- CenterWell (Springfield, IL)
- **Become a part of our caring community and help us put health first** The ** Denials Management Specialist ** is responsible to respond to, monitor and ... not limited to ADR's, CERTS, RAC's, ZPIC's, SMRC's, and all other revenue-driven denials and requests. Guides and coordinates with the branch staff in developing… more
- Superior Ambulance Service (Elmhurst, IL)
- …accounts receivable resolution. This team works through open accounts receivables ( denials and delinquent accounts) by actively calling payer organizations or ... collections for our clients. Specific tasks include resolving insurance carrier denials , appealing claims, contacting carriers on open accounts and responding to… more
- Spectrum Billing Solutions (Skokie, IL)
- …| A/R Collections Specialist | Patient Account Specialist | Reimbursement Specialist | Billing/Revenue Cycle Management Specialist | Medical Billing ... Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking...add a passionate and skilled Revenue Cycle AR Collections Specialist to our growing team. The ideal candidate will… more
- AdventHealth (Bolingbrook, IL)
- …Maintains schedule flexibility to meet department + needs. Exhibits effective time management skills by monitoring time and attendance to limit use of + ... incomplete pre-authorizations with third-party payers to minimize authorization related + denials through phone calls, emails, faxes, and payer websites, updating… more
- Spectrum Billing Solutions (Skokie, IL)
- Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review ... Specialist to our growing team. The Utilization Review ...and continuing authorization for treatment services. + Manage authorization denials including referral for peer review. + Demonstrate the… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... and improve revenue cycle. + Escalate complex or uncollectible accounts to management for further action. + Submit appeals/claim corrections as needed within timely… more
- Carrington (Springfield, IL)
- …and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on all liquidated loans. Identify ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… more
- Intermountain Health (Springfield, IL)
- …CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review, audit findings, and appeal ... multidisciplinary service lines **Preferred** + Bachelor's degree in health information management (RHIT), health informatics, or related field from an accredited… more
- AdventHealth (Hinsdale, IL)
- …or incomplete pre-authorizations with third-party payers to minimize authorization related denials through phone calls, emails, faxes, and payer websites, updating ... days. Communicates any outstanding issues with Financial Counselors and/or case management staff + Completes Medicare Secondary Payer Questionnaire for Medicare… more
- Cardinal Health (Springfield, IL)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials … more