- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts ... unresolved denial issues and escalates to a denial analyst for further review as well...needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior… 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 ... initiate corrected claims and appeals. Duties include hands on coding , documentation review and other coding...experience in billing, coding , denial management environment related field. Skills,… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- SUMMARY: We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for ... and Coder, your daily duties will include entering and coding patient services and charges into our EMR system...all procedures. Follow Up on accepted or denied claims. Review denied claims for denial reasons and… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... submission and timely review and resolution of coding related claim...for single or low volume errors. Report high volume coding denial trends to the coordinator +… more
- UT Health (Houston, TX)
- …as assigned. **Certification/Skills:** 1. Certified Professional Coder (CPC) or Certified Coding Specialist Physician-based (CCS-P). 2. Effective analytical and ... Remote Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical...Attends meetings. Manages EPIC PB Edits and Requests for denial appeals. Reports review results to the… more
- Rush University Medical Center (Chicago, IL)
- …* Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist - Physician Based (CCS-P) * Registered Health Information ... and focused educational programs on the results of auditing, review claim denials pertaining to coding , and... education and documentation adequacy. 9. Assists with claim denial reports to ensure optimal reimbursement 10. Analyzes billing… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review . Serve as a resource to Payment Resolution ... The position will report directly to the Supervisor Clinical / Coding Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review . Serve as a technical resource and subject ... causes of clinical denials. Participates in payer meetings and supports the review and resolution of claim escalations. Responsible for leveraging clinical and broad… more
- Catholic Health Services (Smithtown, NY)
- …named Long Island's Top Workplace! Job Details The Clinical Documentation Improvement Specialist is responsible for improving the overall quality and completeness of ... and risk of mortality through extensive interaction with physicians, coding and other health care professionals; serves as a...order to avoid missing data. Knowledge of current insurance denial trends and CDI's role in denial … more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites… more
- Virtua Health (Marlton, NJ)
- …analysis of CDI Specialist and HIM APR-DRG severity level assignment and denial management.* The CDI Specialist is the primary source to verify diagnoses ... and analyzes medical records concurrently for proper documentation. This review includes new admissions to the facility, as well...in the medical record for proper DRG coding . When symptoms in the medical record require further… more
- Abbott (Plano, TX)
- …114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist , Patient Therapy Access Team** **Position Location: 6600 Pinecrest Drive Plano, ... TX** currently has an opportunity for a **Sr. Appeals Specialist ** . This role is responsible for facilitating and...levels of appeal in the event of initial coverage denial . Manage complex appeals cases for assigned region including… more
- Beth Israel Lahey Health (Burlington, MA)
- …and billing. The Billing Specialist will be responsible for charge and claim review to ensure correct information is on file for charge to post and bill ... **Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …their life. Under the supervision of Revenue Cycles Manager, the Accounts Receivable Specialist is responsible for filing insurance claims, denial management and ... adjudication according to LBJI contracts. Essential Functions: + Review accounts receivable reports daily. + Manage patient account(s) to ensure accurate and timely… more
- Palmer College of Chiropractic (Davenport, IA)
- …primarily follows the claim process from origin to completion ensuring proper coding procedures. He/She will be responsible for accounts receivable goals, by ... and/or training required. Preferred experience specific to Chiropractic billing and coding . Experience in healthcare billing field to include, knowledge and… more
- Guthrie (Towanda, 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 Specialists I...CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 years… more
- New York State Civil Service (Albany, NY)
- …stakeholders. The HSS2 will utilize national standards for procedure and diagnosis coding , review appropriate combinations of medical services, and identify ... HELP Yes Agency Health, Department of Title Health Systems Specialist 2 (PT) (HELP) - 23628 Occupational Category Health...facility or program, or utilizing clinical knowledge in the review or oversight of clinical services for reimbursement or… more
- Fairview Health Services (St. Paul, MN)
- …possibility of approval. If an insurance request is rejected/denied, they facilitate denial mitigation steps and effectively communicate what is needed to care ... patients/guarantors. **Responsibilities Job Description** _Job Description_ **Job Expectations:** + Review medical chart/history and physician order(s) to determine likely… more
- Universal Health Services (Las Vegas, NV)
- …payer EOB to determine appropriate follow up based on internal procedures. Utilize Cobius to review and track the life of a denial . Checks claim status via ... to join our team. Job Description: The Patient Accounts Specialist /Collections is responsible for the follow up and resolution...issues in an attempt to resolve. + Works through coding or billing issues by working EOB's to correct… more
- Alabama Oncology (Birmingham, AL)
- …accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate ... Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving… more