- PHI Health (Phoenix, AZ)
- Specialist , Med Billing - Follow-Up & Collections IV Join Our Life-Saving Team and take advantage of a sign on bonus up to $7,500! Are you ready to elevate your ... from the point of resubmission through final resolution. Identify and address denials by writing appeal letters and ensure account balances are correct based… more
- Movn Health (Los Angeles, CA)
- …Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This ... to all payers within 24 hours of service Review and process claim denials and rejections, executing timely appeals and follow-up strategies Aggressively manage A/R… more
- BayCare Health System (Clearwater, FL)
- …8:00 AM to 4:30 PM Days: Monday through Friday This Central Authorization Specialist II opportunity is a full-time remote (following onsite training) position. Team ... will work the hours listed above) Responsibilities: The Central Authorization Specialist II is responsible for verifying health insurance information and obtaining… more
- Westchester Medical Center (Valhalla, NY)
- …with established rules, procedures, specified time frames, and regulatory requirements. The Specialist processes clinical information in a timely manner to ... Job Summary : The Authorization Specialist is responsible for performing complex clerical procedures...prevent treatment delays and to avoid denials from third party payers and maintains confidentiality of… more
- CN Guidance and Counseling Services (Hicksville, NY)
- JOB DEFINITION: Billing Specialist I primary responsibilities are Account Receivable follow-up, investigate, analyze, appeal and resolve any denied or unpaid ... requirements. Analyze Denial reasons, identify trends to avoid future denials . Run Insurance Verification/Eligibility Collect and Review referrals/Authorizations. Review… more
- Advanced Pain Care (Austin, TX)
- …Job purpose The Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling ... claims Keeps up-to-date reports and notates any trends pertaining to insurance denials Calls insurance companies to inquire about claims, refund requests and… more
- Children's Health (Dallas, TX)
- …education of nurse supporting role and established processes, works collaboratively with UM Denials Specialist to identify denial trends and provides feedback to ... review requests are conducted utilizing MCG or Indicia, CHST clinical pathways, and clinical knowledge to determine...and effectiveness. * Escalate payer problems and trends to Denials Specialist , Team Lead or Director. *… more
- Upstate University Hospital (Syracuse, NY)
- …queues and claim edit errors, Assists with audits & analysis of denials . Assists with development of training materials. Appropriately relays issues identified as ... to same shift to ensure smooth and efficient patient flow. Liaison to clinical staff when supervisor is not available. Maintain good working relationship with… more
- Nemours Children's Health (Pensacola, FL)
- …Children's Health, Pensacola is seeking a passionate and dynamic Newborn Nursery Specialist to work in partnership with Studer Family Children's Hospital in the ... appropriate medical diagnostic and treatment skills. Adheres, contributes, and develops clinical patient pathways to ensure a standardized approach to newborn… more
- Waccamaw Dermatology, LLC (Myrtle Beach, SC)
- …Type Full-time Description Job Summary: The Prescription Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ... necessary third party authorization requests. The Prescription Prior Authorization Specialist has direct over-the-phone interaction with patients and is an… more
- The US Oncology Network (Richardson, TX)
- Overview The US Oncology Network is looking for an Insurance Authorization Specialist - Supervisor to join our team at Texas Oncology . This full-time remote ... the science, technology, and quality of care. What does the Insurance Authorization Specialist Supervisor do? (including but not limited to) With little or no… more
- NorthShore (Arlington Heights, IL)
- …Collects non-covered fees. Registers and pre-registers outpatients in more than one clinical and diagnostic location within their primary area of responsibility and ... to collect and interpret all required demographic, insurance, financial, and clinical data necessary to facilitate patient check in and registration at… more
- Raisso (Cleveland, OH)
- …be Catholic to join our workforce nor to access our services. Billing Specialist - Temporary Catholic Charities is seeking a dynamic individual to assist our Billing ... or more related work experience working with rejected claims and denials for Behavioral Health. Knowledgeable on insurance and reimbursement process. Familiarity… 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 ... do. We want you to apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist , who is responsible for applying correct… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... validation denials . This role involves validating the coding and clinical accuracy, ensuring proper documentation, and collaborating with other departments to… 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 ... payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries....of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… more
- HCA Healthcare (San Antonio, TX)
- …you 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 ... have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our team. **Job Summary… 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...correspondence work queues for new correspondence related to DRG denials . + Routes clinical denials … 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 tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… 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 accuracy ... three years of inpatient coding experience or equivalent experience as a clinical documentation specialist . **Desired Qualifications + Proven experience in… more
