- MedStar Health (Baltimore, MD)
- Candidates with previous Utilization Review or Denials / Appeals experience preferred General Summary of Position Responsible for coordinating and monitoring the ... offerings. Assists in the orientation of new staff regarding the denials and appeals process. May manage the department in the Managers absence. Keeps… 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
- Strategic Health Partners (Kennesaw, GA)
- …insurance companies by working with assigned payers. *Execute the denial appeals process, which includes receiving, assessing, documenting, tracking, responding to, ... and/or resolving appeals with third-party payers. Research and resolve payer rejected/denied...with clinical staff as needed to follow-up and appeal denials . *Prepare, maintain, assist with, and submit reports as… more
- Jewish Family Services, Inc (Milwaukee, WI)
- Job Type Full-time Description The Medical Billing Specialist will act as the contact between third party billing company, BillCare, and Jewish Family Services (JFS) ... and claims are processed timely. In cooperation with BillCare, submit appeals or redeterminations according to payer's requirements. Communicate with clients to… more
- LHH Recruitment Solutions (Winter Park, FL)
- …with billing Medicaid and Third-party payers Experience working EOBs locating possible appeals for (and reconsiderations of denials ) Proficiency in Microsoft ... Title: Medicaid Billing Specialist Location: On-site for 90 days, then remote...organized, and detail-oriented individual for the position of Billing Specialist for a client located in Winter Park, FL.… more
- The Wright Center Medical Group (Scranton, PA)
- …patient/insurance billing issues Work closely with team members regarding claim appeals , denials , resolution, and education Understand Medicare, Medicaid and ... Job Type Full-time Description POSITION SUMMARY The Billing Specialist is responsible for all aspects of billing...aspects of billing inpatient and outpatient claims. The Billing Specialist , a key position in the Revenue Cycle, facilitates… 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
- Alabama Oncology (Birmingham, AL)
- …claims and take the appropriate action, including completion of submissions, reconsiderations, appeals , or re-working denials , to ensure payment is received ... Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving… more
- LifeBridge Health (Owings Mills, MD)
- …The Medical Billing Collector collects unpaid physician claims. Researches and resolves denials and payment variances, completing appeals , with the goal of ... maximizing collections. Achieves established goals for AR days, aging, etc. JOB REQUIREMENTS: 1-3 years of medical billing collection experience Medical terminology knowledge/experience Durable medical equipment billing and/or infusion billing experience… more
- Experity (Sioux Falls, SD)
- …(CSM) and Supervisor Contact insurance companies regarding claim status, follow-up on denials or partial payments Analyze denied claims to find the root cause ... take necessary actions to resolve Submit corrected insurance claims and/or appeals , as necessary, with appropriate documentation based on payer guidelines Prioritize… more
- VCU Health (Richmond, VA)
- …investigation and coordination, initiate and complete prior authorization approval and/or denials ( appeals ), track progress, and expedite responses from ... The Medication Access Specialist (MAS) is responsible for completing necessary functions to ensure timely medication access for high cost, self-administered or… 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)
- …the work of Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff Analyzes, evaluates, and recommends operational ... and evaluates decisioning making by tracking and assessing overturned appeals , physician decision trends related to level of care...trends related to level of care and status, and denials data to coach to and make recommendations for… 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
- TEKsystems (Tampa, FL)
- …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, ... and payment of bills to include pre-coding accuracy and adjudication of appeals /provider reconsideration requests. * Examines and adjudicates requests for appeals… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... review 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** +...of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… 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 , case resolution, and impact on revenue and trending. +… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleInsurance Denials Specialist Position LocationFort Collins, CO Work LocationPosition qualifies for hybrid/in-office work ... and a thriving arts and entertainment industry. Position Summary The Insurance Denials Specialist will provide excellent customer service and guidance to… more
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