- Hartford HealthCare (Farmington, CT)
- …cycle colleagues and external vendors associated with the insurance portion of the Hospital Billing and Professional Billing Revenue Cycle and will correlate ... Requirements:* . Epic experience and working knowledge of Resolute Hospital and Professional billing modules, required . Understanding of medical and insurance… more
- Rush University Medical Center (Chicago, IL)
- …liaison point of contact for clinical coding inquiries and communication for professional billing revenue cycle 8. Seeks to establish collaborative relationships ... **Other information:** **Required Job Qualifications:** * Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist - Physician Based… 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...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more
- Stanford Health Care (Palo Alto, CA)
- …abilities and professional behaviors. Clinical Government Audit Analyst and Appeal Specialist II is the full proficiency or journey level of the Clinical ... Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management… more
- Kaniksu Community Health (Sandpoint, ID)
- …role, you'll manage and optimize all phases of the revenue cycle-including billing , claims submission, denial management, and patient account follow-up. You'll ... healthcare in your community? We're seeking a Revenue Cycle Specialist to join our finance team. In this mission-driven...Review patient accounts and clinical documentation to ensure accurate billing . + Follow up on unpaid or denied claims;… more
- Datavant (Olympia, WA)
- …tools. The specialist serves as a key liaison between coding, billing , utilization review, case management, and payer relations to reduce denials and improve ... manage denials throughout the entire revenue cycle, including registration, eligibility, coding, billing , and medical necessity. + Analyze denial trends and root… more
- Hunterdon Health Care System (Flemington, NJ)
- …Years of Experience (Amount, Type and Variation) : + Required: + Physician/ Professional Billing Experience: 3+ years required experience in insurance payer ... specialist is the subject matter expert for all billing staff regarding insurance payer billing procedures....claims are erroneously denied through investigating root cause of denial , compiling of data to support the overturning of… more
- Open Sky Community Services (Worcester, MA)
- …Responsibilities Open Sky's Finance team is in search of an Accounts Receivable Specialist with extensive experience in behavioral health billing and accounts ... up to work under the direction of the Third-Party Billing Manager. The Accounts Receivable Specialist will...party payers on outstanding account and credit balances, present denial trends to Third Party Billing Manager… more
- Louisiana Department of State Civil Service (Alexandria, LA)
- …broad range of programmatic and community resources. We're looking for aMedical Certification Specialist 1 or 2to use highly developed professional skills to ... MEDICAL CERTIFICATION SPECIALIST 1 OR 2 - WAIVERS Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5123919)...to the individual or family detailing the reason for denial based on policy and procedure. + As assigned… more
- Penn Medicine (Philadelphia, PA)
- …queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department intervention. Individuals will be ... Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor of Billing...Diploma/GED (Required) + 3+ years Working in health care ( professional ) billing , health insurance or equivalent We… more