- Cognizant (Dover, DE)
- **Healthcare Accounts Receivables - Claims Denials (remote)** Cognizant is one of the world's leading professional services companies, we help our clients modernize ... candidate performs advanced level work related to resolution of physician claim denials . This position will be responsible for root cause analysis physician payer… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a Utilization Management Analyst to join our Denials Analysis. This full-time role will primarily work remotely, but may need ... plays a critical role in reviewing, appealing, and preventing clinical denials related to medical necessity, level-of-care, and authorization issues. This position… 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
- UNC Health Care (Goldsboro, NC)
- …all denial requests and leads the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first and second levels of an ... Responsibilities: 1. Provides leadership, clinical expertise and organization to the Denials Management Team within the clinical documentation team. 2. Stays up… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denials Specialist 3 role specializes in high-dollar claims, aged claims, and denied claims ... complex specialties. This role identifies and works to resolve denials to uncover the root cause and accurately appeal...accurately appeal claims to ensure successful initial submission. The Denials Specialist 3 will be responsible for charge and… 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 ... to make appropriate decisions and is accountable for reviewing denials for level of care, medical necessity, and as...care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- HCA Healthcare (El Paso, 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 $300 ... difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of...our team. **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for… 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)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital, 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... people. About the Role We're looking for a dedicated Denials Assistant to join our team and help us...patient outcomes in a fast-paced healthcare env ironment. The Denials Assistant provides clerical support to the various roles… more
- Hartford HealthCare (Farmington, CT)
- …the central person for processing all Diagnostic Reimbursement Group (DRG) validation denials . This position is responsible for ensuring the timely and accurate ... processing of DRG validation denials , managing documentation, tracking information requests and ensuring adherence to appeal deadlines. The Denial Coordinator will… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital role, ... you will focus on the prevention and resolution of clinical claim denials by analyzing denial patterns, investigating and appealing denied claims, and collaborating… 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
- Holzer Health System (Bidwell, OH)
- The Denials Management Coordinator is a competent, experienced professional that fulfills their role with little supervision while demonstrating growing skill and ... obtain information and data essential in coordinating the recovery efforts for denials received by processing accounts in the patient accounting system(s), routing… more
- Dayton Children's Hospital (Dayton, OH)
- …and Resource Management; supports the development and implementation of a comprehensive denials management program. This role functions as a hospital liaison with ... pre certify accounts, and appeal observation, inpatient, medical necessity, and DRG insurance denials . This role functions as an internal liaison for members of the… more
- HCA Healthcare (Brentwood, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an ... our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our...Summary and Qualifications** As a work from home Clinical Denials Coding Review Specialist, you will be responsible for… more
- R1 RCM (Detroit, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials Mitigation Lead, you will play a critical role in reducing ... claim denials and optimizing revenue cycle processes. Every day you...perform root cause analysis, and develop strategies to mitigate denials . To thrive in this role, your expertise will… more
- Huron Consulting Group (Van Buren, AR)
- …to delivering exceptional care while maintaining strong financial stewardship. The Denials Prevention and Analytics Manager plays a critical role in supporting ... health by identifying, analyzing, and addressing the root causes of post-billing denials and avoidable write-offs across both hospital and professional claims. This… more
- CommonSpirit Health (Englewood, CO)
- …needs of patients and alternative levels of care. **The PA performs denials management and prevention in accordance with the organization's goals and expectations. ... concerns raised by the payer, and provides additional context to overturn denials before escalation to formal appeal.** + Reviews and analyzes denied claims… more
Related Job Searches:
Clinical Appeals Denials Manager,
Coding Charges Denials Specialist,
Complex Denials Consultant,
Denials Analyst,
Denials Analyst II,
Denials Appeals Specialist,
Denials Senior Analyst,
Denials Specialist,
Healthcare Claims Denials Specialist,
Revenue Cycle Analyst Denials