- TEKsystems (Annapolis, MD)
- The Clinical Denials Appeals Specialist plays a critical role in identifying, mitigating, and preventing clinical denials . This is a Direct Placement ... opportunity and not a contract. This individual will review initial clinical denials , determine appropriate next steps, and lead appeals efforts by analyzing… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Coding and Billing* **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** ... review of medical records, coding, and clinical documentation to validate or appeal payer denials . . Prepare, document, and submit appeals for DRG denials ,… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information...contracts and coordination of benefits related to coverage, clinical appeals , and denials to include knowledge of… more
- 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 ... functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** +...of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… 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 ... and rejections. + Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and impact on revenue and trending. +… more
- HCA Healthcare (San Antonio, TX)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... want to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- CenterWell (Columbia, SC)
- …a part of our caring community and help us put health first** The ** Denials Management Specialist ** is responsible to respond to, monitor and analyze all ... managing and monitoring all payer requests for additional documentation (ADR), appeals and denials . Works with branch staff to gather required information and… more
- Robert Half Office Team (Oakland, CA)
- Description We are looking for a skilled Claims and Denials Specialist to join our team in Oakland, California. In this Contract position, you will play a vital ... healthcare professionals with professionalism and accuracy. * Investigate and manage claims denials , including identifying root causes and initiating appeals . *… more
- ClearChoiceMD (Concord, NH)
- …know and understand the need for excellent, expedient care. The Accounts Receivable Denials Specialist is a member of the ClearChoiceMD/CareWell Urgent Care ... typical day in the life of an Accounts Receivable Denials Specialist , includes: + Responsible for Waystar...needed to resolve claim denial + Responsible for processing appeals , identifying trends, and researching denials of… more
- Robert Half Office Team (Oakland, CA)
- Description We are looking for a skilled Claims and Denials Specialist to join our team in Oakland, California. In this contract position, you will play a vital ... insurance authorization requests and ensure timely processing. * Manage claim denials and appeals , working closely with insurance providers to resolve issues. *… more
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