- Houston Methodist (Houston, TX)
- …This Specialist is required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the ... queues for complex payers and resolve accounts. + Manages denials and appeals efforts. Creates and submits...resolution. Engages the coding follow up team for any medical necessity or coding related appeals . +… more
- Thrive Proactive Health (Virginia Beach, VA)
- …submit claims, post payments, follow up on denials . + Level 2 - Medical Billing Specialist (Experienced): Take ownership of full claim lifecycles, denials ... or Full-Time The Opportunity We are looking for a Medical Billing Specialist (ON SITE) in our...while learning the ins and outs of insurance billing, denials , appeals , and patient financial support. This… more
- University of Utah (Salt Lake City, UT)
- …**Requisition Number** PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track ... of U Health - Academics **Department** 00209 - Univ Medical Billing - Oper **Location** Other **City** Other **Type...1 & 2 team members. + Monitor and resolve denials and appeals to ensure timely collection.… more
- HCA Healthcare (Plano, TX)
- …We want your knowledge and expertise! **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for applying correct coding ... experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals , insurance posting, professional medical /billing, medical … more
- Mount Sinai Health System (New York, NY)
- …facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials . ... **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information… 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 ... follow-up actions and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future...coding and clinical documentation to validate or appeal payer denials . . Prepare, document and submit appeals … more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue… more
- Mount Sinai Health System (New York, NY)
- …data entry of codes. + Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts denials in IDX on a timely ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...+ Associates Degree preferred + 5 years experience in medical billing or health claims, with experience in IDX… more
- 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...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- Spectrum Billing Solutions (Skokie, IL)
- …is a remote or home/office hybrid position. Responsibilities: + Research and resolve insurance denials + File appeals on denied or underpaid claims + Check claim ... Account Specialist | Reimbursement Specialist | Billing/Revenue Cycle Management Specialist | Medical Billing Specialist | Collections Associate | … more