- SUNY Upstate Medical University (Syracuse, NY)
- …to follow up on claim submissions, investigating patient accounts, resolving denials , and fielding all incoming correspondence. Candidate will answer incoming phone ... upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office: MedBest Medical Management more
- Guidehouse (Washington, DC)
- **Job Family** **:** Management Consulting **Travel Required** **:** None **Clearance Required** **:** Active Top Secret SCI (TS/SCI) **What You Will Do** **:** + ... to potential exception requests, including but not limited to license denials , interpretive guidance, or return without action letters. + Research, analyze,… more
- TEKsystems (San Antonio, TX)
- …with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered ... or alternative resources for non-covered chemotherapy services to prevent payment denials . Provides a contact list for patients community resources including special… more
- Molina Healthcare (Rio Rancho, NM)
- …for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for ... education and experience. * Customer service experience. * Organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Trinity Health (Des Moines, IA)
- …Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing. . Makes process improvement recommendations to ... management as identified, specifically related to registration and charge posting. . Performs in compliance with federal, state, insurance industry regulations. .… more
- Baystate Health (Springfield, MA)
- …the direction of the Receivables Supervisor and Lead; identifies denials /appeals, makes appropriate system changes, completes balance adjustments, initiates ... appropriate action based on findings. Prioritizes accounts through the Enterprise Task Management system (ETM). **2)** Reviews all denied claims for third party… more
- Henry Ford Health System (Troy, MI)
- …ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer response. Responsible ... manager. + Ability to work independently. + Strong organizational and time management skills required to effectively prioritize workflow to meet third party… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Perform charge review, payment posting, AR follow up, denials /correspondence, and other assigned billing tasks. Minimum Qualifications: High School ... upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office: MedBest Medical Management more
- Logan Health (Kalispell, MT)
- …for questions and concerns. + Responsible for all Medicare, Medicaid, and Case Management insurance denials processing as applicable to assigned area(s). + ... Responsible for all insurance appeals and works with appropriate stakeholders to ensure completion as applicable to assigned area(s). + Serves as point of contact for quotes, equipment authorization, etc. as applicable to assigned area(s). + The above… 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 ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more