- MedStar Health (Baltimore, MD)
- Candidates with previous Utilization Review or Denials / Appeals experience preferred General Summary of Position Responsible for coordinating and monitoring the ... denial management and appeals process. Combines clinical , business and regulatory...Assists in the orientation of new staff regarding the denials and appeals process. May manage the… more
- Clearway Pain Solutions (Annapolis, MD)
- …and Responsiblities: Reviews and resolves complex issues that result in payer denials , including appeals , coding corrections, medically necessity rules and other ... The Billing Specialist supports the complete and timely collection of...over 60 days. Processes daily correspondence, claim status, handle denials , appeals and re-bills. Answers billing questions… more
- Baptist Memorial Health Care Corporation (Memphis, TN)
- Overview Job Summary The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding ... receivable, percentage of accounts aged greater than 90 days, cash collections, and denials resolution in support of the team efforts in the achievement of accounts… more
- Jewish Family Services, Inc (Milwaukee, WI)
- … Assistant to support appropriate billing and coding of prescriber services Clinical Collections Support Billcare with submission of appeals , reconsiderations, ... CCS and Wrap admin staff regarding denial and other revenue issues observed Clinical Credentialing Support Serve as primary credentialing specialist and seeking… more
- Strategic Health Partners (Kennesaw, GA)
- …Work with clinical staff as needed to follow-up and appeal denials . *Prepare, maintain, assist with, and submit reports as required. *Appropriately report ... insurance companies by working with assigned payers. *Execute the denial appeals process, which includes receiving, assessing, documenting, tracking, responding to,… more
- EXCELSIOR ORTHOPAEDICS GROUP (Buffalo, NY)
- …necessary to verify medical insurance coverage and patient responsibility on claim. Post denials , correcting charges, filing appeals , and following up on unpaid ... $19.80 - $35.64 Hourly Travel Percentage None Job Shift Day Billing Specialist Job Summary Busy orthopaedic practice offering challenging work; position responsible… more
- Experity (Sioux Falls, SD)
- …experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team ... (CSM) and Supervisor Contact insurance companies regarding claim status, follow-up on denials or partial payments Analyze denied claims to find the root cause… more
- Vinfen (Cambridge, MA)
- …overall denials and increasing revenue. The Reimbursement & Billing Specialist is responsible for prioritizing and managing to resolution denied claims with ... Salary: $25.00-$26.50 / hour (DOE) The Reimbursement & Billing Specialist is coordinates the analysis and effective resolution of...in developing and modifying tracking and reporting process for denials , appeals status and appeals … more
- Children's Mercy KC (Kansas City, MO)
- …nursing, payers, patients, and coworkers. Utilizes knowledge of hospital processes, clinical patient care, state and federal regulations and payer requirements to ... interdisciplinary teams towards improvement of patient flow and patient progression, clinical outcomes and efficiency of inpatient stays. Continually strives to… 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
- Hartford HealthCare (Farmington, CT)
- …of medical records, coding, and clinical documentation to validate or appeal payer denials . . Prepare, document, and submit appeals for DRG denials , ... **Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:**… 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 ... as we do. We want you to apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist , who is responsible for applying… more
- Houston Methodist (Houston, TX)
- …staff; and functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating... is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals … 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 ,...TRAINING AND EXPERIENCE: + Minimum of 2-5 years of clinical nursing experience in an acute care hospital setting… 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 ... 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… 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)
- …serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, ... needed for workflow or identification of trends. Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and… more
- St. Luke's Health System (Twin Falls, ID)
- …You Can Expect:** Under limited supervision, the Clinical Appeals Specialist , is responsible for managing client medical denials by conducting a ... sources to provide and maintain a single reporting location that reflects clinical denials and appeals activity. + Recommends improvements and modifications… more
- Robert Half Accountemps (Los Angeles, CA)
- …A Medical IPA Group in Los Angeles is in the immediate need of a Grievance & Appeals Specialist . The Grievance & Appeals Specialist , will be in ... with State/Federal laws, rules, and guidelines. The Grievance & Appeals Specialist will be expected to perform...provisions. * Write determination letters regarding the outcome of non- clinical reviews/claim denials and send to the… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding ... or AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and… more
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