- 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 ... to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position...on a daily basis as well as assigned patient account work queues and responds with resolutions within the… 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
- Trinity Health (Farmington Hills, MI)
- …Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of a team ... are paid in a timely and accurate fashion. Resolves claims, conducts formal account reviews, identifies lost charge recovery, and analyzes and documents delays and… more
- Sharp HealthCare (San Diego, CA)
- …payor X12 codes to Sharp's denial reasons.Improvements to ensure accurate tracking of denials . + StaffingLeading team of 5-6 account analysts to ensure accurate ... and employer business practices. **What You Will Do** The Supervisor of Denials -PFS is responsible for reviewing all denial material and ensuring accurate second… 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
- 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...*your moment.* **Job:** **Finance / Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** 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 ... a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to...**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare . Our services… more
- HCA Healthcare (Brentwood, TN)
- …you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... of our team. **Job Summary and Qualifications** As a Denials Coding Review Specialist , you will be...Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare . Our services… more
- Alabama Oncology (Birmingham, AL)
- …is located at the Birmingham Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for ... to keep accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the… more
- HCA Healthcare (Nashville, TN)
- …preferred. **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare . Our services include scheduling, ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...like family! Jump-start your career as a Provider Enrollment Specialist today. **Benefits** Parallon, offers a total rewards package… more
- Baptist Memorial (Jackson, MS)
- Summary The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding balances and ... receivable, percentage of accounts aged greater than 90 days, cash collections, and denials resolution in support of the team efforts in the achievement of accounts… more
- Beth Israel Lahey Health (Burlington, MA)
- …Billing Certification preferred Experience: 2 - 3 years of experience in healthcare denials . Skills, Knowledge & Abilities: Working knowledge of third ... America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Billing Certification preferred Experience: 2 - 3 years of experience in healthcare denials . Skills, Knowledge & Abilities: Working knowledge of third ... America) Identifies, reviews, and interprets third party payments, adjustments and denials . Initiates corrected claims, appeals and analyzes unresolved third party… more
- Robert Half Accountemps (Indianapolis, IN)
- …payer portals. + Submit medical records to insurance providers. + Maintain accurate logs, account notes, and system data. + Analyze denials and appeals to ... Description The Robert Half Healthcare Practice is working with a healthcare...the Indianapolis area to add a Medical Accounts Receivable Specialist to join their team. Hours for the Position:… more
- Ally Pediatric Therapy (Chandler, AZ)
- …clinic for children with autism and other childhood disorders, is looking for a AR Specialist to join our growing team. Our mission is to be an ally in growth ... can build on that tomorrow. As an Accounts Receivable Specialist , your mission will be to lead timely and...to lead timely and methodical follow-up to collect outstanding account balances with payors and educates team on payor… more
- St. Luke's University Health Network (Allentown, PA)
- …to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for ... information + Notify ordering physician of any prior auth denials and peer to peers to be scheduled +...Identify buy and bill authorizations vs. delivery and document account accordingly + Review and follow up on authorization… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …or complete required adjustments. Follow up on incorrect postings, incorrect payments and/or denials , and complete work to resolve account . + Contact insurance ... providers for the past 13 years in a row. **The AR Specialist ** will provide continual and accurate documentation regarding eligibility, authorization, and other… more
- TEKsystems (Temple, TX)
- …to support a growing healthcare company in the Waco area! As a specialist on our team you will be verifying insurance information, following up, doing research ... roles handling claims, payer portals, appeals, AR follow up, denials or anything within revenue cycle we would love...increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New… more
- Henry Ford Health System (Troy, MI)
- …research and identification of root causes resulting in edits and denials , and assisting with developing error prevention initiatives and coordination with ... types of errors, including DNB's, claim edits, and payer denials to identify the root cause of error and...to develop and implement necessary policies and procedures to account for the payer rule changes. 12. Expert knowledge… more
- Houston Methodist (Katy, TX)
- …N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CRCS - Certified Revenue Cycle Specialist (AAHAM) **OR** + Certified Patient Account Technician (CPAT) through ... At Houston Methodist, the Accounts Receivable Specialist position is responsible for billing and follow...submittal, and receivable follow up (eg collections, payment review, denials management), and where applicable transfer of charges, record… more