- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- Fairview Health Services (St. Paul, MN)
- …preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment and mitigation of denials ... among all department managers, staff, physicians and administration with respect to coding denials issues. + Assists with the development of denial reports and other… more
- ClearChoiceMD (Concord, NH)
- …and understand the need for excellent, expedient care. The Accounts Receivable Denials Specialist is a member of the ClearChoiceMD/CareWell Urgent Care billing team. ... an internal company role responsible for working all payer denials . This role will work directly in Waystar and...Experity to work and review all rejection and payer denials . The Accounts Receivable Denialist Specialist will also review… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel ... Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** + Directs staff performance regarding UR and the… more
- AdventHealth (Altamonte Springs, FL)
- …contribute:** This position is responsible for investigating and appealing post-remit denials for all Inpatient and Outpatient clinical services across the system, ... system. **The value you will bring to the team:** + Reviewing and appealing denials for all clinical services across the AH system + Researching various sources of… more
- R1 RCM (Salt Lake City, UT)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As a ** Denials Rules** **-** **Senior Rules Architect** , you will help the ... company by expanding the scope, accuracy and impact of Denials Rules across several Service Lines. Every day, you...and the Rules team to expand the impact of Denials Rules and drive change through efficiency and process… more
- Northern Montana Hospital (Havre, MT)
- Revenue Cycle Denials Management Specialist - FT The Revenue Cycle Denial and Underpayment Specialist presents, analyzes, and trends denial and underpayment data to ... lines for the purpose of recovering revenue and appealing denials . The analyst also identifies root causes and denial...by implementing process improvements to reduce the frequency of denials , reviews managed care contracts and comparison of such… more
- Catholic Health (Buffalo, NY)
- …of root cause and process improvement opportunities to eliminate recurring clinical denials . The position acts as a liaison between front-end clinical areas and ... third party payers in scenarios related to denials and appeals. This position educates all members of...on an ongoing basis in relation to trends in denials , and clinical documentation. Responsible for working alongside coding,… more
- CommonSpirit Health (Phoenix, AZ)
- …needs of patients and alternative levels of care. **The PA performs denials management and prevention in accordance with the organization's goals and expectations. ... addresses concerns raised by the payer, and provides additional context to overturn denials before escalation to formal appeal. + Reviews and analyzes denied claims… more
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