- St. Luke's University Health Network (Allentown, PA)
- … Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists ... billing staff regarding outpatient denials for experimental,...Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity… 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 ... + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), determines the causes for denials of payment and partners… 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 ... **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) **The Denials Specialist role is eligible for a $1,500 sign on bonus.** **This position… more
- Trinity Health (Farmington Hills, MI)
- …Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and appealing them based upon clinical ... expertise and clinical judgment within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center. Serves as part… more
- Randstad US (Dallas, TX)
- medical appeals and denials specialist . + dallas ,...EHR/Epic + Medical Billing + ICD-10 + Medical Billing - Denials + Claims Processing ... A/R in the TD Authorization work queues. The expected duties are to resolve denials received from payors to assist the departments with meeting their goal of 95%… more
- Trinity Health (Farmington Hills, MI)
- …Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) for an assigned Patient Business ... Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment Resolution… more
- CDI (St. Louis Park, MN)
- …us and shine brighter together! As a Lead Insurance Denials Specialist , you will coordinate communications regarding billing information with patients, ... and Insight Imaging, is looking for a Lead Insurance Denials Specialist to join our team. We...diploma or equivalent * 5+ years' experience in a medical billing department, prior authorization department or… 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 ... and Requirements -Minimum 2 years experience in Insurance follow-up, or medical biller/coding background -Experience with computerized billing software and… more
- TEKsystems (Plano, TX)
- … collections, Medical , Payment poster, Data entry, Customer service, Medical billing , Call center, medicaid, Collection calls, Revenue cycle, outpatient, ... Required: + 2+ years of Insurance follow-up, denials /appeals experience ( Medical A/R) + Hospital/facility...regarding patient accounts. * Refers rebill requests to the billing department timely. * Maintains tickler file of accounts,… 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 ... regulations of affiliated payors through coordination with Contract Reimbursement Specialist .Centralizing and reviewing all denial material (correspondence, EOBs, zero… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding ... related claim denials for professional services, FQHC, MSO, and ASCs across...documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process.… more
- Texas Health Resources (Arlington, TX)
- …Professional (Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar **REQUIRED** **Licenses and ... Professional Coder Upon Hire **REQUIRED** or CCS-P - Certified Coding Specialist - Physician-based Upon Hire **REQUIRED** and Other Specialty certification such… more
- Texas Health Resources (Arlington, TX)
- …Outpatient Coder 12 Months **REQUIRED** or CCS - Certified Coding Specialist 12 Months **REQUIRED** **Skills** Proficient in software applications (Excel, Word, ... CPT. Expert in coding convention/automated encoder (knowledge management of NCCI/OCE billing edits). Knowledgeable in APC and DRG methodologies and all… 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...all back end high dollar, complex, and aged physician billing denials as assigned. Reviews and completes… 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 ... root cause and accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to… 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 ... review and other coding needs for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials … more
- University of Colorado (Boulder, CO)
- ** Medical Billing Specialist ** **Requisition Number:** 56178 **Location:** Boulder Colorado **Employment Type:** University Staff **Schedule:** Full Time ... The University of Colorado Boulder is searching for a Medical Billing Specialist ! The position...with payer regarding any discrepancy in payments if necessary. ** Denials ** + Follow up on insurance claim denials… 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 &...updates to the Epic SER and initiates rebilling or denials explanation back to appropriate billing teams.… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- …edit trends to leadership to ensure timely resolution. * Communicates effectively with the Billing Specialist II and III and Compliance Specialist to handle ... Position Information Posting NumberSRGV7443 Working TitleBILLING SPECIALIST I Number of Vacancies1 LocationRio Grande Valley...by payers. * Responsible for working pre-payer rejections and denials and ensuring billing deadlines are not… more
- Adams County Government (Westminster, CO)
- Medical Billing and Coding Specialist -165320 Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4469087) Apply Medical Billing and ... Questions What Success Looks Like In This Job The Medical Billing and Coding Specialist ...of contact for claim submissions, scrubbing and reconciliation of denials . + Collects, codes, and transmits patient medical… more