- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials … more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... requirements pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... requirements pertaining to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH - Regional Administrative Campus Hours Per Week: 40 ... Schedule: 8am-4pm SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies,… more
- Saratoga Hospital (Saratoga Springs, NY)
- HIS Denials Specialist (Inpatient) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: 8a-4p ... starts with exceptional people. About the Role We're looking for a dedicated HIS Denials Specialist to join our team and help us continue delivering the level of… more
- Robert Half Accountemps (Minnetonka, MN)
- Description We are looking for a detail-oriented Denials Specialist to join our team in Minnetonka, Minnesota on a contract basis. In this role, you will be ... with regulations, and contributing to process improvements that minimize future denials . This position requires strong analytical skills and a thorough understanding… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Coder - Denials Specialist **Location** US:IL:Chicago **Req ID** 22744 ... entered into the work queues. 6. Responsible for working and resolving coding denials . 7. Provide education to providers and staff regarding proper workflows and… more
- University of Southern California (Alhambra, CA)
- …federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all ... position will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties: + CODING… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing… more
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the ... Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of… more
- Penn Medicine (East Petersburg, PA)
- …shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am ... are met in an appropriate manner. Responsibilities: + Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve… more
- CommonSpirit Health (Centennial, CO)
- …to help you flourish and leaders who care about your success. The RN Clinical Denials Appeals Specialist functions as a revenue management liaison for all care ... role. Primary residence must be in CO, UT, or Kansas.** Must have Clinical Denials experience. Please make sure it's clearly written out in your resume. **Where… more
- Rochester Regional Health (Rochester, NY)
- …Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, ... JOB TITLE: Collections and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial… more
- Datavant (Nashville, TN)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with...Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with… more
- Northwell Health (Melville, NY)
- …Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge ... gaps. Job Responsibility + Serves as liaison between the patient and facility/physician and the third party payer. + Prepares and defends level of care and medical necessity for assigned case. + Collaborates with physician advisor, payor representative and… more
- Nuvance Health (Danbury, CT)
- …delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ... and trending all appeals and communicating on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team with… more
- Hartford HealthCare (Farmington, CT)
- …Follow Up/ Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of ... $550 million in active inventory and $70 million in denials , assisting with the effective resolution of denials... denials , assisting with the effective resolution of denials , underpayments and credit balances. These numbers will increase… more
- Montrose Memorial Hospital (Montrose, CO)
- …minimizing interruptions to ongoing treatments due to payer coverage restrictions or denials . + The Prior Authorization Specialist minimizes the patient's ... and surrounding counties. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health… more
- UPMC (Mechanicsburg, PA)
- …the area of authorization related activities including pre-authorizations, notifications, edits, denials , etc. The Authorization Specialist shall demonstrate the ... The NeuroSciences Institute is looking for a new Authorization Specialist to join their Sleep Medicine team. Previous Sleep...claim filing and elimination of payor rejections and or denials . + High School diploma or equivalent + With… more
- UPMC (Pittsburgh, PA)
- …the area of authorization related activities including pre-authorizations, notifications, edits, denials , etc. The Authorization Specialist shall demonstrate the ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building,...claim filing and elimination of payor rejections and or denials . + High School diploma or equivalent with 2… more