- Blanchard Valley Health System (Findlay, OH)
- …Valley Facility and Professional services as well as the appeal of denials /rejections from third-party payers. The specialist will manage their assigned work ... when identifying trends relating to denials . The specialist will also work with management to... billing knowledge and an in depth understanding of denials and appeals required Ability to create professional… more
- Accounting Now (Pinellas Park, FL)
- …in St Petersburg, Florida:Medical Collector The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of ... and/or paper claims, monitoring claim status, researching rejections and denials , documenting related account activities, posting adjustments and collections of… 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)
- …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
- 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. + ... location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as...and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new systems… 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)
- …reimbursement, and coding . Assists the management team with Fiscal Management of coding resources and processes . Professional Accountability **Additional ... **Coding and Denials Document Analyst** _Are you looking for a...resolution preferred **Licenses and Certifications** CCS - Certified Coding Specialist 12 Months **REQUIRED** or CCA - Certified Coding… 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
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Appeal Nurse Specialist ** will be responsible for the timely review and submission of appeals for ... care inpatient and/or outpatient claims to insurance companies for reconsideration of denials and/or level of care change determinations. Gathers and evaluates the… 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
