- Trinity Health (Farmington Hills, MI)
- …Payment Resolution with communication and follow-up processes related to rejections, denials and appeals , ensuring that such activities are tracked, ... or other clinical reasons. Must possess in-depth familiarity with third party billing requirements and regulations, and writing appeals . Must be comfortable… more
- Beth Israel Lahey Health (Charlestown, MA)
- …We have a great career ladder trajectory and internal opportunities with positions such as Denials Specialist II, Revenue Billing Specialist and Revenue ... 40 **Work Shift:** Day (United States of America) **The Denials Specialist role is eligible for a...denials with a focus on reviewing and interpreting denials and facilitating first and second level appeals… more
- Trinity Health (Farmington Hills, MI)
- …activities as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and ... Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment… more
- Randstad US (Dallas, TX)
- medical appeals and denials specialist . + dallas...EHR/Epic + Medical Billing + ICD-10 + Medical Billing - Denials + Claims Processing + HIPAA ... Modifiers .Knowledge of Payor filing and appeal deadlines. .Ability to research denials .Ability to compose and file appeals /reconsiderations .Managed care,… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials / appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for ... regarding patient accounts. * Refers rebill requests to the billing department timely. * Maintains tickler file of accounts,...Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing… 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 ... coding staff; and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a… 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 ... medical necessity and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental,... and rejections. + Assists in preparing reports regarding denials to include volumes, number of appeals ,… more
- Insight Global (Nashville, TN)
- Job Description Job Purpose: The Denials Specialist generates revenue by monitoring and pursuing payment on all unpaid and delinquent denied claims; serving as a ... timely claim submission and payment Work average of 30-50 denials per day based on supervisor requirements and accounts...importance and relationship to patient care Initiate and complete appeals for disputed / denied claims. Works / Understands… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Supervisor of Denials -PFS is responsible for reviewing all denial material and ensuring accurate second ... level appeals are filed for denied claims. **Required Qualifications** +...regulations of affiliated payors through coordination with Contract Reimbursement Specialist .Centralizing and reviewing all denial material (correspondence, EOBs, zero… more
- Universal Health Services (Bonham, TX)
- …is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare relevant ... payers in compliance with Managed Care contracts and government fee schedules. The Appeals Specialist will obtain, manipulate, and analyze data from a variety… more
- St. Luke's University Health Network (Allentown, PA)
- …clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes ... coding errors and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal. Claim corrections will be made after review… more
- Providence (Irvine, CA)
- …in a physician office, acute hospital, or medical collections. + 3 years Billing collections, or denials management experience and medical terminology. + 3 ... **Description** **Claims Appeals Representative \*Remote * Candidates in AK, WA,...TX are encouraged to apply.** The Appeal and Grievance Specialist position is responsible for day-to-day review, coordination and… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims, aged claims and ... accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge...Independently works on the resolution of complex claims issues, denials and appeals . 16. Completes projects and… more
- Beth Israel Lahey Health (Danvers, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims, aged claims and ... accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge...Independently works on the resolution of complex claims issues, denials and appeals . 16. Completes projects and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …of America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third ... overpayments, credits and undistributed balances. Works directly with the Billing Supervisor to resolve complex issues and denials... Supervisor with the resolution of complex claims issues, denials , appeals and credits. 17. Works with… more
- Beth Israel Lahey Health (Charlestown, MA)
- …of America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third ... overpayments, credits and undistributed balances. Works directly with the Billing Supervisor to resolve complex issues and denials... Supervisor with the resolution of complex claims issues, denials , appeals and credits. 17) Works with… more
- Beth Israel Lahey Health (Burlington, MA)
- …Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. ... Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in order to… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- …and timely resolution of coding-related claim edits and appeals . * Runs billing , Accounts Receivable, denials , and any other Revenue Cycle reports as ... by payers. * Responsible for working pre-payer rejections and denials and ensuring billing deadlines are not...to ensure timely resolution. * Communicates effectively with the Billing Specialist II and III and Compliance… more
- Beth Israel Lahey Health (Burlington, MA)
- …optimize revenue flow and prevent denials downstream for assigned areas. The Billing Specialist will also work enrollment related issues and serve as the ... Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment &...Independently works on the resolution of complex claims issues, denials and appeals . 15. Completes projects and… more
- Children's Evaluation & Therapy Center (Lanham, MD)
- Billing Specialist (Full-time, part-time) CETC is seeking a billing specialist to provide medical billing services such as the processing, ... up on any denials or rejections within timely filing. . Initiate appeals , corrects claim submissions, and submit medical records in response to payer requests… more