- Performance Optimal Health (Stamford, CT)
- …through exceptional care, service, and teamwork. We are seeking a Billing Specialist to join our growing Practice Administration/Billing team. This role combines all ... authorizations/pre-certifications as required by payers. + Resolve billing issues, denials , and underpayments by following up with insurance companies, patients,… more
- Robert Half Accountemps (Indianapolis, IN)
- …patient billing data for accuracy and completeness. + Resolve billing discrepancies and denials through follow-up and appeals . + Post payments and adjustments to ... Description Robert Half is seeking a detail-oriented and experienced Medical Billing Specialist . The ideal candidate will be responsible for managing patient billing… 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
- Excelsior Orthopaedics Group (Amherst, NY)
- …clarify documentation and ensure code accuracy. + Monitor and respond to coding-related denials , rejections, and edits; assist with appeals and identify areas ... CPT, ICD-10-CM, and HCPCS Level II codes for surgical and clinical procedures, ensuring accurate reimbursement, coding compliance, and efficient billing processes.… more
- Covenant Health Inc. (Knoxville, TN)
- …Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals , and verifies that appropriate chargemaster rates are used. ... Overview Coding Specialist , Centralized Coding, Outpatient Coder Full Time, 80...personnel to ensure qualifying diagnosis covers tests/procedures. + Analyzes denials and coordinates appeals . + Ensures corrective… more
- Community Health Systems (Franklin, TN)
- …and reduce potential denials , utilizing input from the Utilization Review Clinical Specialist . + Monitors and updates case management software with ... ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers,… more
- Sharp HealthCare (San Diego, CA)
- …with appropriate clinical staff the status of ongoing payer requests, denials and/or potential denials for non-covered services and other problems; initiate ... communication with appropriate agencies and clinical staff for appeal of denials ; Conduct...team to communicate changes in pre-authorization, denial, medical review, appeals , managed care contracts, and referrals to ensure timely… more
- HCA Healthcare (Aventura, FL)
- …+ Contacting the facilities, physicians' offices and/or insurance companies to resolve denials / appeals + Adhere to time and attendance policies + Adhere ... of related experience required. Experience in the following areas: appeals , denials , managed care, verifications/notification, precertification experienced… more
- Mohawk Valley Health System (Utica, NY)
- …+ Provide guidance and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. ... potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals… more
- Ventura County (Ventura, CA)
- …rate, compliance rate with quality standards and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders ... based on denials ; + Assists in organizing, coordinating, and directing of...Coders (Inpatient & Outpatient), coding productivity and collaborate with Clinical Documentation Specialist team; + Provides coding… more