- CenterWell (Marietta, GA)
- …of our caring community and help us put health first** As an **RCM Claims Denial Specialist - MAV1/A** **c** **counts Receivable Specialist ** , you will: ... + Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.… more
- Carle (Urbana, IL)
- Outpatient Denial /Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... clinical documentation review to establish and manage clinical and prior authorization denial appeals for the Carle enterprise. Represents Carle in clinical meetings… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 3484 - Specialist - Denial II RN Facility: BMHCC Corporate Office Department: HS ... services to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities + Reviews,… more
- Nuvance Health (Danbury, CT)
- …manner in collaborationand working closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, ... in work queue and incoming fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials...timeframe. 8. Documents and updates the denials in the denial tracking tool timely and accurately. 9. Collects and… more
- Insight Global (Fort Mill, SC)
- …will either be needing additional information or have been completely denied. This denial specialist will enter the claim information into the system (open ... Description A client of Insight Global is looking for a remote denials specialist to work within their correspondence team. Daily responsibilities of this … more
- Guthrie (Sayre, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on… more
- United Health Services (Binghamton, NY)
- …per hour, depending on experience. Overview Under the direction of the Denial 's Manager the Recoveries Specialist is Responsible for validating dispute/denied ... Denials Recovery Specialist I - Per Diem, 33 Lewis Rd...DOS. Responsibilities will include calling payors to confirm key denial reasons and solutions to adjudicate the resolution for… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital financial ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health… more
- Virtua Health (Marlton, NJ)
- …analysis of CDI Specialist and HIM APR-DRG severity level assignment and denial management.* The CDI Specialist is the primary source to verify diagnoses ... coding, but ICD-10 certification is preferred. As a Clinical Documentation Improvement Specialist , you will utilize your OASIS and coding expertise to guide, train… more
- Northern Light Health (South Portland, ME)
- …authorizations requirements, patient eligibility, claim appeals processing, payment posting and denial resolutions. The Billing Specialist is responsible for ... Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement… 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 ... exposure caused by front end claim edits and retrospective denial of payments for services provided. This position will...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity Location: Midtown Org Unit: AR - Coding Medicine Work Days: Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary ... standards are met for billing. + Analyze for invalid denial trends, payer specific carrier submission requirements & system...as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is required. + Should be certified from… more
- Commonwealth of Pennsylvania (PA)
- LCB Licensing Specialist Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4645134) Apply LCB Licensing Specialist Salary $50,836.00 - ... Licensing Evaluation Division has the perfect job for you! As a LCB Licensing Specialist , you will have the opportunity to review and process routine, advanced, and… more
- University of Colorado (Aurora, CO)
- JDC IOP Insurance Specialist - 34664 University Staff **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of ... Psychiatry** **Job Title:** **JDC IOP Insurance Specialist ** **Position: #00826736 - Requisition: #34664** **Job Summary:** **Key Responsibilities:** + Evaluate… more
- State of Colorado (Denver, CO)
- ECMC Location Assessment Specialist (EPS II) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4649055) Apply ECMC Location Assessment ... Specialist (EPS II) Salary $74,604.00 - $90,000.00 Annually Location...consultatory entities, and a statement of recommended approval or denial of the application. + Participates in Commission hearings… more
- Beth Israel Lahey Health (Danvers, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... cause and accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to ensure the… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Drug Authorization Specialist , with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug authorizations ... to all aspects of drug prior authorization work. The Drug Authorization Specialist creates accurate, thorough, and concise prior authorization requests to all payers… more
- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Three Rivers Orthopedics located at 200 Delafield Rd, Suite 1040, ... authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- MyFlorida (Miami, FL)
- REGULATORY SPECIALIST III - 79000823 Date: Sep 20, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 837604 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST III - 79000823 Pay Plan: Career Service Position Number: 79000823… more