- Advanced Pain Care (Austin, TX)
- …fully remote after training. **Texas residents only Job purpose The Appeals Specialist is responsible for managing insurance denials by reviewing claims and ... clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment amount and/or non-payment. Duties and… more
- PHI Health (Phoenix, AZ)
- …policies and procedures. Draft correspondence to patients and payers including 1st level appeals for technical denials , and identify accounts to refer to ... Specialist , Med Billing - Follow-Up & Collections IV...our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives… more
- Movn Health (Los Angeles, CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... etc) and QuickBooks , and a strong understanding of medical billing and payer systems is essential. Functional Responsibilities...within 24 hours of service Review and process claim denials and rejections, executing timely appeals and… more
- Quipt Home Medical Corp (Mesa, AZ)
- …claim denials associated with referrals, authorizations, notifications, non-coverage, and medical necessity. An Accounts Receivable Specialist reviews claim ... denials and notes, and the patient's medical record, to determine whether resubmission, retro-authorization, appeal, or...billing which resulted in denial and payment delay Submits appeals to payers based on review of medical… 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 ... EXPERIENCE REQUIRED: Solid Knowledge and understanding of Billing Concepts, ICD-10, Medical Terminology, Behavioral Health Billing, and Electronic Medical … 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. ... the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and… more
- POM Recoveries Inc (Farmingdale, NY)
- …claims follow-up experience? Join our team as an Insurance Claims Follow-up Specialist , where you'll leverage your expertise in medical collections, denial ... and verification processes. Reviewing correspondence, including refund requests and medical necessity documentation. Conducting detailed follow-ups with insurance providers.… 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 ... prospective review, providing assistance to all departments to prevent medical necessity and status conflict denials . *...and effectiveness. * Escalate payer problems and trends to Denials Specialist , Team Lead or Director. *… more
- PeaceHealth (Vancouver, WA)
- PeaceHealth is seeking a Billing/Follow-up Specialist - Government (Remote: OR & WA) for a Full Time, 1.00 FTE, Day position . The salary range for this job opening ... for multi-facility, multi-specialty organization. Essential Functions Resolves insurance claim rejections/ denials , and non-payment of claims by payors. Identifies trends… more
- Waccamaw Dermatology, LLC (Myrtle Beach, SC)
- …Manages correspondence with insurance companies, physicians and patients as required. Reveiws denials and submit appeals if requested by physician to get ... Type Full-time Description Job Summary: The Prescription Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations… more
- University of Michigan (Ann Arbor, MI)
- …employer. **Job Detail** **Job Opening ID** 266022 **Working Title** Denials Prevention/ Appeals Specialist **Job Title** Medical Coder Compliance Spec ... Denials Prevention/ Appeals Specialist Apply Now **Job Summary** The Denials Prevention and Appeals Specialist is responsible for ensuring the… more
- TEKsystems (Tampa, FL)
- …process * Monitors itemized billings for excessive charges, duplications, and appropriate medical bills coding * Reviews/processes appeals and initiates refund ... 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,… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... 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** +...various sources ( medical records, claims data, payer medical policies, etc.), determines the causes for denials… more
- St. Luke's University Health Network (Allentown, PA)
- … Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists ... Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity... and rejections. + Assists in preparing reports regarding denials to include volumes, number of appeals ,… more
- Colorado State University (Fort Collins, CO)
- …occurred and provide information to Medical Billing & Payment Posting Specialist who works denials to correct issue. + Apply adjustment/calculation/claims ... Posting Detail Information Working TitleInsurance Denials Specialist Position LocationFort Collins, CO...Experience + Three years of experience working insurance claims denials and posting payments in a medical … more
- HCA Healthcare (San Antonio, TX)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first....colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… 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...and reporting on denial functions. **Essential Functions** + Reviews medical records as needed to verify matches in denial… 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
