- BronxCare Health System (Bronx, NY)
- …Works with Clinic Administration to increase revenue and improve cash flow by reducing payment denials and system bill holds. Bill Hold Tracker to be kept up to date ... (Pre & Post Billing). - Develops with Clinic Operations corrective action plans to improve insurance identification and reporting. - Coordinates with Patient Financial Services (PFS) and Information Services to improve systems communication, tracking and… more
- Carle Health (Urbana, IL)
- …prior authorizations for swing bed patients, maintain the work ques, and address denials . RMH: make follow up appointments with primary care provider before patient ... discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. About Us **Find it here.** Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive.… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …Calling insurances to follow up on payment status or appeals due to denials or incorrect payments. Calling patients for insurance information and arrange payment ... plan if one is needed. This position requires timely response to inquiries from both the payer and the patient. This position has high contact with patients, employees, physicians, and other members of the community. Occasional stress related to workload and… 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 ... coordinating follow-up actions and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future downgrades by… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Specialist , Centralized Coding, Outpatient Coder Full Time, 80 Hours Per Pay Period, Day Shift inpatient Covenant Health Overview: Covenant Health is ... reviews of coding/abstracting, and focusing on problem solving issues related to denials . Provides assurance that billing practices are complete, accurate, and in… more
- Community Health Systems (Franklin, TN)
- …potential denials , utilizing input from the Utilization Review Clinical Specialist . + Monitors and updates case management software with documentation of ... ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 42720BR **Travel Required:** Up to 25% ... Provide direct oversight, training and guidance to assigned multi-specialty coding specialist teams. Coach, develop and make recommendations to the director… more
- Sharp HealthCare (San Diego, CA)
- …Communicate with appropriate clinical staff the status of ongoing payer requests, denials and/or potential denials for non-covered services and other problems; ... initiate communication with appropriate agencies and clinical staff for appeal of denials ; Conduct required follow-up on all initiated prior authorizations in an… more
- Garnet Health (Middletown, NY)
- …we invite to make your career home with us as a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical Center. Responsibilities Under the ... and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI department… more
- AdventHealth (Tampa, FL)
- …**The val** **ue you'll bring to the team:** Review and analyze claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with ... developing and implementing strategies and procedures to reduce denials , maximize reimbursements, and promote faster payment. Resolves claim edits within the EPIC… more