- Mount Sinai Health System (New York, NY)
- …Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status of Medical Record requests for denials to insure that ... **Job Description** **Insurance Specialist MSH PT Days 4/Days Week (Days Vary)...to perform clinical/technical/service/administrative tasks: + Prioritizes Insurance Requests / Denials when received in the department as per protocol… more
- Thrive Proactive Health (Virginia Beach, VA)
- …- Medical Billing Specialist (Experienced): Take ownership of full claim lifecycles, denials , appeals , and collections. + Level 3 - Senior Billing ... The Opportunity We are looking for a Medical Billing Specialist who is detail-oriented, motivated, and eager to grow....while learning the ins and outs of insurance billing, denials , appeals , and patient financial support. This… more
- Beth Israel Lahey Health (Burlington, MA)
- …15. Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. ... Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in order to… more
- Beth Israel Lahey Health (Burlington, MA)
- …Billing Office. 20. Independently works on the resolution of complex claims issues, denials , and appeals . 21. Completes projects and research as assigned. 22. ... functions that cover an enterprise-wide scope, the Revenue Cycle Operations Specialist role is responsible for identifying, researching, and resolving various… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …molecular pathology, high-cost drug, and off-label drug authorizations. The Clinical Authorization Specialist is also responsible for managing denials related to ... appeal process. + Creates cost estimates for waivers. + Root causes claim denials , reprocesses, and submits claim appeals . + Creates drug cost estimates… more
- Omaha Children's Hospital (Omaha, NE)
- …make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely and appropriate ... for verifying insurance coverage, obtaining prior authorizations, and managing denials by collaborating with clinical, administrative, and financial teams. The… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …status using payer portals and billing software; investigate and resolve rejections or denials promptly. + Prepare and submit appeals for denied claims, ... Job Summary The Billing Specialist plays a critical part in maintaining the...narratives as needed. + Identify and report trends in denials , underpayments, and billing errors to support performance improvement.… more
- Ventura County (Ventura, CA)
- …on denial codes transmitted to the billing department, analyzes reasons for denials , submits appeals and reconsideration requests, and makes appropriate ... receive prompt reimbursements. + Review billing claims, analyze and correct errors, submit appeals and manage denials . + Research accounts for correct payments,… more
- Movn Health (CA)
- …to all payers within 24 hours of service + Review and process claim denials and rejections, executing timely appeals and follow-up strategies + Aggressively ... seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and...with a proven track record in A/R recovery, claim appeals , and payer follow-ups. Experience in startup environments and… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... business functions including, but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue… more
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