- Guidehouse (Birmingham, AL)
- …+ Works all denials taking necessary actions to obtain account resolution. + Submits appeals , as appropriate, for all non- clinical denials + Monitors all denials ... for trends and issues and reports findings to supervisor . + Bills or re-bills claims as necessary. + Ensures the client follows all state and federal rules and… more
- City and County of San Francisco (San Francisco, CA)
- …therapy assistants in all settings and CHHAs in home environment + Providing clinical case management and supervision over the home health care team when appropriate ... Rescuer (BLS) Certificate must be provided to the appropriate supervisor of the appointment within the allotted time frame....may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Beth Israel Lahey Health (Westwood, MA)
- …deliveries and verify correct address information. Escalates calls to pharmacists for clinical inquiries and escalates grievances to supervisor . 7. Maintains new ... Support health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing problems/issues with… more
- Calvary Hospital (Bronx, NY)
- …to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process for those cases for which reimbursement has been denied. Conducts ... interdepartmental meetings related to the quality and utilization of clinical services. Serves on various Hospital committees as assigned. Attends meetings and… more
- BrightSpring Health Services (Valdosta, GA)
- …educational sessions as requested.* Perform additional duties as requested by Supervisor or Management team. Measurement: DSO, accounts worked per month, AR>90 ... with State Billing Portal sites, preferred.* Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred*… more
- Guidehouse (Lewisville, TX)
- …+ Works all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non- clinical denials + Monitors all denials ... for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and… more
- HCA Healthcare (El Paso, TX)
- …The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts assigned and apply critical thinking skills to ascertain ... websites + Escalates problem accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities + Maintains… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I Financial… more