- 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 ... pertaining to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance responsibilities.… 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
- 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 for medical ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- SSM Health (MO)
- …Medical Group revenue cycle areas. The scope of responsibility is all post-billed denials (inclusive of clinical denials ). Engages with key leadership including ... retention and engagement. + Understands complexities involved in supporting denials activities spanning multiple states, regional health ministries, payer… more
- Saratoga Hospital (Saratoga Springs, NY)
- The Denials Assistant provides clerical support to the various roles within the Denial and Follow-Up team. This position is responsible for facilitating assigned ... success of the Patient Financial Services department. Primary Job Responsibilities: Denials : Handle and resolve assigned denied claims in multiple work queues… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel ... Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** + Directs staff performance regarding UR and the… more
- Guidehouse (Birmingham, AL)
- …Required** **:** None **What You Will Do** **:** The Central Denials Account Representative conducts thorough account reviews to determine the appropriate ... to resolve the account balance. Review and resolve claim denials for payment or adjustment. Contact payers via phone...other departments and work to mitigate and prevent claim denials . This includes reviewing and performing the following: +… more
- HCA Healthcare (Nashville, TN)
- …is recognized. Submit your application for the opportunity below:Clinical Denials Coding Review SpecialistParallon **Benefits** Parallon, offers a total rewards ... may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure...to apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist, who is responsible for applying… more
- Kaleida Health (Buffalo, NY)
- **Director Clinical and DRG Denials ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue Cycle department.… more
- Methodist Health System (Dallas, TX)
- …new staff in accordance with departmental guidelines * Identifies methods to avoid denials and reports trends to individual care units and to pertinent nursing ... within departmental standards and time frames; Identifies reason for denials * Returns appeal requests for denials ...for denials * Returns appeal requests for denials determined to be technical or those received after… more
- CommonSpirit Health (Phoenix, AZ)
- …needs of patients and alternative levels of care. **The PA performs denials management and prevention in accordance with the organization's goals and expectations. ... addresses concerns raised by the payer, and provides additional context to overturn denials before escalation to formal appeal. + Reviews and analyzes denied claims… more
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing ... craft appeal letters to resolve any insurance company medical denials . To thrive in this role, you must excel...and have strong critical thinking and problem-solving capabilities. Prior Denials or AR experience in Hospital or Physician claims… more
- Banner Health (CO)
- …May be assigned to process payments, adjustments, claims, correspondence, refunds, denials , financial/charity applications, and/or payment plans in an accurate and ... assigned, reconciles, balances and pursues account balances and payments, and/or denials , working with payor remits, facility contracts, payor customer service,… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement for ... improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working… more
- Community Health Systems (Fort Smith, AR)
- **Job Summary** Responsible for managing appeals and denials staff in processing accounts and working with designated payors to ensure proper reimbursement, maximize ... in achieving payment resolution and, in identifying trends of denials seen to prevent ongoing losses. + Monitors collection...and procedures required + 3-6 years Related experience in denials and appeals required + 2-4 years Supervisory experience… more
- Penn Medicine (Lancaster, PA)
- …life's work? Summary: + Position Summary: The Utilization Management Specialist - Denials is responsible for evaluating medical records to determine severity of ... minimize denied days. + Complete all documentation, including authorizations and denials according to departmental standard operating procedures. + Communicate with… more
- Cardinal Health (Fresno, CA)
- …Specialist is responsible for reviewing, analyzing, and resolving medical claim denials and rejections related to coding discrepancies. This role ensures accurate ... and payers to ensure efficient claims resolution **_Responsibilities_** + Review payer denials and rejections related to coding issues and take corrective actions +… more
- UTMB Health (Galveston, TX)
- Patient Account Specialist - Revenue Cycle PB Billing & Denials **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # ... procedures * Responds to daily correspondence according to procedures * Identifies denials and underpayments for appeal * Review, research, and processes denied… more
- Trinity Health (Hartford, CT)
- …services. **What you will do** + Responsible for authorization and denials within Case Management ensuring appropriate authorization for inpatient hospital ... and Implements strategies to optimize all aspects of authorization and denials supporting hospital revenue integrity team through a comprehensive approach **Minimum… more
- R1 RCM (Southfield, MI)
- …workflow orchestration. As our **Operations Support 1** , you will help our Denials /AR team by submitting the required documents for prepared appeals. Every day you ... will review and gather medical documentation and successfully submit it to insurance payers. To thrive in this role, you must have excellent organizational skills and strong attention to detail. Prior healthcare experience and proficiency in basic computer… more
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