- University Medical Center of El Paso (El Paso, TX)
- Job Description: The Denials and Appeals Specialist follows up on denied claims from commercial and contracted payers. Performs timely and appropriate validation ... (ICD) International Classification of Diseases and MS-DRG. Knowledge of claims denials and appeals processing. Must have working knowledge of DRGs and medical… more
- Covenant Health Inc. (Knoxville, TN)
- …Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. ... and hospital personnel to ensure qualifying diagnosis covers tests/procedures. + Analyzes denials and coordinates appeals . + Ensures corrective action is taken… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Communicates directly with payers to follow up on outstanding claims, file appeals , resolve payment variances, and ensure timely reimbursement. Ability to identify ... with specific reason underpayments, denials , and cause of payment delay. Works with management to identify, trend, and address root causes of issues in the A/R.… more