- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** The PFS Denial Specialist I role is vital to ensure that hospital denied accounts are ... by management. 2. Analyzes work queues and other system report and identifies denial /non-payment trends and reports them to the supervisor. 3. Responds to incoming… more
- Emanate Health (Covina, CA)
- …care system in the United States, and the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by ... Denial Manager. The Denial Specialist will possess and apply thorough knowledge of collections and the ability to apply the knowledge to all aspects of a… more
- Hartford HealthCare (Farmington, CT)
- …to ensure Hartford HealthCare will always be the first. The Accounts Receivable & Denial Specialist II assures timely and accurate submission of claims on UB04 ... all Hartford HealthCare hospitals, medical group and homecare. Accounts Receivable & Denial Specialist II is responsible for the following when a claim is… more
- Truman Medical Centers (Kansas City, MO)
- …(http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Patient Accounts Denial Specialist 101 Truman Medical Center **Job Location** ... Truman Support Center Kansas City, Missouri **Department** Central Access Services UHTMC **Position Type** Full time **Work Schedule** 8:00AM - 4:30PM **Hours Per Week** 40 **Job Description** Performs billing or collection activities for Patient Accounts,… more
- BronxCare Health System (Bronx, NY)
- …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... and Information Services to improve systems communication, tracking and reporting ie denial , hold and activity reports. - Maintains a Clinic Insurance Eligibility… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing ... coordinating follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future downgrades by… more
- Guthrie (Sayre, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on… more
- Nuvance Health (Danbury, CT)
- …Rotate Weekends/Evenings* *Summary:* Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors ... 3. Coordinate administrative duties including develop, maintain, and publish the Denial Prevention team weekly and monthly work schedules. Ensure sufficient staff… more
- CaroMont Health (Gastonia, NC)
- …Maintains the Status Change Database. Performs retrospective clinical reviews/appeals as part of denial process. The UR Specialist will be cross trained to work ... attending physicians regarding utilization issues. Collaborates with discharge planning specialist and other disciplines. Retrospectively reviews discharged medical record… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …Code. This role evaluates applications and provides recommendations for the approval or denial of licenses. The specialist also assesses incident reports and ... visit our website for details: https://fpocf.org/careers/ POSITION OBJECTIVE: The Licensing Specialist serves as the primary point of contact for prospective foster… more
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