- UPMC (Washington, PA)
- Description: An Accounts Receivable (AR) Account Specialist in a hospital offers the opportunity to make a meaningful impact by ensuring the financial stability that ... + Investigate root causes of claim denials, recommend solutions, and assist with appeals and follow-up. + Manage assigned accounts by ensuring timely and accurate… more
- Bear Mountain Health Care (MA)
- …Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid applications, conversions, and reviews ... payments, per policy . Respond to denials, which may include attendance of appeals or submission of reapplication . Work in collaboration with the facility Business… more
- SERV Behavioral Health System (Hamilton, NJ)
- …through a wide range of services. JOB SUMMARY: The Accounts Receivable Specialist will follow-up on unpaid claims including denied and held claims, denial ... review and resolution, corrected claims, denial appeals , payment posting as requested, contractual write offs and...or equivalent and a minimum of 1-2 years of medical billing experience preferred. SALARY: + $26.90 per hour.… more
- City and County of San Francisco (San Francisco, CA)
- …other health professionals, and other staff members. + Plans and directs medical staff development and in-service training activities at the facility, division, or ... needs for specialized services and plans accordingly. + Provides medical treatment to patient population of focus; provides treatment...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- University of Rochester (Rochester, NY)
- …edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts ... invited lectures and speaking engagements for the provider. + Research hospital medical records for the information requested by physicians, insurance companies, and… more
- University of Rochester (Rochester, NY)
- …computer, calculator, telephone, facsimile. Will use software for electronic medical record system, appointment scheduling system, and Operating Room scheduling ... edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims. This includes compiling all necessary information and… more
- Swedish Health Services (Seattle, WA)
- …agencies, medical service bureaus, and insurance companies. Submit claims appeals with supporting documentation as necessary and resolve aged insurance balances. ... Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused,...we must empower them. **Required Qualifications:** + 2 years medical (or healthcare) insurance follow up experience. **Why Join… more
- Avera (Sioux Falls, SD)
- **Location:** Avera Medical Group Comprehensive Breast Care-Sioux Falls **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** ... completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling… more
- University of Utah Health (Salt Lake City, UT)
- …and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. **Responsibilities** + Performs insurance ... reimbursement based on contract terms. + Resolves denials through CARC analysis and appeals . + Acts as patient advocate in the resolution of balances. + Prepares… more
- AnMed Health (Anderson, SC)
- …to compliance in billing. Responsible for researching denials and initiating appeals , when necessary. Scans and indexes all patient information accurately and ... resolve claim submission edits by obtaining information from the medical record and applying CMS rules and regulations, CPT...Prior electronic and/or hard copy billing. + Knowledge of medical terminology. + Familiar with the 1500 and UB04… more