- Experity (Atlanta, GA)
- …(CSM) and Supervisor Contact insurance companies regarding claim status, follow-up on denials or partial payments Analyze denied claims to find the root cause ... take necessary actions to resolve Submit corrected insurance claims and/or appeals , as necessary, with appropriate documentation based on payer guidelines Prioritize… more
- UHS (Riverside, CA)
- …9. Communicate with insurance companies, payers, and other relevant parties to resolve denials and obtain information needed for appeals and/or resubmission. 10. ... and/or mail out all assigned tracer claims 3. Initiate claim review and/or appeals , as indicated on assigned explanation of benefits. 4. Review, adjust, and/or… more
- NavitsPartners (Worcester, MA)
- Job Title: Travel RN - Case Management Specialist Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday | 8:00 AM - 4:30 ... necessity of admissions and escalate concerns per protocol Handle payer communication, appeals , and notifications such as HINN Coordinate services for patients with… more
- Hospital for Behavioral Medicine (Worcester, MA)
- …Job Category Finance Description JOIN OUR TEAM AS A HOSPITAL BILLING SPECIALIST ! Status: Full-Time (On-site only - no remote) Bonus Opportunity: MONTHLY INCENTIVE ... Your Work Matters How will you make a difference? The Hospital Billing Specialist supports our mission by ensuring timely and accurate billing and follow-up of… more
- Family Centers (Greenwich, CT)
- Overview Family Centers seeks a detail-oriented Accounts Receivable Specialist to support the Revenue Cycle team in managing outstanding accounts receivable. The ... timely and accurate reimbursement for services rendered by researching denials , appealing underpaid claims, resolving payment issues, and maintaining compliance… more
- Biodesix, Inc. (Louisville, CO)
- …and submit claims and appeals to insurance on behalf of patients. Billing Specialist I will work closely with Client Services and Billing Team to ensure accurate ... Year of Medical Billing experience required, including knowledge of claims processing, denials , and appeals . 1-3 Years of Medical/Laboratory experience preferred… more
- NewVista Behavioral Health (Cincinnati, OH)
- Job Address: 10123 Alliance Road, Suite 340Blue Ash, OH 45242 Accounts Receivable Specialist In conjunction with some of the areas most advanced physicians and ... a chance to join an outstanding team! The Role The Accounts Receivable Specialist is responsible for overseeing the billing of all claims, collections, and follow-up… more
- Northwell Health (Chappaqua, NY)
- …experience, specifically in anesthesia or similar specialties - Experience with claim appeals and denials - Strong organizational skills and meticulous attention ... FlexStaff Our client is seeking a skilled Medical Biller/Accounts Receivable Specialist with a minimum of 2 years of experience in medical billing, including filing… more
- Halo Staffing Group (Laguna Woods, CA)
- …Top Hospitals - An immediate opening for a full time Medical Collections Specialist ! This position is responsible for ensuring accuracy in insurance claim follow-up, ... root cause analysis, appeals and denial management. The Collector is highly attentive...responsible third-party payer for outstanding accounts receivables Research claim denials and rejections, documenting all relevant actions for audit… more
- Snelling Staffing Services (Baton Rouge, LA)
- Snelling Staffing is in need of a medical collections specialist for a company that has been in the Baton Rouge area for generations. This local clinic maintains a ... $17-$20 per hour Position Duties: Collect payments on outstanding claims Research denials , refills, and unprocessed claims Refund credit balances for assigned payors… more
- University of Michigan (Ann Arbor, MI)
- Denials Prevention/ Appeals Specialist Apply Now **Job Summary** The Denials Prevention and Appeals Specialist is responsible for ensuring the ... employment opportunity employer. **Job Detail** **Job Opening ID** 266022 **Working Title** Denials Prevention/ Appeals Specialist **Job Title** Medical Coder… more
- TEKsystems (Tampa, FL)
- …will be on the bill review team specifically working in the backlog of appeals . The Bill Review Analyst position holds accountability for accurate and timely review, ... and payment of bills to include pre-coding accuracy and adjudication of appeals /provider reconsideration requests. * Examines and adjudicates requests for appeals… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... review of medical records, coding, and clinical documentation to validate or appeal payer denials . . Prepare, document, and submit appeals for DRG denials ,… 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 ... functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** +...of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… more
- 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 ... and rejections. + Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and impact on revenue and trending. +… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleInsurance Denials Specialist Position LocationFort Collins, CO Work LocationPosition qualifies for hybrid/in-office work ... and a thriving arts and entertainment industry. Position Summary The Insurance Denials Specialist will provide excellent customer service and guidance to… more
- HCA Healthcare (Nashville, TN)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... want to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Coding Denials Specialist . This position is remote but does require the associate to live / work in OR, WA, AK or TX to ... be eligible for consideration. **Job Summary** Coding Denials Specialist analyzes, processes, and resolves claim denial requests. Provides support to HIM Coding… more
- ClearChoiceMD (Concord, NH)
- …know and understand the need for excellent, expedient care. The Accounts Receivable Denials Specialist is a member of the ClearChoiceMD/CareWell Urgent Care ... typical day in the life of an Accounts Receivable Denials Specialist , includes: + Responsible for Waystar...needed to resolve claim denial + Responsible for processing appeals , identifying trends, and researching denials of… more
- HCA Healthcare (Dallas, TX)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue ... do. We want you to apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist , who is responsible for applying correct coding… more
