- HCA Healthcare (Orange Park, FL)
- …you want to join an organization that invests in you as an Inpatient Coding Denials Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of...our team. **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for… more
- AdventHealth (Altamonte Springs, FL)
- …from Utilization Management staff involved in authorizations, concurrent review, and denials + Assists with interpretation of specific application of medical ... meets with these individuals to have mutually beneficial conversations to improve denials , decrease days in A/R and increase clean claims rate + Performs… more
- Butterfly Effects (Deerfield Beach, FL)
- …client demographics, authorizations, CPT codes, and claim details related to denials or underpayments. + Research claims using insurance portals, Central Reach, ... and EOBs to determine resolution paths. + Review clearinghouse activity for denials and manage resubmissions or corrections. + Collaborate with the billing team to… more
- Banner Health (FL)
- …Inpatient Facility Coding department. If you have experience with DRG and PCS coding/ denials /audits, we want to hear from you. **Requirements:** + **5 years recent ... proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials , billing edits/rejections to provide coding expertise to resolve issues and… more
- Cardinal Health (Tallahassee, FL)
- …system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials ... judgement in any changes that may need to be made. + Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or… more
- University of Miami (Miami, FL)
- …efficient patient outcomes, while avoiding potential treatment delays and authorization denials . They are accountable for a designated patient caseload and provide ... in or lack of coverage + Facilitates communication of denials and or Peer to Peer requests between payers...initiatives and other alike unit activities such as the denials task force and unit-based practice council (UBPC) +… more
- AdventHealth (Tampa, FL)
- …**The val** **ue you'll bring to the team:** Review and analyze claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with ... developing and implementing strategies and procedures to reduce denials , maximize reimbursements, and promote faster payment. Resolves claim edits within the EPIC… more
- AdventHealth (Tampa, FL)
- …loss of reimbursement, including the management of concurrent and pre-bill denials . Ensuring all benefits, authorization requirements, and collection notes are ... in the pursuit of timely reimbursement within established timeframes to avoid denials . Qualifications **The expertise and experiences you'll need to succeed:** RN… more
- Molina Healthcare (Tampa, FL)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
- AdventHealth (Orlando, FL)
- …loss of reimbursement, including the management of concurrent and pre-bill denials . + Ensuring all benefits, authorization requirements, and collection notes are ... the pursuit of timely reimbursement within established timeframes to avoid denials . + Works collaboratively and maintains active communication with physicians,… more