- Amaze Health (Denver, CO)
- …+ Make insurance understandable: Explain insurance coverage and costs in everyday language. + Denials and appeals : Support patients through denials and ... appeals , managing paperwork and updates. + Referrals: Coordinate referrals and prior authorizations for smooth access to care. + Collaborate as a team: Offer empathetic support by phone, chat, or email, collaborating with teams to resolve patient issues. +… more
- Robert Half Accountemps (Des Moines, IA)
- …billing and insurance claim documentation with precision. * Monitor and manage medical denials and appeals to resolve issues. * Support hospital billing ... of medical collections and workers' compensation processes. * Familiarity with medical denials and appeals procedures. * Experience in hospital billing and… more
- Henry Ford Health System (Detroit, MI)
- …role is responsible for overseeing pre- and post-payment audit processes, managing denials and appeals , and driving payer behavior change through data-driven ... for pre- and post-payment audit processes. This is more than managing denials -it's about driving payer behavior change, leveraging data to influence outcomes, and… more
- Houston Methodist (Katy, TX)
- …to: medical coding, insurance billing, collections, patient account resolution, appeals / denials , customer service, cash applications, revenue integrity, etc. ... but not limited to the following: accounts receivable days, cash collections, denials , avoidable write-offs, staff productivity and work quality and credit balances.… more
- St. Luke's University Health Network (Allentown, PA)
- …needed for workflow or identification of trends. Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and ... a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all… more
- TEKsystems (Woods Cross, UT)
- …to clearinghouses or payers. + Employ effective billing techniques to resolve edits, denials , and appeals as necessary. + Investigate claims on accounts ... will be detail-oriented, self-motivated, and capable of resolving claim denials , ensuring timely collections, and supporting process improvements to maximize… more
- Crouse Hospital (Syracuse, NY)
- …Care Managers in the department, including Utilization Management, Discharge Planning and Denials and Appeals functions. + Assessing workflow related to ... Business Office staff regarding workflow processes and maintains an effective denials management process. + General operational oversight includes hiring, training… more
- Community Health Systems (Franklin, TN)
- …management policies. This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers ... insurance companies to secure coverage approvals and mitigate concurrent denials by submitting reconsiderations or coordinating peer-to-peer reviews. + Communicates… more
- Houston Methodist (Houston, TX)
- …on insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance ... directed by the clinical team. Documents authorization, approvals, and denials **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Maintains awareness of payor/reimbursement… more
- Intermountain Health (Topeka, KS)
- …for internal and external data reporting. + Monitors and responds to coding denials , appeals , and audits. + Maintains current knowledge of coding updates, ... changes, and trends through continuing education and professional development. **Skills** + ICD-10-CM & PCS + Electronic Health Record + Anatomy, physiology & pathophysiology + Accuracy + Detail oriented + Coding software + Interpersonal skills + Computer… more