- Hartford HealthCare (Farmington, CT)
- …or GED is required, Associates Degree preferred *_Experience:_* Minimum of two years billing, follow up and or denial follow up experience preferred _We ... meeting established requirements in an effort to facilitate payer follow up and support denial dispute 7. Complete Retro Authorization and Appeals to secure… more
- Beth Israel Lahey Health (Burlington, MA)
- …clear understanding of policies, workflows, and procedures. 14. Assist team members with denial or follow up questions prior to escalation to leadership 15. ... **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that...as warranted 9. Research and compile data for unresolved denial issues and escalates to a denial … more
- CDI (St. Louis Park, MN)
- …4:30pm, and is 100% remote. ESSENTIAL DUTIES AND RESPONSIBILITIES: (90%) Insurance Denial Follow -up * Accurately and efficiently reviews denied claim information ... outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states * Reviews and obtains appropriate information or… more
- Vanderbilt University Medical Center (Nashville, TN)
- …JOB SUMMARY Develops, analyzes, and conducts complex financial analyses to assess the viability of strategic and financial plans and programs, independently. ... Integrates financial principles, theories, and concepts to develop reports. Monitors results from program and project implementation. . KEY RESPONSIBILITIES * Develops projections to model the financial impact of programs and projects. Supports efforts of… more
- University of Utah Health (Salt Lake City, UT)
- …an in depth understanding of electronic data exchange interfaces, accounts receivable follow up, denial prevention and appeal resolution. This position has ... unit. Responsible for overseeing and leading the work of the Institutions Denial and Appeal Resolution team in accordance with State and Federal requirements.… more
- Alabama Oncology (Birmingham, AL)
- …documentation and submits to supervisor. + Processes insurance/patient correspondence, including denial follow -up within 48 hours of receipt. Files all ... at the Birmingham Business Office Summary: Under general supervision, an AR Account Follow -Up Specialist is responsible for account follow -up for all assigned… more
- Keystone Lab (Asheville, NC)
- … Denial Management team to maintain appropriate denial inventories, work special denial projects, follow up on no response claims, and refine denial ... collection, DSO, and bad debt goals. * Implements efficient and effective denial processes that result in improved reimbursement. * Development and implementation of… more
- Baptist Memorial (Memphis, TN)
- Summary Performs the daily functions of denial analysis, which includes database management, follow -up, administrative support, and customer service to achieve ... improved mitigation of denials, reduced denial rates and excellent customer service. Performs other duties...as assigned. Responsibilities + Creates and performs analysis of denial and financial data. + Demonstrates an ability to… more
- Rush University Medical Center (Chicago, IL)
- …denial trending, and other financial metrics requested by management. * Review daily denial and follow -up workqueues for trends and at risk accounts, submit ... activities within the department. * Report on and analyze denial information, identify denial trends; make recommendations on changes to workflows to reduce… more
- UNC Health Care (Smithfield, NC)
- …the provider or clinic Patient Financial counselor as needed. 5. Complete timely denial follow up for infusion and radiation therapy authorization and medical ... necessity denials. Complete accurate and timely documentation, follow -up, and appeals per payor guidelines. Follow denied accounts to resolution. Maintain work… more
- University of Washington (Seattle, WA)
- …resolving outstanding claims quickly and maximizing appropriate revenue. + Accurately decipher denial reason and decides follow -up steps utilizing the Epic ... Practice Plane Services (FPPS) has an outstanding opportunity for an **Insurance Follow -Up Coding Denials Specialist.** **WORK SCHEDULE** + 40 hours per week +… more
- Apicha Community Health Center (New York, NY)
- …- claim and statement processing, corrective coding, payment posting, accounts receivable/ denial follow - up. Prepare, review, transmit 827P/837I and process ... primary and secondary claims for Institutional (UB04), Professional (HCFA) billing and Dental (ADA) as well as printing paper claims for timely submission. Monitor, research and resolve unpaid, rejected and denied claims. Initiate and answer correspondence for… more
- Health Advocates Network (Folsom, CA)
- …of two (2) years of Professional Billing with an emphasis on Managed Care denial follow -up and appeals processing - prior hospital billing experience is a ... plus. + 3-5 years of Patient Accounting in a high-volume environment preferred. + Knowledge of CPT, HCPC, and ICD 10 coding requirements with emphasis on modifiers and diagnosis association. + Certified coder or currently enrolled in a coding program + Working… more
- Catholic Health Initiatives (Little Rock, AR)
- …in the Clinic Billing Department which may include payment posting or insurance denial follow -up. Assisting patients on the phone with billing questions, ... reviewing credit balances and refund requests, correcting claims, rebilling claims, and charge entry. + Posting insurance or patient payments, keying in denials, posting zero insurance payments. + Searching for explanation of benefits from different payers,… more
- LifePoint Health (Gallatin, TN)
- …processes to include charge entry, claim submission, payment posting, refunds, adjustments, denial follow -up, AR management, and reporting. Drag Edit Delete ... Manages commercial insurance, private pay and industrial accounts. Drag Edit Delete Answers billing questions taking into consideration allowable and Medicare guidelines. Drag Edit Delete Completes payment posting and creates bank deposits tracking EFT's,… more
- Atrius Health (Chelmsford, MA)
- …medical billing departments including claim submission, payment posting, credit resolution, denial follow -up, underpayment analysis and patient estimates for ... healthcare visits. Establishes and maintains systems to ensure that the department meets company financial and operational objectives. Provides training and support to staff regarding systems, processes, procedures and customer-service standards. The position… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Denial Coding Review Specialist you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a(an) Denial Coding Review Specialist where your passion for creating...years of related experience preferred, such as accounts receivable follow -up, insurance follow -up and appeals, insurance posting,… more
- UNC Health Care (Smithfield, NC)
- …to 5:00pm** **EPIC and surgery authorization knowledge highly preferred** Summary: The Denial Specialist is responsible in the timely and appropriate validation and ... follow up of denied claims. They thoroughly investigate denied...address them by assigning the appropriate resources with the denial management process. Responsibilities: 1. Analyzes denials and appeals… more
- Hartford HealthCare (Farmington, CT)
- …Revenue Cycle including financial clearance, benefit verification, utilization management, billing/ follow -up, denial management and compliance. This includes ... initiatives. Liaisons with HHC Revenue Cycle Division to develop strategies for denial prevention, reviews denial trends with operational leaders, reviews… more
- WMCHealth (Warwick, NY)
- …staff, payer representatives, vendors, and other departments to resolve outstanding billing, follow -up, and denial and appeal issues. + Displays commitment to ... daily basis. + Monitors and tracks external vendors responsible for billing, follow -up and denial process, and ensures they are following the BSHSI guidelines. +… more