- UPMC (Washington, PA)
- Description: An Accounts Receivable (AR) Account Specialist in a hospital offers the opportunity to make a meaningful impact by ensuring the financial stability that ... + Investigate root causes of claim denials, recommend solutions, and assist with appeals and follow-up. + Manage assigned accounts by ensuring timely and accurate… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... charge entry. 6. May run and work missing charges, edits, denials list and process appeals . Posts denials in EPIC/IDX on a timely basis. 7. Posts all payments in IDX… more
- Amergis (Columbia, MD)
- …staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill ... unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + Follows all… more
- South County Hospital (Wakefield, RI)
- …career development benefits and opportunities. We are seeking a full-time Billing Specialist II in our Patient Accounting Department. This department supports the ... Substantial experience with denials, edits and rejections; Extensive background in appeals and A/R collections; Significant experience with insurance carrier plans… more
- Gentiva (Mooresville, NC)
- …Care.** We are seeking a detail-oriented and highly organized Revenue Cycle Specialist to support our billing operations through timely processing of Government and ... Benefits (EOBs) to determine next steps in payment posting or appeals . **About You** **Skills and Qualifications:** + Excellent troubleshooting and problem-solving… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …patients need to keep moving and keep enjoying their life. The Pre-Certification Specialist is expected to provide the highest level of service to patients, fellow ... up to date requirements needed to successfully obtain authorizations + Initiate appeals for denied authorizations + Communicate with surgical facilities and send all… more
- University of Utah (Salt Lake City, UT)
- …PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA ... of MAC 1 & 2 team members. + Monitor and resolve denials and appeals to ensure timely collection. + Maintain work queue expectations. + Evaluate and resolve… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …than the sum of its parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a ... and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail. + Participate in special… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …ZOLL the ideal place to build your career. Job Summary The Collections Specialist is responsible for working with insurance companies to facilitate the reprocessing ... to payer after making necessary edits on HCFA 1500 claim forms + Write appeals to insurance companies to overturn denied or incorrectly paid claims + Understand and… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medication Authorization Specialist Location: Greece and Medical Office Building (MOB - Irondequoit) Hours Per Week: 40 SUMMARY: This role helps patients' ... requests for cardiology medications, and monitor approvals, step therapy requirements, and appeals to ensure timely access to treatment. + Collaborate with providers… more