- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management ...REQUIREMENT: + Must be a graduate of an accredited, professional nursing program. + Must have current RN license… 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 ... (medical records, claims data, payer medical policies, etc.), determines the causes for denials of payment and partners with management to implement strategies… 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)
- …Reports and maintains data on types of claims denied and root cause of denials . Collaborates with management and team to make recommendations for improvements. + ... Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment… more
- SSM Health (Jefferson City, MO)
- …(AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Assoc (AHIMA), Certified Professional Coder (CPC(R)) - American Academy ... **Job Highlights:** We are seeking a highly skilled and detail-oriented Coder for Hospital Denials to join our team at SSM Health. You will be responsible for… more
- Texas Health Resources (Arlington, TX)
- …assigned (eg, Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges) **Additional perks of being a ... **REQUIRED** and Associates's Degree Related field preferred **Experience** 2 Years Professional (Profee) Coding experience. Completion of advanced level training in… 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, ... ICD 10-CM, PCS and CPT. Expert in coding convention/automated encoder (knowledge management of NCCI/OCE billing edits). Knowledgeable in APC and DRG methodologies… 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
- 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
- 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 ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Beth Israel Lahey Health (Burlington, 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
- 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 ... you have the opportunity to make a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our team. **Job… more
- Houston Methodist (Houston, TX)
- …for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform collections ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...activities on complex denials and prepare complex appeals on outstanding insurance balances… 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 ... Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects. **Job Description:** **Essential… 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 ... 40 **Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to … 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
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... coordinates denials with the attending physician and the Care Management physician advisor; prepares case reports; documents treatment plan, progress notes and… more
- UNC Health Care (Goldsboro, NC)
- …of the unique communities we serve. Summary: The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance ... and compliance guidelines Processes all assigned government and nongovernment accounts and denials for complex financial appeals, with a goal of bringing the… 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 ... to completion of payment process working within UT Health RGV EMR /Practice Management system and with contracted billing agency. Description of Duties * Works… more