- Houston Methodist (Houston, TX)
- …This Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...queues for complex payers and resolve accounts. + Manages denials and appeals efforts. Creates and submits… 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 (ON SITE) in our office who is detail-oriented,...while learning the ins and outs of insurance billing, denials , appeals , and patient financial support. This… more
- HCA Healthcare (Plano, TX)
- …We want your knowledge and expertise! **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for applying correct coding ... Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for… more
- Hartford HealthCare (Farmington, CT)
- …Denial Specialist is responsible for reviewing, analyzing and appealing denials related to DRG (Diagnostic Related Group) downgrades. This role involves ... follow-up actions and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future...coding and clinical documentation to validate or appeal payer denials . . Prepare, document and submit appeals … more
- University of Utah (Salt Lake City, UT)
- …account resolution of MAC 1 & 2 team members. + Monitor and resolve denials and appeals to ensure timely collection. + Maintain work queue expectations. ... PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA… more
- Mount Sinai Health System (New York, NY)
- …facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials . ... **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information… 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
- Growth Ortho (Sioux Falls, SD)
- h1 data-start="108" data-end="187">Reimbursement Specialist - Payments, Denials , A/R (ASC Experience Required) Location: Flexible (Sioux Falls, SD preferred, but ... surgery centers (ASCs), we'd love to hear from you. Position Overview The Reimbursement Specialist will play a key role in managing all aspects of the revenue cycle… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- Mount Sinai Health System (New York, NY)
- …data entry of codes. + Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts denials in IDX on a timely ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures,… more