- HCA Healthcare (Orange Park, FL)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first....colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- TEKsystems (Jacksonville, FL)
- …deadlines and goals to serve their clients Skills revenue cycle appeal, revenue cycle specialist , denials specialist , appeals specialist , insurance ... EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials ,...follow ups Top Skills Details revenue cycle appeal,revenue cycle specialist , denials specialist , appeals … more
- Molina Healthcare (Miami, FL)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... determine appeal and grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates... appeals and denials . + Strong verbal and written communication skills To… more
- Molina Healthcare (FL)
- …for letters and prepare responses to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial ... by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and ... and experience in third-party billing. Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement +...to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit… more
- Intermountain Health (Tallahassee, FL)
- …levels, providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides ... and billing requirements. + Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and… more
- Cardinal Health (Tallahassee, FL)
- …in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + ... prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and...Processes denials & rejections for re-submission (billing) in accordance with… more
- TEKsystems (Tampa, FL)
- …trends, coding errors, or compliance risks. * Assist with appeals and denials related to coding or medical necessity. * Maintain current knowledge of ... Ambulatory Surgery Center Specialties preferred: Ortho, ENT, GI Position Summary: The Medical Coder for the Ambulatory Surgery Center (ASC) is responsible for… more