- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …resources, regional level and alternative resources. + Assists in obtaining insurance approvals/ denials and/or appeals for therapy. Assists patients and HCP with ... processing applications for Copay Assistance/Reimbursement and Patient Assistance Programs. Assists with ordering/triaging prescriptions for patient or HCP. + Provides education to patients and health care providers, regarding insurance requirements, options… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …data across multiple domains, including utilization management, prior authorization, claims, denials , and appeals . Their work goes beyond extraction; it ... involves interpreting nuanced data needs, writing new code to access unavailable datasets, and translating exploratory questions into actionable insights. The analyst liaises with internal teams such as Network and Pharmacy, ensuring data is pulled using the… more
- US Anesthesia Partners (Austin, TX)
- …collection experience including, but not limited to clean claim guidelines, working. denials , writing appeals , resolving balances with carriers and patients. + ... Ability to work effectively and independently with staff, physicians and external customers. + Ability to motivate diverse personalities within the departments. *The physical demands described here are representative of those that may need to be met by an… more
- Sharp HealthCare (San Diego, CA)
- …with providers.Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials , input into appeals , share findings with providers.Review all cases ... organization goals including reductions in length of stay, decreasing denials , improvement of care transitions, and reduction in avoidable readmissions,… more
- Sharp HealthCare (San Diego, CA)
- …with providers.Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials , input into appeals , share findings with providers.Review all cases ... organization goals including reductions in length of stay, decreasing denials , improvement of care transitions, and reduction in avoidable readmissions,… more
- Robert Half Finance & Accounting (Bennington, VT)
- …contracts, recommend procedural changes, and train staff accordingly. + Manage technical denials process, including appeals and carrier communication. + Produce ... timely billing processes. This role supervises a dedicated team, manages technical denials , and serves as a key liaison between Accounts Receivable and practice… more
- Sharp HealthCare (La Mesa, CA)
- …with providers.Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials , input into appeals , share findings with providers.Review all cases ... organization goals including reductions in length of stay, decreasing denials , improvement of care transitions, and reduction in avoidable readmissions,… more
- Ventura County (Ventura, CA)
- …rate, compliance rate with quality standards and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders ... based on denials ; + Assists in organizing, coordinating, and directing of coding activities of the Health Information Management Department at VCMC; + Reviews and… more
- UNC Health Care (Kinston, NC)
- …all denial requests and leads the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first and second levels of an ... the Physician Advisors and subject matter experts for all audit and appeals work activities. Assists with documentation review to support the clinical documentation… more
- Cardinal Health (Denver, CO)
- …receivables performance and client satisfaction. + Resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. ... including all Medicaid states on paper and online. + Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage,… more