- 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
- Cardinal Health (Sacramento, CA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials … more
- Ochsner Health (New Orleans, LA)
- …a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... + Experience in healthcare or revenue cycle - specifically insurance claim denials . + Strong analytical and organizational skills. + Excellent communication and… more
- Ventura County (Ventura, CA)
- …strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification combined with extensive supervisory experience overseeing other ... rate, compliance rate with quality standards and HCAI requirements; + Reviews insurance denials and submit appeals as necessary, provide education to coders based on… more
- HCA Healthcare (Aventura, FL)
- …to join an organization that invests in you as an Inpatient Authorization Review Specialist ? At Parallon you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Inpatient Authorization Review Specialist like you to be a part of our...the facilities, physicians' offices and/or insurance companies to resolve denials /appeals + Adhere to time and attendance policies +… more
- UPMC (Pittsburgh, PA)
- …clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + Incorporate into departmental procedures ... secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist . Coder should meet appropriate coding productivity standards within the time… more
- McLaren Health Care (Shelby Township, MI)
- …companies regarding unreleased and unprocessed bills. + As assigned, Insurance Specialist will be responsible for developing relationships and working with ... Analyst of edits that needs to be built and Denials Rep for denial trends. + Coordinates and monitors...Age Trial Balance Report monthly. + As assigned, Billing Specialist will be responsible for developing relationships and working… more
- Avera (Sioux Falls, SD)
- …will do** + Design, maintain, and enhance dashboards and scorecards for denials , write-offs, payer performance, and charge activity. Analyze trends and translate ... Not Billed (DNB) accounts to ensure timely claim submission. + Investigate denials and underpayments, identify root causes, and recommend process improvements. +… more
- WMCHealth (Valhalla, NY)
- …related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. + Interprets and applies ... necessary information. + Compiles and updates the appeal log detailing denials , hospital's reply, and follow-up responses. + Provides information and responds… more
- Tufts Medicine (Burlington, MA)
- …the detailed physician chart abstraction, related coding education, evaluation of denials , and ensuring regulatory compliance. The coder will share feedback to ... providers to capture the full scope of work, collaborate with billing specialists on denials and interact with Epic to ensure a smooth workflow for providers. **Job… more