- Spokane County (Spokane, WA)
- …determination. + Consults with the Medical Director for any service authorization denials . + Determines financial eligibility which involves utilizing the State of ... for children and youth must be designated as a Child Mental Health Specialist . + ICC's who make service authorization decisions for substance use disorder treatment… more
- Ellis Medicine (Schenectady, NY)
- …or Equivalent required. + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health ... working relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the maintenance of the practice's charges and coding, in… more
- Outreach Development Corporation (Brentwood, NY)
- …dates and requirements of tours/speaking engagements, open houses. Reimbursement Specialist Responsibilities: + Prepares Public Assistance application for HRA within ... Bills insurance and is responsible for the collection of insurance payments and denials . + Responsible for monthly revenue reports. Qualifications + Minimum of HS… more
- TEKsystems (West Des Moines, IA)
- …Internal Medicine coding experience is relatable to all roles Coding Specialist II reviews inpatient and outpatient medical records for documentation, abstracting ... effective operations of the organization. Consistently research and resolve coding related denials per payer regulations. Charge entry of CPT and ICD-9/ICD-10 codes.… more
- SUNY Upstate Medical University (Syracuse, NY)
- …internal audits and maintain all documentation. Review and analyze insurance denials , identifying problem areas and recommending and coordinating corrective actions. ... Program. Preferred Qualifications: Certified Professional Coder (CPC) /Certified Coding Specialist (CCS) also preferred. Extensive knowledge of billing requirements… more
- University of Michigan (Ann Arbor, MI)
- …to increase efficiency, accuracy, and compliance in professional coding, reducing denials and improving revenue capture. + Manages vendor relationships related to ... + Active certification as a Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), or equivalent required. + Minimum 7 years of… more
- State of Georgia (Fulton County, GA)
- …+ Troubleshoot and resolve escalated GHVP claims-related issues, including payment denials , corrections, and recoupments. + Review weekly GHVP claim reports and ... or two (2) years of experience required at the lower level Complnc Specialist 1 (RCP060) or position equivalent. Note: Some positions may require a certification… more
- Penn Medicine (East Petersburg, PA)
- …testing and procedures; communicate with referrring physicians for peer to peer and denials follow up. Will be required to maintain a working knowledge of Insurance ... preparing medical records and providing appropriate clinical information to the specialist . Communicating appointment information and expectations with patients in a… more
- Adelante (Phoenix, AZ)
- …related to the need for referrals. Coordinates referrals with patients and specialist 's offices, and process insurance referrals as required. Acts as a liaison ... demographic information or related data + Enter referrals, referral denials , insurance authorizations, documents communications and actions into patient account… more
- Catholic Health Initiatives (Omaha, NE)
- …and programs. + Functions as a resource for Practice Managers and Providers with denials and coding questions. + Acts as a liaison between physicians and support ... and Certifications + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) + Registered Health Information Administrator (RHIA) + Registered Health… more