- 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...for the position. Essential Functions: 1. Identifies and evaluates denials for assigned payers and/or specialties to determine specific… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, ... accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to...payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials … more
- Carle Health (Champaign, IL)
- …physicians, nurses, ancillary staff, and the coders in Health Information Management to identify and record principal and secondary diagnoses, principal procedures, ... related to CDI topics to peers and providers we needed or requested. Reviews DRG denials and provides information to the denials team related to appealing the… more
- UPMC (Pittsburgh, PA)
- …claims for the WorkPartners Workers Compensation business unit. The Lost Time Claims Specialist II will apply litigation management skills to aggressively manage ... UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected… more
- State of Colorado (Greeley, CO)
- Assistant Utilities Specialist - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5151771) Apply Assistant Utilities Specialist - ... maintaining smooth traffic flow through the region-wide planning, administration, management , monitoring and enforcement of federal guidelines, state statutes, CDOT… more
- Bluestone Physician Services (Stillwater, MN)
- …their unique needs. Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage ... : Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment.… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... of diagnosis and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed… more
- Sonora Quest (Phoenix, AZ)
- …quality and productivity for the Revenue Department. Demonstrates understanding of denials , monitors complex adjustments and evaluates team members' ability to meet ... with all policies and standard operating procedures. Responsible for working with management to develop learning materials and necessary tools for Revenue … more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... entry. 6. May run and work missing charges, edits, denials list and process appeals. Posts denials ...credentialing issues for department physicians. 15. Meets with practice management , leadership and/or physicians on a scheduled basis to… more
- AnMed Health (Anderson, SC)
- …position is responsible for performing the daily operations of the Utilization Management program at AnMed within the Care Coordination model. These duties include ... necessity review, continued stay/concurrent review, retrospective review, bed status management , resource utilization management , regulatory compliance, and… more