- 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 ... outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may...PHYSICAL AND SENSORY REQUIREMENTS: Requires sitting for up to 4 hours per day, 2 hours at a time.… more
- Trinity Health (Farmington Hills, MI)
- …Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and ... location responsible for identifying and determining root causes of clinical denials . Responsible for leveraging clinical knowledge and standard procedures to track… more
- Trinity Health (Farmington Hills, MI)
- …Remote Position (Pay Range: $20.6822-$31.0233) Responsible for reviewing all post-billed denials (inclusive of coding-related denials ) for coding accuracy and ... a PBS location responsible for identifying and determining root causes of denials . Responsible for leveraging coding knowledge and standard procedures to track… more
- CDI (St. Louis Park, MN)
- …Center for Diagnostic Imaging and Insight Imaging, is looking for a Lead Insurance Denials Specialist to join our team. We are challenging the status quo ... Come join us and shine brighter together! As a Lead Insurance Denials Specialist , you will coordinate communications regarding billing information with… more
- Randstad US (Dallas, TX)
- medical appeals and denials specialist . + dallas , texas + posted february 2, 2024 **job details** summary + $20 - $20.93 per hour + temp to perm + high school + ... per hour shift: First work hours: 8 AM - 4 PM education: High School Responsibilities Will be responsible...Authorization work queues. The expected duties are to resolve denials received from payors to assist the departments with… 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** + 4 Years experience in hospital/clinic system, preferably business services. **Preferred… more
- Texas Health Resources (Arlington, TX)
- …**Work location:** Remote **Work hours:** Monday through Friday, generally 8:00 am to 4 :30 pm but some flexibility on hours **HIMS Coding Department Highlights:** . ... Outpatient Coder 12 Months **REQUIRED** or CCS - Certified Coding Specialist 12 Months **REQUIRED** **Skills** Proficient in software applications (Excel, Word,… more
- Hartford HealthCare (Farmington, CT)
- …and homecare to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 ... million in active inventory and $70 million in denials through account follow up, appeals and resubmission actions....resolution; documents all activity in accordance with standard work 4 . Respond to inquiries or follow up on issues… more
- Beth Israel Lahey Health (Charlestown, MA)
- …**Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims, aged claims and denied claims ... for complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial… more
- Beth Israel Lahey Health (Danvers, MA)
- …**Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims, aged claims and denied claims ... for complex specialties. This role identifies and works to resolve denials to uncover root cause and accurately appeal claims to ensure successful initial… more
- Beth Israel Lahey Health (Burlington, MA)
- …Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in order to ... Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects. **Job Description:**...paper or electronic submission to the Follow up Team. 4 . Reports coding trends and issues to the coding… more
- Beth Israel Lahey Health (Burlington, MA)
- …America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… more
- Beth Israel Lahey Health (Charlestown, MA)
- …America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party ... directly with the Billing Supervisor to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… 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 ... or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for ...into an esteemed Fortune 500 corporation, annual revenues were $13. 4 billion in 2022. During the year, UHS was… more
- Beth Israel Lahey Health (Burlington, MA)
- …educate Directors & Managers on workflows to help optimize revenue flow and prevent denials downstream for assigned areas. The Billing Specialist will also work ... Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues...by the payor preventing claims submission or causing payor denials . 4 . Responsible to work and respond… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... Forbes as a Best Employer. Position Summary: The CDI Specialist serves as a liaison between the physicians and...Monitors activities and findings with regard to audits and denials and subsequently adjusts to potential trends when reported.… more
- Robert Half Accountemps (Indianapolis, IN)
- …with a healthcare practice in the Indianapolis area to add a Medical Accounts Receivable Specialist to join their team. Hours for the Position: Monday - Friday 8am - ... 4 :30pm (during training period) *Flexible start time after up...denied, unpaid, or incorrect insurance claims. + Appeal claim denials , working with payers to resolve issues and track… more
- UNC Health Care (Goldsboro, NC)
- …SSI. 2. Works accounts from follow up work queues in Epic. 3. Works denials in Epic towards resolution. 4 . Coordinates with other teams/departments/payors to ... of the unique communities we serve. Summary: The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- Position Information Posting NumberSRGV7443 Working TitleBILLING SPECIALIST I Number of Vacancies1 LocationRio Grande Valley DepartmentSchool of Medicine/ Revenue ... registration information, claims processing, coding issues, and AR payments or denials . * Responsible for accurate and timely resolution of preparing professional… more
- Universal Health Services (Denison, TX)
- …focused care to the Texoma region for over 50 years. The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by ... or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for ...into an esteemed Fortune 500 corporation, annual revenues were $13. 4 billion in 2022. During the year, UHS was… more