- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow -upThe individual is responsible for ... conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate… more
- Blanchard Valley Health System (Findlay, OH)
- …Specialist is responsible for the timely review and accurate identification and follow -up of all initial denial notifications from Blanchard Valley Facility ... be required to work with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating to denials. The specialist will… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …SummaryThe Accounts Receivable Billing Rep is responsible for accurate and prompt follow -up of unpaid or denied claims/charges. Rep is also responsible for providing ... able to research difficult accounts and report any specific denial trends to management. Rep will be responsible for...codes and billing requirements related to physician billing and follow -up. This is to be accomplished by attending related… more
- Accounting Now (Tampa, FL)
- …accounts, and request adjustments or rebills on claims. Duties: Research, initiate follow -up, and resolve all unpaid or underpaid system debit balances on Medicare ... analytical skills to determine the root cause of our underpayment and follow appropriate policy and procedure to remediateNavigate through various payer systems and… more
- Prestige Staffing (Knoxville, TN)
- …attachments, and supporting documentation are included to facilitate prompt adjudication. Claim Follow -Up: Monitor claim status and follow up on unpaid, denied, ... timely manner. Contact insurance carriers to inquire about claim status, denial reasons, and payment discrepancies. Investigate and resolve claim rejections, coding… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …appropriate use of seclusion and restraints.Demonstrates appropriate response and follow through in medical emergencies.Handles inquiry and crisis calls, and ... patients in their level of recovery while strongly confronting denial .Demonstrates appropriate use of therapeutic communication with chemically dependent and… more
- Amerant Bank (Tampa, FL)
- …to develop new business relationships.Refer business to other business units. Follow -up and resolve outstanding exceptions.Exercise prudent judgment in authorizing ... loan committee presentations.Communicate to customers and prospects the approval or denial of credit requests.Review depository activity of clients to insure… more
- NorthBay Health (Fairfield, CA)
- …Utilization Review, Inpatient, Outpatient and Complex Case Management, Discharge Planning, Denial Management, and Social Services for the NorthBay Healthcare Group. ... Management and Population Health strongly preferred. Skills: Demonstrated initiative, follow through and ability to work independently. Demonstrated results oriented… more
- Alabama Oncology (Birmingham, AL)
- …documentation and submits to supervisor. + Processes insurance/patient correspondence, including denial follow -up within 48 hours of receipt. Files all ... at the Birmingham Business Office Summary: Under general supervision, an AR Account Follow -Up Specialist is responsible for account follow -up for all assigned… more
- University of Colorado (Aurora, CO)
- …insurance authorization to providers. + Process insurance/patient correspondence, including denial follow -up. Maintain reimbursement correspondence and filing ... insurance authorization to providers._ + _Process insurance/patient correspondence, including denial follow -up. Maintain reimbursement correspondence and filing… more
- UNC Health Care (Rocky Mount, NC)
- …follow through with County DSS contacts and/or patient to determine basis of the denial ; evaluate denial and follow through with requesting appeal. 5. ... the procedures of applying for Medicaid and/or Social Security Disability benefits. 2. Follow -up with patient and County DSS to assure all pertinent information has… more
- University of Washington (Seattle, WA)
- …resolving outstanding claims quickly and maximizing appropriate revenue. + Accurately decipher denial reason and decides follow -up steps utilizing the Epic ... Practice Plane Services (FPPS) has an outstanding opportunity for an **Insurance Follow -Up Coding Denials Specialist.** **WORK SCHEDULE** + 40 hours per week +… more
- UTMB Health (Galveston, TX)
- …resolution. + Maintain an updated issues list on behalf of the HB and PB Denial /AWO Committees, and follow up with owning areas as necessary to ensure progress ... will use appropriate tools to support charge capture, revenue reconciliation, denial management, and payment validation. **Job Duties:** **(Liaison)** + Coordinate… more
- Catholic Health Initiatives (Little Rock, AR)
- …in the Clinic Billing Department which may include payment posting or insurance denial follow -up. Assisting patients on the phone with billing questions, ... reviewing credit balances and refund requests, correcting claims, rebilling claims, and charge entry. + Posting insurance or patient payments, keying in denials, posting zero insurance payments. + Searching for explanation of benefits from different payers,… more
- Health Advocates Network (Folsom, CA)
- …of two (2) years of Professional Billing with an emphasis on Managed Care denial follow -up and appeals processing - prior hospital billing experience is a ... plus. + 3-5 years of Patient Accounting in a high-volume environment preferred. + Knowledge of CPT, HCPC, and ICD 10 coding requirements with emphasis on modifiers and diagnosis association. + Certified coder or currently enrolled in a coding program + Working… more
- Wood County Hospital (Bowling Green, OH)
- Wood County Hospital is currently accepting applications for a full time Denial Coordinator. The Denial Coordinator reviews and analyzes all inpatient and ... appeal and eliminate denials. Provides education to involved parties within the denial cycle for quality improvement. Collects data regarding denials for purposes of… more
- Nuvance Health (Danbury, CT)
- …manner in collaborationand working closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, and ... in work queue and incoming fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials...with insurance companies to schedule a peer-to-peer review and follow up on the outcomes. 7. Send the appeals… more
- Carle (Urbana, IL)
- Outpatient Denial /Appeals Specialist- RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment ... review to establish and manage clinical and prior authorization denial appeals for the Carle enterprise. Represents Carle in...plans and time lines. Excellent attention to detail and follow -through. Is innately inquisitive and serves as a role… more
- University of Florida (Gainesville, FL)
- …to ensure "clean claims." + Submit claims on a timely basis. Claims and Denial Management: + Monitor follow -up and denial work queues. + ... capturing all rendered services with accurate codes, timely submission of claims, and follow -up on denied claims. The ideal candidate will have strong knowledge of… more
- Option Care Health (Tampa, FL)
- …Supports the ongoing activities needed to ensure clean claims on hold and denial management ( follow -up on paperwork where missing). + Assist Patient Registration ... Supervisor and Manager with special assignments as needed. **Supervisory Responsibilities** Does this position have supervisory responsibilities? NO (ie hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline,… more
