- Option Care Health (Dublin, OH)
- …the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing).Assist Patient Registration Supervisor ... a diverse workforce. Job Description Summary:Hiring Range From $18+The Specialist , Patient Registration is responsible for facilitating new patient's transition… more
- Accounting Now (Tampa, FL)
- …Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and...responds to a wide variety of issues/concerns. The Denials Specialist works independently to plan, schedule and organize activities… more
- Medline Industries, Inc. (Southaven, MS)
- …during business hours, across all time zones. MAJOR RESPONSIBILITIES The Field Inventory Specialist is responsible for approval and denial of shipments in order ... Industries has an immediate opening for a Field Inventory Specialist in the Orthopedics product division! This position will...Analyze and present loaner inventory utilization data to sales management and division management as well as… more
- University Medical Center of El Paso (El Paso, TX)
- Job Description: The Denials and Appeals Specialist follows up on denied claims from commercial and contracted payers. Performs timely and appropriate validation and ... obtain needed documentation, present opportunities. Maintains appeal process from the denial stage through final denial or overturned appeal. Required… more
- Blanchard Valley Health System (Findlay, OH)
- …all insurance payments and denials. Duty 11: Manages the Patient Financial Services Denial management program to include benchmarking, targets and reporting for ... Collections Managers & Supervisors, Patient Financial Services Educator & Compliance Specialist , Patient Financial Services Director and Revenue Cycle Director on… more
- Virtua Health (Marlton, NJ)
- …comparative analysis of CDI Specialist and HIM APR-DRG severity level assignment and denial management .* The CDI Specialist is the primary source to ... When symptoms in the medical record require further documentation, the CDI Specialist queries the physician for a specific diagnosis/procedure for more accurate DRG… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Denial Coding Review Specialist like you to...or AAPC preferred " Parallon provides full-service revenue cycle management , or total patient account resolution, for HCA Healthcare.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital denied accounts ... equivalent. Bachelor's degree preferred. 2-3 years' experience in a hospital billing/coding, Denial Management environment related field. Must have experience in… more
- Baptist Memorial (Memphis, TN)
- …organizational skills. Experience Preferred: Five years clinical experience and 3-5 years case management or denial management experience. Minimum: RN, 5 ... education + Employee referral program Job Summary: Position: 3484 - Specialist - Denial II RN Facility: BMHCC Corporate Office Department: HS Denial… more
- Northern Light Health (Brewer, ME)
- …to productivity and quality. This position works closely with a team of Denial Resolution Specialists to analyze and take corrective action on payer denials to ... problem solving with peers and leaders to address payer denial and processing issues or changes that directly impact...and clinical departments as required by payer. + Advises management of payer processing issues which may require attention… more
- Beth Israel Lahey Health (Burlington, MA)
- …in A/R and ensures that they are maintained at the levels expected by management . Analyzes work queues and other system reports and identifies denial /non-payment ... order to identify paid claims or root cause of denial when assessing physician inpatient denials. 3. Responds to...in a timely fashion. 5. Observes irregularities in the cash/ denial posting process and reports them immediately to the… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in A/R and ensures that they are maintained at the levels expected by management . Analyzes work queues and other system reports and identifies denial /non-payment ... order to identify paid claims or root cause of denial when assessing physician inpatient denials. 3) Responds to...in a timely fashion. 5) Observes irregularities in the cash/ denial posting process and reports them immediately to the… more
- HCA Healthcare (Brentwood, TN)
- …to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has committed up to ... are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our...and process or appeal as appropriate + Compose technical denial arguments for reconsideration, including both written and telephonically… more
- St. Luke's Health System (Boise, ID)
- …a great place to work. **What you can expect from this role:** The Coding Denial Specialist is responsible for providing support in the function areas of Revenue ... RHIT (Registered Health Information Technician), or any American Health Information Management Association (AHIMA) coding credential, or any American Academy of… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts ... analyst for further review as well as upper management . 10. Initiates denial write off when...needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior… more
- CDI (St. Louis Park, MN)
- …Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining ... Come join us and shine brighter together! As an Insurance Denials Specialist II, you'll review and investigate open diagnostic imaging accounts receivables; and… more
- Trinity Health (Farmington Hills, MI)
- …Vision, and Values in behaviors, practices, and decisions. Coordinates denial management processes (Clinical and Administrative/Technical accounts, focusing ... to Ministry departments + Supports the maintenance of a denial management data base, standard report sets,...and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to… more
- Houston Methodist (Houston, TX)
- …is responsible for coordinating and monitoring the coding specific clinical charges and denial management and appeals process in a collaborative environment with ... feasibility of submitting appeals. + Works with revenue cycle management and staff to ensure claim edit/ denial ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Universal Health Services (Tredyffrin, PA)
- …Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... must be within commuting distance to the Wayne, PA headquarters. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically… more
