- Sanford Health (SD)
- …$21.50 - $34.50 **Department Details** Remote position **Job Summary** Facilitates the denial and appeal process through exercising clinical expertise and ... clinical by reviewing medical records for medical necessity and policy requirements. Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as… 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 ... as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a difference in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital Billing will be ... of senior level Accounts Receivable tasks. The Senior Specialist will be responsible for the...System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues . Investigate and resolve… 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 ... risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position will collaborate with physicians,… 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 ... timely reimbursement. + Prepare and submit formal reconsideration requests and appeal letters to payors when required, following payer-specific guidelines and… more