- Spectrum Billing Solutions (Skokie, IL)
- …is a remote or home/office hybrid position. Responsibilities: + Research and resolve insurance denials + File appeals on denied or underpaid claims + Check claim ... We are looking to add a passionate and skilled Revenue Cycle AR Collections Specialist to our growing team. The ideal candidate will use their skills and knowledge… more
- UCLA Health (Los Angeles, CA)
- …commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you will: + Facilitate responses to regulatory audits related ... maintaining updated records in various systems + Review claim denials for clinical issues, prepare appeals , and...Review claim denials for clinical issues, prepare appeals , and manage each case's resolution process + Develop… more
- Queen's Health System (Honolulu, HI)
- …audits, creating reports and implementing process changes, to minimize and/or prevent denials . * Follows up on insurance claims with outstanding balances; leads ... resolve payment and denial issues. * Writes and submits appeals to payors on denied accounts. * Audits payments...analysis. Creates, reviews and distributes accounts receivable reports on denials , audits, payment trends, and AR status. * Meets… more
- Baystate Health (Springfield, MA)
- …Under the direction of the Receivables Supervisor and Lead; identifies denials / appeals , makes appropriate system changes, completes balance adjustments, ... information, documents work-in-process, obtains materials to complete the collection and/or appeals process and mentors colleagues. Other related duties as required.… more
- State of Colorado (Greeley, CO)
- Assistant Utilities Specialist - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5151771) Apply Assistant Utilities Specialist - ... and utility installation oversight. About the Position The Assistant Utilities Specialist is responsible for assigned road construction projects which are… more
- University of Southern California (Arcadia, CA)
- …effective verbal and written communication skills. + Able to compose coding appeals based on documentation, coding guidelines and Coding Clinic for coding ... denials and/or adjustments. + Extensive knowledge of Medicare Part...Minimum (Required) Preferred (Not required) + A Certified Coding Specialist (CCS), Certified Coding Associate (CCA) or Certified Documentation… more
- FlexStaff (Chappaqua, NY)
- …experience, specifically in anesthesia or similar specialties - Experience with claim appeals and denials - Strong organizational skills and meticulous attention ... 159695 FlexStaff Our client is seeking a skilled AR Specialist / Biller with a minimum of 2 years of...years of experience in medical billing, including filing claim appeals . The ideal candidate will have strong organizational skills,… 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 ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
- CaroMont Health (Gastonia, NC)
- …retrospective clinical reviews/ appeals as part of denial process. The UR Specialist will be cross trained to work for the Commercial Resource Analyst when ... attending physicians regarding utilization issues. Collaborates with discharge planning specialist and other disciplines. Retrospectively reviews discharged medical record… more
- University of Virginia (Charlottesville, VA)
- …assigned AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials , appeals claims as defined by payer and departmental rules. ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities… more