- HCA Healthcare (Frankfort, KY)
- …Do you want to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... opportunity to make a difference. We are looking for a dedicated Impatient Coding Denial Specialist like you to be a part of our team. **Job Summary and… more
- Alameda Health System (San Leandro, CA)
- Patient Financial Services Denial Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Pro + Services As Needed / Per Diem - Day + $35.26 / Hour + ... #:41693-30873 + FTE:0.01 + Posted:May 15, 2025 **Summary** **SUMMARY:** The PFS Denial Specialist is responsible for validating dispute reasons following… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist will identify, review, and interpret third-party payments, adjustments, ... expected by management. Analyzes work queues and other system reports. Identifies denial /non-payment trends and reports them to the Billing Supervisor. Ability to… more
- Logan Health (Kalispell, MT)
- …| Full-Time - 40 Hours Logan Health is seeking a detail-oriented and proactive Denial Specialist to join our Patient Accounting team. This critical role focuses ... + Research Explanation of Benefits (EOBs) and payer communications to determine denial causes and next steps. + Coordinate the submission of medical records,… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN ... and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN ... and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes… more
- Baptist Memorial (Memphis, TN)
- Overview Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services ... to appropriate staff. . Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement Requirements, Preferences… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: Works 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...timeframe. 8. Documents and updates the denials in the denial tracking tool timely and accurately. 9. Collects and… 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
- 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
- Albany Medical Center (Albany, NY)
- …educator on developing training sessions and materials and working with the denial 's specialist for education and compliance. They optimize hospital ... educator on developing training sessions and materials and working with the denial 's specialist for education and compliance. They optimize hospital… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an appeal rationale… more
- Beth Israel Lahey Health (Charlestown, MA)
- …oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing ... System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues . Work assigned accounts...Work assigned accounts with higher complexity (high dollars, specific denial records, etc) within Hospital Billing, Denial ,… more
- Fairview Health Services (St. Paul, MN)
- … reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the ... **Job Overview** The Outpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... documentation ###@isd.lacounty.govand indicate your name, exam name (Stationary Engineer Controls Specialist ), and the exam number (W7200K ) . LICENSE: A valid… more
- UPMC (Pittsburgh, PA)
- **University of Pittsburgh Physicians is hiring a full-Time Sr. Authorization Specialist to help support their UPMC Magee-Womens Center for Fertility and ... home flexibility, after completion of training. **Position Specifics:** The Sr. Authorization Specialist also functions as the IVF Financial counselor for the REI… more
- 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 ... to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance responsibilities. Additionally, this… more
- Novant Health (NC)
- Job Summary + The Coding Audit Response Specialist position responds to external and internal audits that include an assessment of ICD-10- CM/PCS, CPT or HCPCS codes ... will include but will not be limited to: coding audits, charge edit and denial audits, commercial payers, and CMS payers. Responses will be coordinated through the… more
- Novant Health (NC)
- Job Summary The Coding Audit Response Specialist position responds to external and internal audits that include an assessment of ICD-10- CM/PCS, CPT or HCPCS codes ... will include but will not be limited to: coding audits, charge edit and denial audits, commercial payers, and CMS payers. Responses will be coordinated through the… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... must be able to respond knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal is to resolve all of the… more