- Trinity Health (Farmington Hills, MI)
- …of a Patient Business Services (PBS) center. Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying ... best practices. This position reports directly to the Supervisor Clinical/ Coding Payment Resolution . **ESSENTIAL FUNCTIONS**...draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further… more
- Trinity Health (Farmington Hills, MI)
- …practices. The position will report directly to the Supervisor Clinical / Coding Payment Resolution . **ESSENTIAL FUNCTIONS** Knows, understands, ... in the most timely manner possible: + Supports Supervisor Clinical/ Coding Payment Resolution with communication...draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further… more
- Trinity Health (Farmington Hills, MI)
- …for further review. Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. ... PURPOSE** Work Remote Position (Pay Range: $18. 4663-$27.6994) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... lives.** Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in… more
- HCA Healthcare (Nashville, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Coding Quality Review DRG Specialist opening with Work from Home today ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Coding Quality Review DRG Specialist for our team to ensure that… more
- Lamar University (Beaumont, TX)
- Position Information Posting Number 20112727 Position Title Payment Specialist , Travel FTE 1.00 Position Type Staff Department Procurement & Payment Services ... Position Summary Information Job Summary/Basic Function About This Role: The Payment Specialist (Travel) is responsible for all activities related to the … more
- The Mount Sinai Health System (New York, NY)
- …proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the ... The Procedural Billing Specialist I is responsible for multiple components of...responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable, Charge… more
- Highmark Health (Jefferson City, MO)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective payment system and Coding Clinic references. Current working knowledge of… more
- Vanderbilt University Medical Center (Nashville, TN)
- …maintaining an ongoing training plan related to clinical documentation and coding improvement. Develops and delivers educational programs and presentations. Serves ... as a resource for coding requirements and updates. Facilitates strategies for monitoring third-party...the following staff: + Inpatient Coders + Clinical Documentation Specialist (CDS) + Auditors + Providers The Lead IP… more
- UPMC (Harrisburg, PA)
- …and diplomatic manner required. **Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR ... This CDI Coding Lead is a hybrid opportunity that oversees...Investigate staff issues and provide feedback as appropriate on resolution . + Provide education related sessions on CDI requirements… more
- MaineGeneral Health (Waterville, ME)
- …Come be with us. Job Description: Join Our Team as an Accounts Receivable Resolution Specialist The Opportunity: This role presents an exciting opportunity to ... ensuring the correct diagnosis and procedure codes are used. + Claim Resolution : Review and address claim rejections, denials, and appeals, taking necessary actions… more
- Houston Methodist (Katy, TX)
- … payment or adjudication, and correctly identifies any patient liability (ie, contractual/ payment review, etc.) and ensures accurate resolution of account to ... 701 S Fry Rd 77450 (Katy)** At Houston Methodist, the Accounts Receivable Specialist position is responsible for billing and follow up of insurance or institutional… more
- Cleveland Clinic (Cleveland, OH)
- …following certifications is required: Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) or Registered Health Information ... inequities in payment . + Collaborates with CCF contract management for resolution of payment issues. + Conducts revenue-reporting analysis of costs… more
- University of Michigan (Ann Arbor, MI)
- Pre-Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... authorizations for services based on our level of care decisions, preliminary coding and payer requirements. The Precertification staff work closely with a variety… more
- State of Colorado (Denver, CO)
- Purchasing Specialist (hybrid) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4528962) Apply Purchasing Specialist (hybrid) Salary ... and Departmental pre-approvals, adherence to OIT processes, proper accounting coding and draft specifications and scopes-of-work. Activities may include identifying… more
- St. Luke's University Health Network (Allentown, PA)
- …to resolve the denial and/or resolution of the account. + Seeks resolution to problematic accounts and payment discrepancies with optimal goal of receiving ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...billing system to determine appropriate follow up for non- payment and delayed payment accounts, as well… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_PB_** **_AR Revenue Cycle Specialist III_** responsible for the collection of unpaid third-party claims and independent resolution of complex ... documentation. Communicates with payers to resolve issues and facilitate prompt payment of claims. Communicates with providers regarding appeals and medical policy… more
- HCA Healthcare (Nashville, TN)
- …and inclusion thrive? Submit your application for our Revenue Cycle Operations CQR Specialist opening with Parallon today and find out what it truly means to ... location._** We are seeking a Revenue Cycle Operations CQR Specialist for our team to ensure that we continue...accordance to the vendor contract agreement. Analyze audit including coding criteria and guidelines in clinical denials and insurance… more
- Community Clinic Inc. (Silver Spring, MD)
- …equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical services ... provided. The Claims Specialist will assure that services are promptly and accurately...of Commercial Indemnity guidelines in the processing, adjudication, and payment of claims. + Maintain current understanding and application… more
- MD Anderson Cancer Center (Houston, TX)
- …employees and the public. **Summary** The primary purpose of the PBS Specialist position is to follow-up on claims within regulatory guidelines. The PBS ... Specialist must ensure that all claims have a follow-up...websites and initiating calls in order to ensure prompt payment 2. Maintains payor claims escalation workbooks in an… more