- 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- Trinity Health (Farmington Hills, MI)
- …Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves payment… more
- Trinity Health (Farmington Hills, MI)
- …Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of a team ... fashion. Resolves claims, conducts formal account reviews, identifies lost charge recovery , and analyzes and documents delays and payment variances. Identifies… more
- Queen's Health System (Honolulu, HI)
- …audits, creating reports and implementing process changes, to minimize and/or prevent denials . * Follows up on insurance claims with outstanding balances; leads ... zero balance analysis. Creates, reviews and distributes accounts receivable reports on denials , audits, payment trends, and AR status. * Meets with department staff… more
- HCA Healthcare (Brentwood, TN)
- …you to be a part of our team. **Job Summary and Qualifications** As a Denials Coding Review Specialist , you will be responsible for applying correct coding ... that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has...it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. What you will do in… more
- Henry Ford Health System (Troy, MI)
- …processes, including the use of coding knowledge to effectively design insurance recovery and patient pay workflows, research and identification of root causes ... resulting in edits and denials , and assisting with developing error prevention initiatives and...design and continuous evaluation of insurance follow up and recovery functions and workflow, to organize work based on… more
- Conduent (Los Angeles, CA)
- …timely, maximum call time is achieved, and ensures quality results. Insurance-Collections Specialist will handle the collection/ recovery of medical claims with ... noticed and valued every day. **Job Description:** **Remote Insurance/Collections Specialist ** **Pay $17-22hr (Based on Experience)** The Insurance/Collections … more
- Sharp HealthCare (San Diego, CA)
- …to determine whether patient is meeting skilled care criteria based on MCG Recovery Care Guidelines and Healthplan SNF guidelines. Performs data entry related to ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more
- TERROS, Inc. (Phoenix, AZ)
- …is pleased to share an exciting and rewarding opportunity for an Accounts Receivable Specialist Iw orking at our Central Avenue location in Phoenix, AZ . Reporting ... use treatment for the last 50 years. We help people live their lives in recovery and we save lives every day. Terros Health is a healthcare organization of caring… more
- Helio Health Inc. (Gloversville, NY)
- Overview Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare ... issues. The Patient Access Specialist (PAS)meets with patients entering our programs to collect...follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid… more
- Educational Alliance, Inc. (New York, NY)
- …culture, and civic engagement. The Role: Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and ... on Issue Tracker, identify and resolve billing issues, and follow up on denials if required + Review Service documentation and Billing files for accuracy and… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... initiatives j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent… more
- Spokane County (Spokane, WA)
- …determination. + Consults with the Medical Director for any service authorization denials . + Determines financial eligibility which involves utilizing the State of ... youth must be designated as a Child Mental Health Specialist . + ICC's who make service authorization decisions for...care coordination. + Knowledge of person centered treatment and recovery models. + Knowledge of computer applications related to… more