- Northern Light Health (Brewer, ME)
- …billing and claims. Auditing and reconciling departmental charges, analyzing claim denials , and ensuring billing compliance to maximize revenue and prevent financial ... for correct charges and reimbursement. + Works across teams to resolve claim denials . + Use Pharmacy Pricing Policy to determine patient charges. + Assist with… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Insurance Billing Specialist 's main focus is to obtain maximum and appropriate reimbursement for Bozeman Health and all related entities, ... in accordance with payer billing policies. Monitor, resolve or escalate payer denials , returned claims, claim edits, correspondence and report payer claim processing… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The Payment Application Specialist researches, audits, reconciles and applies all cash receipts to AR accounts. Is skilled at researching, auditing, and ... entity/general ledger account using designated adjustment codes. Processes payments and denials with the correct denial/remittance codes and applies denials… more
- Saint Francis Health System (OK)
- …**to login and apply.** Full Time Job Summary: The Pro Fee Coding Specialist performs diagnosis and/or procedural coding as assigned in order to apply the ... claims are submitted correctly. Monitors coding and billing performance and resolves denials related to coding errors. Performs review for charge corrections and… more
- Billings Clinic (Billings, MT)
- …to learn more! Pre-Certification Specialist (Full-time) PRE-ACCESS (ROCKY MOUNTAIN ... authorizations; ensuring Passport pre-certification process is also met. * Reports denials and/or delays in the pre-certification process to physicians/other health… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries. The representative must be able to respond… 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 ... charge entry. 6. May run and work missing charges, edits, denials list and process appeals. Posts denials in EPIC/IDX on a timely basis. 7. Posts all payments… more
- Bluestone Physician Services (Stillwater, MN)
- …: Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment. ... limited to: submission of claims, follow-up for all insurance plans, managing denials , resubmissions, and tracking of special exceptions, as well as managing patient… 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 ... management to develop learning materials and necessary tools for Revenue Specialist 's ongoing success. Provides quality assurance and professional development to… more