- Seattle Children's (Seattle, WA)
- …materials and standard procedures. Communicate coding and billing updates to clinical leaders and providers. Build and maintain strong relationships with stakeholder ... ensure coding and documentation compliance. **Required Credentials** Certified Coding Specialist -Physician Based (CCS-P) certification by the American Health Information… more
- Robert Half Accountemps (Rochester, NY)
- Description Ensure full reimbursement is received for clinical services rendered including detail oriented, long-term/home care and hospital care, by effectively and ... phone calls to the payer. Submit corrected claims and appeals . Process account adjustments and refunds as needed according...keep policies and procedures up to date with new clinical programs and payer policy changes. Acquire and maintain… more
- Geisinger (Danville, PA)
- …resource working collaboratively with a diverse group, including management, physicians, clinical and non- clinical personnel utilizing the national correct ... of prospective claim edits and partnerships. + Determines payment compliance with clinical and reimbursement policies. + Researches CPT codes to clarify coding… more
- Option Care Health (Columbia, SC)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Assists with Billing and Collection Training and completes "second level" appeals to payers. **Job Description:** **Job Responsibilities:** + Submits timely,… more
- City and County of San Francisco (San Francisco, CA)
- …limited to experience: + Working with vulnerable patient populations + Supervising clinical and administrative professionals + Improving clinical quality + ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- University of Rochester (Rochester, NY)
- …and administrative duties in a fast-paced environment in support of clinical , educational, and academic programs. Responsible for all clinic preparations, including ... preferences. Chooses and recommends among competing demands. - Examines the clinical schedule(s) on a continuous basis to identify opportunities for optimizing… more
- State of Colorado (Denver, CO)
- Social Work III - Clinical Services Fort Logan Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167030) Apply Social Work III - Clinical ... interventions and comprehensive aftercare plans with placement. Services include clinical assessment, treatment planning, individual therapy, group therapy, family… more
- Avera (Spencer, IA)
- …accepted, are exclusively with Spencer Hospital.** **Responsibilities:** + Coordinate with clinical staff in order to complete prior authorization for all services ... as needed to ensure treatments/services meet medical necessity criteria. Assist with appeals for claim denials due to the authorization process. Develop and… more
- Logan Health (Kalispell, MT)
- …Specific Duties: + Audits patient account documentation and provider related clinical documentation for insurance billing per department protocol. + Assists billing ... office with appeals , re-determinations and other billing issues related to patient accounts. + Monitors reimbursements and allowables related to insurance claims to… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …with IP denials. Analyzes information, assigns follow-up responsibility. Works with clinical areas to decrease denials by coordinating monthly meetings with ... discuss trends, opportunities, etc. Assists Revenue Integrity Coordinator with denials appeals . Close out each tracked denial (overturned or recouped). Overall works… more