- HCA Healthcare (Brentwood, TN)
- … colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of ... our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us...it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires… 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital ... role, you will focus on the prevention and resolution of clinical claim denials by analyzing denial patterns, investigating and appealing denied claims , and… more
- Syracuse Community Health Center (Syracuse, NY)
- POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic ... Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems,… more
- Robert Half Accountemps (St. Louis, MO)
- …Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team. Opportunity Overview: We ... are in search of a detail-oriented Healthcare Claims Processor with a strong background...role is critical in understanding the complexities of claim denials , drafting appeal letters, and ensuring the reimbursement process… more
- Hartford HealthCare (Farmington, CT)
- …& Denial Specialist II assures timely and accurate submission of claims on UB04 or HCFA1500 (bills), monitor responses from clearinghouse, review Electronic File ... And this is *your moment.* **Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accounts Receivable & Denial Specialist II *… more
- WellSpan Health (York, PA)
- **General Summary** Supports the system in charge capture, coding accuracy, and claim denials management. Conducts reviews of claim denials and submits appeals. ... denial trends, billing errors, and determines root cause to prevent future denials . + Investigates billing system errors, through help desk tickets and work… 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 ... will identify, review, and interpret third-party payments, adjustments, and denials . Initiates corrected claims , appeals, and analyzes unresolved third-party… more
- Point32Health (MA)
- …about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Claims Specialist performs timely and accurate processing of claims ... by the Claims Supervisor. Using analytical and problem solving skills, the Claims Specialist fully researches and resolves all complex issues and problem… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... recognized. Submit your application for the opportunity below:Revenue Cycle Support Specialist **Benefits** Parallon offers a total rewards package that supports the… more
- Baylor Scott & White Health (Dallas, TX)
- …**Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their ... communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live...efficient service while protecting the organization's assets. + The Claims Specialist II's main duty involves using… more
- Molina Healthcare (WI)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Hartford HealthCare (Farmington, CT)
- …matters. And this is*your moment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Revenue Integrity Specialist / Revenue ... Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every… more
- Community Health Systems (Franklin, TN)
- … claims management systems to review, correct, and resolve billing errors, denials , and rejections. The Billing Specialist I collaborates with internal teams, ... **Job Summary** The Billing Specialist I is responsible for processing, auditing, and...requirements. + Reviews and resolves claim errors, rejections, and denials , making necessary corrections and resubmitting claims … more
- Methodist Health System (Dallas, TX)
- … claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... review outstanding claims , focusing on those with no response or denials . Identify and rectify errors, discrepancies, and missing information to resubmit … more
- Stony Brook University (East Setauket, NY)
- …from healthcare decision support, patient accounting, contract management and/or claims scrubber systems. + Proficiency with SAP Business Objects / Crystal ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...candidates will have a bachelor's degree and three years' healthcare revenue cycle experience or in lieu of degree… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials . Investigate coding issue. Audits. + Follow-up on rejected ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.… more
- Excelsior Orthopaedics Group (Amherst, NY)
- Job Summary The Billing Specialist plays a critical part in maintaining the financial integrity of the practice by ensuring accurate and efficient billing and ... from insurance carriers and patients on a timely basis. The Billing Specialist must possess comprehensive experience in orthopedic or surgical billing, a solid… more
- Butterfly Effects (Deerfield Beach, FL)
- …Verify client demographics, authorizations, CPT codes, and claim details related to denials or underpayments. + Research claims using insurance portals, Central ... you ready to bring your expertise in medical collections to a purpose-driven healthcare organization? Do you take pride in delivering outstanding service and clear… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials . Investigate coding issue. Audits. + Follow-up on rejected ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.… more