- Dayton Children's Hospital (Dayton, OH)
- …ConnectionSchedule:Full timeHours:40Job Details:Job Profile Summary The Integrated Care Resource Specialist functions as a member of a multidisciplinary health care ... the Medical Social Workers, Nurse Care Managers, and Patient Classification and Denials Nurses. Assists in facilitating and linking patients and families with… more
- System One (Frisco, TX)
- Job Title: Revenue Cycle Specialist Location: Frisco & Carrollton, Texas (Onsite) Hours/Schedule: Full-time, Monday-Friday Type: Direct Hire Overview A growing ... and Carrollton areas is seeking an experienced Revenue Cycle Specialist to join their team. This role plays a...EEG, etc.). + Generate monthly reports on collections, aging, denials , and AR performance for leadership review. + Collaborate… more
- Hartford HealthCare (Torrington, CT)
- …comprehensive healthcare network as a Pre-Billing Specialist . The Pre-Billing Specialist is responsible for reviewing and validating clinical documentation ... other Commercial payer requirements, helping to prevent billing errors and reduce denials . This position works closely with clinical , administrative, and billing… more
- Trinity Health (Livonia, MI)
- …knowledge to ensure continuous quality improvement. Conducts facility analysis of denials . Prepares and submits review findings, makes recommendations, and works ... leaders to implement solutions. Proactively facilitates cross-departmental collaboration with clinical departments, Patient Business Service (PBS) center, Payer Strategies,… more
- BriteLife Recovery (Englewood, NJ)
- …clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical providers, and ... What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for… more
- CaroMont Health (Gastonia, NC)
- …Care Management and Senior management as necessary. Retrospectively reviews medical record for clinical denials . Composes a detailed summary of care and sends ... best utilization regarding level of patient care, diagnostic testing, and clinical procedures without jeopardizing patient quality efforts. Identifies and reports… more
- Northern Light Health (Brewer, ME)
- …billing and claims. Auditing and reconciling departmental charges, analyzing claim denials , and ensuring billing compliance to maximize revenue and prevent financial ... and reimbursement. + Works across teams to resolve claim denials . + Use Pharmacy Pricing Policy to determine patient...table of contents and mail merge techniques. + Siemens Clinical software. + Utilizes Resources Effectively: Understands how to… more
- Saint Francis Health System (OK)
- …**to login and apply.** Full Time Job Summary: The Pro Fee Coding Specialist performs diagnosis and/or procedural coding as assigned in order to apply the ... claims are submitted correctly. Monitors coding and billing performance and resolves denials related to coding errors. Performs review for charge corrections and… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries. The representative must be able to respond… more
- Bluestone Physician Services (Stillwater, MN)
- …Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our ... : Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment.… more