- 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
- 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
- Corewell Health (Grand Rapids, MI)
- …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... faxing and uploading to EPIC. + Assists with training new team members utilizing standard work. + Ability to perform the role of Patient Services Representative, Associate when necessary. + Actively participates in safety initiatives and risk mitigating… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Degree 2 years of experience - hospital billing, processing claim edits, denials , appeals and managing accounts receivable. Experience with Epic Resolute ... Hospital Billing or similar hospital billing systems. In lieu of Bachelor's: 5 years of experience in a lead/supervisory role OR 7+ years of progressive experience in revenue cycle accounts receivable for a large hospital or health system PREFERRED… more
- Sanford Health (Rapid City, SD)
- …improvement, and interaction with payers. Additional duties include management of medical denials , appeals , and grievances. Understand and provide insight into ... evaluating current process improvement strategies including quality, methods, and ability to maintain focus on the continuous improvement of processes, products and services. Manage processes to support attainment of goals within department and organization.… more
- Children's Mercy Kansas City (Kansas City, MO)
- …review functions utilizing InterQual and/or MCG screening guidelines, and clinical denials / appeals oversight. Participates in department and hospital performance ... improvement activities; Responsible for outcomes reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome focused family centered care management and services.… more
Recent Jobs
-
Prep Cook (Full Time)
- Compass Group, North America (Northfield, MN)
-
Professional Dog Trainer
- Off Leash K9 Training (Seattle, WA)
-
Engineer/Scientist
- Naval Sea Systems Command (Dahlgren, VA)