- St. Luke's Health System (Boise, ID)
- …a great place to work. **What you can expect from this role:** The Coding Denial Specialist is responsible for providing support in the function areas of Revenue ... Cycle. Ensures adherence to coding guidelines, company policies, procedures, and related government regulations. + Under limited supervision, performs professional level support activities in one or more functional areas of revenue cycle. Uses established… more
- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist -Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue… 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
- Northern Light Health (Brewer, ME)
- …to productivity and quality. This position works closely with a team of Denial Resolution Specialists to analyze and take corrective action on payer denials to ... closely by way of problem solving with peers and leaders to address payer denial and processing issues or changes that directly impact the accounts receivable. +… more
- Beth Israel Lahey Health (Burlington, MA)
- …by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2. Ability to ... order to identify paid claims or root cause of denial when assessing physician inpatient denials. 3. Responds to...in a timely fashion. 5. Observes irregularities in the cash/ denial posting process and reports them immediately to the… more
- Beth Israel Lahey Health (Charlestown, MA)
- …by management. Analyzes work queues and other system reports and identifies denial /non-payment trends and reports them to the Billing Supervisor. 2) Ability to ... order to identify paid claims or root cause of denial when assessing physician inpatient denials. 3) Responds to...in a timely fashion. 5) Observes irregularities in the cash/ denial posting process and reports them immediately to the… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The PFS Denial Specialist II role is vital to ensure that hospital denied accounts ... or sooner as needed 17. Assists in reviewing appeals compiled by PFS Denial Specialist I to ensure accuracy prior to leadership approval 18. Review medical… more
- TEKsystems (Winston Salem, NC)
- Description: 3-6 month hospital claims/ denial clean up project. Insurance Specialist to be responsible for Follow Up on encounters with no payer response, ... analyzing patient accounts, performing the appropriate steps or actions needed to satisfy the account balance, and handling inquiries regarding patient's account. Resubmit claims as needed. Skills: insurance follow up, denied claims, medical billing and… more
- MCG Health System (Augusta, GA)
- …timely manner and appeals for the denied claims are submitted appropriately. The Denial and Appeals Specialist will use payor guidelines, carrier websites, ... Denials and Appeals Specialist Work Location: Satellite Location Req Number: 35021...to determine to appropriate steps needed to resolve the denial . Position Requirements High School Diploma, GED or equivalent… 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 ... in Spine and Pain. . The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs...timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… 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
- 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 ... When symptoms in the medical record require further documentation, the CDI Specialist queries the physician for a specific diagnosis/procedure for more accurate DRG… 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
- Trinity Health (Farmington Hills, MI)
- …of many payers and appeals types, coordinates and may lead denial management processes (Clinical and Administrative/Technical accounts, focusing upon retrospective ... key stakeholders across the various impacted departments; + Coordinates rejection, denial and appeal activities with Regional Health Ministries (RHM) based… more
- Trinity Health (Farmington Hills, MI)
- …Vision, and Values in behaviors, practices, and decisions. Coordinates denial management processes (Clinical and Administrative/Technical accounts, focusing upon ... key stakeholders across the various impacted departments + Coordinates rejection, denial and appeal activities with Ministry Organization (MO) based Utilization… more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the Physician. ... to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance responsibilities. Additionally, this… more
- Beth Israel Lahey Health (Burlington, 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
- 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