- Clever Care Health Plan (Huntington Beach, CA)
- …the supervision of the Vice President of Operations, the Credentialing Specialist supports all credentialing operations, including direct monitoring of the delegated ... CMS, NCQA, and internal quality standards. In addition, the Credentialing Specialist will conduct Facility Site Reviews (FSRs), manage credentialing committee… more
- Aftermath Billing (Port Saint Lucie, FL)
- …health of our clients by working to resolve billing issues, processing denials , and facilitating collections in compliance with all applicable regulations. Key ... companies to ensure timely payment. Investigate and resolve claim denials or payment discrepancies. Maintain accurate documentation of collection activities… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials … more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... requirements pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance… 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
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - Friday ... 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up… more
- TEKsystems (Denver, CO)
- Job Description + Denials Specialist is responsible for correction of all denied claims. + Does not bill on CPT Codes - they charge a flat rate per use, so most ... and analytical skills - this is not a basic denials job! + Go to various portals (Athena -...denied + Go internal and find the revenue cycle specialist that works with THAT payer to get the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement ... improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working… 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
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- Syracuse Community Health Center (Syracuse, NY)
- POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health ... healthcare billing, coding, and insurance policies to identify root causes of denials , appeal incorrect decisions, and implement strategies to minimize future … more
- 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 ... peace of mind. You'll collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where your… more
- University of Michigan (Ann Arbor, MI)
- Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials Prevention & Appeals Specialist role is entirely remote. ... The Clinical Denials Prevention & Appeals Specialist plays a critical role in optimizing the revenue...for Clinical Documentation Integrity (CDI) & Coding, the Clinical Denials Prevention & Appeals Specialist collaborates with… 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 ... in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your potential! **Job… more
- Nuvance Health (Danbury, CT)
- …delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ... and trending all appeals and communicating on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team with… more
- State of Colorado (Denver, CO)
- …The capacity to identify and resolve issues related to benefit applications, claims, and denials . The specialist must be able to advocate on behalf of clients, ... Benefits Specialist - Administrator II MHTLH Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5097180) Apply Benefits Specialist -… more
- UPMC (Wexford, PA)
- …area of authorization related activities including pre-authorizations, notifications, edits, denials , etc.The Authorization Specialist shall demonstrate the ... UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The… more
- UPMC (Pittsburgh, PA)
- …area of authorization related activities including pre-authorizations, notifications, edits, denials , etc.The Authorization Specialist shall demonstrate the ... University of Pittsburgh Physicians is hiring an Authorization Specialist to help support Plastic Surgery. This position...claim filing and elimination of payor rejections and or denials . High School diploma or equivalent with 2 years… more
- Growth Ortho (Sioux Falls, SD)
- h1 data-start="108" data-end="187">Revenue Cycle Management Specialist - Payments, Denials , A/R (ASC Experience Required) Location: Flexible (Sioux Falls, SD ... surgery centers (ASCs), we'd love to hear from you. Position Overview The Revenue Cycle Specialist will play a key role in managing all aspects of the revenue cycle… more
- UPMC (Pittsburgh, PA)
- …the area of authorization related activities including pre-authorizations, notifications, edits, denials , etc. The Authorization Specialist shall demonstrate the ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building,...claim filing and elimination of payor rejections and or denials . + High School diploma or equivalent with 2… more
