- United Health Services (Binghamton, NY)
- Denials Recovery Specialist I, 33 Lewis Rd United Health Services is seeking a Denials Recovery Specialist I to join our Denials Recovery ... Under the direction of the Denial's Manager the Recoveries Specialist is Responsible for validating dispute/denied claims reasons as...duties will be focusing on claims denied and aged denials of 90+ from the original DOS. Responsibilities will… 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
- Trinity Health (Farmington Hills, MI)
- …Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves payment… 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
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare ... a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to...compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or… more
- HCA Healthcare (Nashville, TN)
- …you to be a part of our team. **Job Summary and Qualifications** As a Denials Coding Review Specialist , you will be responsible for applying correct coding ... that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has...it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. **What you will do in… more
- Conduent (Los Angeles, CA)
- …timely, maximum call time is achieved, and ensures quality results. Insurance-Collections Specialist will handle the collection/ recovery of medical claims with ... noticed and valued every day. **Job Description:** **Remote Insurance/Collections Specialist ** **Pay $17-22hr (Based on Experience)** The Insurance/Collections … more
- Banner Health (AZ)
- …leverage your abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing concurrent inpatient denials from the ... **Primary City/State:** Arizona, Arizona **Department Name:** Denial Recovery -Corp **Work Shift:** Day **Job Category:** Revenue Cycle Nursing careers are better at… more
- Performance Optimal Health (Stamford, CT)
- …of exercise, nutrition, recovery , and stress management. As a Medical Billing Specialist at Performance Optimal Health, you will play a crucial role in managing ... and submitting medical claims, following up on claims and denials , posting payments, and resolving billing issues. Additionally, you...other payers + Follow up on unpaid claims and denials , and appeal claims if necessary + Post payments… more
- Sharp HealthCare (San Diego, CA)
- …to determine whether patient is meeting skilled care criteria based on MCG Recovery Care Guidelines and Healthplan SNF guidelines. Performs data entry related to ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more
- TERROS, Inc. (Phoenix, AZ)
- …is pleased to share an exciting and rewarding opportunity for an Accounts Receivable Specialist Iw orking at our Central Avenue location in Phoenix, AZ . Reporting ... use treatment for the last 50 years. We help people live their lives in recovery and we save lives every day. Terros Health is a healthcare organization of caring… more
- Helio Health Inc. (Utica, 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
- Bon Secours Mercy Health (Youngstown, OH)
- …for clinical and operational excellence. Home Care The Accounts Receivable Specialist is responsible for implementation and coordination of fiscal transactions in ... and ensure timely reimbursement. Ability to identify with specific reason underpayments, denials , and cause of payment delay. Works with management to identify,… more
- Spokane County (Spokane, WA)
- …determination. + Consults with the Medical Director for any service authorization denials . + Determines financial eligibility which involves utilizing the State of ... youth must be designated as a Child Mental Health Specialist . + ICC's who make service authorization decisions for...care coordination. + Knowledge of person centered treatment and recovery models. + Knowledge of computer applications related to… more