- Rady Children's Hospital San Diego (San Diego, CA)
- …Degree 2 years of experience - hospital billing, processing claim edits, denials , appeals and managing accounts receivable. Experience with Epic Resolute ... Hospital Billing or similar hospital billing systems. In lieu of Bachelor's: 5 years of experience in a lead/supervisory role OR 7+ years of progressive experience in revenue cycle accounts receivable for a large hospital or health system PREFERRED… more
- US Physical Therapy (Garden City, NY)
- …Manage commercial insurance claims from submission through payment + Follow up on denials , rejections, and appeals to ensure reimbursement + Communicate with ... insurance carriers and patients to resolve issues + Track A/R reports and maintain accurate patient account records + Collaborate with team members to improve billing and collection processes **Qualifications** + 2+ years of experience in medical… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …BroadPath is seeking a highly motivated and results-driven **UM RN Appeals Coordinator.** This role collaborates with clinical review staff, medical ... to ensure consistent clinical evaluation and processing of medical necessity appeals . Accurate documentation and detailed recordkeeping of notifications to members… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …expertise in access and reimbursement issues encompassing coverage, prior authorizations, appeals , exceptions, denials , coding and payer payment guidelines, ... payer policies, sites of care, understanding of coding guidelines (CPT/J-Code/ICD-10), statutory or commercial pricing structures or mandates, and quality programs related to value based care and clinical care pathways. Responsibilities include: + Incorporate… more
- NewYork-Presbyterian (Brooklyn, NY)
- …meet initial inpatient criteria or continued inpatient stay - Coordinating expedited appeals for inpatient denials with attending physicians and insurance ... providers - Ensuring organization resources are being utilized appropriately - Completing patient assessments within 24 hours - Coordinating safe and appropriate post-acute care plans - Obtains authorizations from managed care companies for post-discharge… more
- Stony Brook University (East Setauket, NY)
- …business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... limited to:** + Prepare and submit hospital claims. Review denials . Investigate coding issue. Audits. + Follow-up on rejected...denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection… more
- CommonSpirit Health (Centennial, CO)
- …to help you flourish and leaders who care about your success. The RN Clinical Denials Appeals Specialist functions as a revenue management liaison for all care ... external third-party payers to appeal denied claims and retrospectively identifies appeals determination as indicated through research and coordination of completion… more
- Community Health Systems (Franklin, TN)
- …in Artiva, HMS, Hyland, BARRT, and other host systems, ensuring timely follow-up on denials and appeals . + Conducts follow-up calls and payer portal research to ... for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal departments, and… more
- Rush University Medical Center (Chicago, IL)
- …vary depending on the circumstances of each case. **Summary:** The system manager of denials prevention and appeals , working in a remote environment will lead ... **Responsibilities:** 1. Oversee the Middle Revenue Cycle Audit and denials team members and appeals process, ensuring...Cycle Audit and denials team members and appeals process, ensuring timely and accurate submission of … more
- Northwell Health (Melville, NY)
- …current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness ... and intensity of services provided. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not… more
Related Job Searches:
Appeals,
Appeals Denials Coordinator,
Clinical Appeals Denials Manager,
Clinical Denials Appeals Specialist,
Denials,
Denials Appeals Analyst,
Denials Appeals Manager,
Denials Appeals Representative,
Denials Appeals Specialist,
RN Clinical Denials Appeals