- WMCHealth (Hawthorne, NY)
- Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30011) Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis and reporting… 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 ... to make appropriate decisions and is accountable for reviewing denials for level of care, medical necessity, and as...care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- Catholic Health Initiatives (Little Rock, AR)
- **Responsibilities** The Denials RN is responsible and accountable for receiving, processing and documenting all concurrent denials for assigned facilities. The ... within the revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs a root cause analysis of the concurrent… more
- Hartford HealthCare (Farmington, CT)
- …The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related to DRG (Diagnostic Related Group) validation denials . This ... *Key Areas of Responsibility* *Denial Resolution* . Review DRG validation denials from payers, analyze the denial reasons, and determine the appropriateness… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleInsurance Denials Specialist Position LocationFort Collins, CO Work LocationPosition qualifies for hybrid/in-office work ... thriving arts and entertainment industry. Position Summary The Insurance Denials Specialist will provide excellent customer service and guidance...is denied. It will also be necessary to appeal denials and train staff with registration or coding … more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- HCA Healthcare (San Antonio, TX)
- …you want to join an organization that invests in you as an Inpatient Coding Denials Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of...our team. **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for… more
- SSM Health (MO)
- …Medical Group revenue cycle areas. The scope of responsibility is all post-billed denials (inclusive of clinical denials ). Engages with key leadership including ... retention and engagement. + Understands complexities involved in supporting denials activities spanning multiple states, regional health ministries, payer… more
- Saratoga Hospital (Saratoga Springs, NY)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital, 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... people. About the Role We're looking for a dedicated Denials Assistant to join our team and help us...patient outcomes in a fast-paced healthcare env ironment. The Denials Assistant provides clerical support to the various roles… more
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