- 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
- Montrose Memorial Hospital (Montrose, CO)
- …minimizing interruptions to ongoing treatments due to payer coverage restrictions or denials . + Secondly, the Prior Authorization Specialist minimizes the ... necessity requirements, utilizing available clinical resources for documentation improvement, and facilitating appeals for coverage denials . All About You : +… 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
- Emanate Health (Covina, CA)
- …in the United States, and the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by Denial Manager. The ... Denial Specialist will possess and apply thorough knowledge of collections...patient account that is involved in the audit and appeals process to accurately complete accounts receivable reconciliation. **Minimum… more
- Mount Sinai Health System (New York, NY)
- …in accordance with policies and procedures. + May run and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a ... **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250...250 West 57th Street-Full Time, Days** The Senior Billing Specialist is responsible for multiple components of the billing… more
- Robert Half Accountemps (Dallas, TX)
- …receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing ... needed. * Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures....office policies and procedures. * Forwards medical or coding denials to the QA Department for nurse review and… more
- University of Utah Health (Salt Lake City, UT)
- …responsibility, as assigned by payer/contract/benefit. + Resolves clinical and/or authorization denials through CARC analysis and appeals - including clinical ... EO/AA_ This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. Account portfolio may include… 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