- 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 ... trust patients place in our care. Primary Department, Division, or Unit: Denials Recovery , UHS Revenue Cycle Operations Primary Work Shift: Day Regular Scheduled… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing… 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 payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- HCA Healthcare (Brentwood, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your… more
- Queen's Health System (Honolulu, HI)
- …audits, creating reports and implementing process changes, to minimize and/or prevent denials . * Follows up on insurance claims with outstanding balances; leads ... zero balance analysis. Creates, reviews and distributes accounts receivable reports on denials , audits, payment trends, and AR status. * Meets with department staff… more
- Avera (Sioux Falls, SD)
- …Overview** Responsible for researching, analyzing and validating accounts to resolve denials , inappropriate payment and non payment of claims. The Specialist ... will identify, review and interpret third party payments, adjustments, denials , and facilitate appeals. Responsible for taking the appropriate action needed to… more
- Louisiana Department of State Civil Service (Alexandria, LA)
- MEDICAL CERTICATION SPECIALIST 1 OR 2 - WAIVERS Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5087385) Apply MEDICAL CERTICATION ... SPECIALIST 1 OR 2 - WAIVERS Salary $5,119.00 -...+ Philosophy: to integrate community-based services while promoting wellness, recovery , and independence through education and choice of a… more
- Movn Health (CA)
- …Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery ... a self-starter with a proven track record in A/R recovery , claim appeals, and payer follow-ups. Experience in startup...24 hours of service + Review and process claim denials and rejections, executing timely appeals and follow-up strategies… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the ... payment issues, and monitor overdue accounts, Identify and analyze denials and payment variances and takes action to resolve...drafting and submitting technical appeals. In addition, the AR specialist is the subject matter expert for all billing… more
- Select Medical (West Orange, NJ)
- …- West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** **Full-Time** **Onsite ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more
- Henry Ford Health System (Troy, MI)
- …(HFHS) transaction flow processes, including effective design of the insurance recovery and patient pay workflows, research and identification of root causes ... resulting in edits and denials , development of error prevention initiatives, and coordination with...One (1) year of experience with resolving insurance payer denials . + Experience with both technical (UB) and professional… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for ... for clients receiving substance use disorder (SUD) treatment at Britelife Recovery . This role ensures timely approvals and continued stay authorizations from… more
- Helio Health Inc. (Binghamton, NY)
- Overview Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare ... issues. The Patient Access Specialist (PAS)meets with patients entering our programs to collect...follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid… more
- Henry Ford Health System (Troy, MI)
- …ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible ... party requirements. Additional Information + Organization: Corporate Services + Department: CBO Insurance Recovery - HB + Shift: Day Job + Union Code: Not Applicable… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …the accuracy of the facility database as well as all cost recovery programs. Develops and conducts seminars, workshops, short courses, informational briefings, and ... efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to...on documentation, coding rules and reimbursement issues. The documentation specialist is a member of the healthcare team, and… more
- Baylor Scott & White Health (Dallas, TX)
- …Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their authority. The ... prompt, efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using discretion and independent judgment on… more
- Mohawk Valley Health System (Utica, NY)
- …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors (RAC's). + Assist with mitigating barriers to discharge… more