- Johns Hopkins University (Middle River, MD)
- …edits reports, file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production ... for the basic collection of unpaid third-party claims and standard appeals , using various JHM applications and JHU/ PBS billing applications. Communicates… more
- Hunterdon Health Care System (Flemington, NJ)
- …variances and takes action to resolve accounts including drafting and submitting technical appeals . In addition, the AR specialist is the subject matter expert ... Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the… more
- The County of Los Angeles (Los Angeles, CA)
- …Accountant I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services ... Financial Specialist I Human Resources Trainee Intermediate Board Specialist Management Assistant Operation Assistant Personnel Assistant Senior Board … more
- Catholic Health (Buffalo, NY)
- …role of management and oversight of team Summary: The Clinical Denials and Appeals , Clinical Supervisor is responsible for the people, carrying out and documenting ... the appeals process for denied claims denied due to reasons...one of the following (or similar) credentials: Certified Documentation Specialist , Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA),… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related ... Key responsibilities include timely investigation of DRG downgrades, submitting appeals , coordinating follow-up actions, and ensuring compliance with regulatory… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Legal Secretary** **Job Class: State Program Administrator, Technical Specialist ** **Agency: Human Services Dept** + **Job ID** : 89453 + ... AFSCME + **Division/Unit** : DHS - Central Office / Appeals Administrative Supv + **Work Shift/Work Hours** : Day...will provide advanced legal and technical support services to appeals activities for state fair hearings and the MNsure… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist MSH PT Days 4/Days Week (Days Vary) 8a-1p with Every Weekend** To maintain front end operations of the Case Management ... + Requests or provides Medical Records as required for appeals , On / Off-site Insurance reviews + Implements.../ Off-site Insurance reviews + Implements first step of appeals process to assist Appeals Nurse and… more
- Johns Hopkins University (Middle River, MD)
- We are seeking an **_AR Revenue Cycle Specialist III_** who will be responsible for the collection of unpaid third-party claims and independent resolution of complex ... appeals , using various JHM applications and JHU/ PBS billing...and/or AHIMA certification preferred. Classified Title: AR Revenue Cycle Specialist III Role/Level/Range: ATO 40/E/02/OE Starting Salary Range: $18.20… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more