure accuracy by Payer and Product line. + Reviews clinical denials including those related to pre-authorizations;… more
- WellSpan Health (Lebanon, PA)
- Clinical Documentation Integrity Specialist II - Day Location: WellSpan Health, Lebanon, PA Schedule: Full Time Sign-On Bonus Eligible Remote/Hybrid Regular ... supports new hires during and after the orientation period. + Educates Clinical Documentation Specialist (CDS) staff regarding opportunities for diagnosis… more
- MD Anderson Cancer Center (Houston, TX)
- **Summary** Analyzes medical records and abstracts clinical data by assigning codes from patient records in accordance to coding classification systems. Reviews ... data. **Key Functions** 1. Analyzes medical records to abstract clinical data by assigning codes from patient records in...9. Resolves claim and billing edits as well as denials by performing second review of medical record documentation… more
