- 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 ... participates in the Performance/Quality Improvement activities of the assigned department . Contribution and participation includes data collection, analysis, implementation… more
- Beth Israel Lahey Health (Charlestown, MA)
- …not just taking a job, you're making a difference in people's lives.** The Denial Specialist 3 role specializes in high-dollar claims, aged claims, and denied ... the root cause and accurately appeal claims to ensure successful initial submission. The Denial Specialist 3 will be responsible for charge and claim review to… more
- 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 ... equivalent. Bachelor's degree preferred. 2-3 years' experience in a hospital billing/coding, Denial Management environment related field. Must have experience in… more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by Denial Manager. The Denial ... experience such as clinical denials or reference to a denials management department . Thorough knowledge of medical terminology and coding. **Minimum License… more
- Hartford HealthCare (Farmington, CT)
- …standards that are tracked and monitored. Support and perform high level AR & Denial Specialist tasks to improve operations and problem solve by developing ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… 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 ... follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future...Medical Staff teams to ensure a unified approach to denial management and appeals. . Serve as… more
- Beth Israel Lahey Health (Charlestown, MA)
- …of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing and ... needed to have claims reprocessed/adjudicated** **Informs and/or transfers to management of any problem accounts and or denial... management of any problem accounts and or denial trends that require escalation within 2 days of… more
- Louisiana Department of State Civil Service (Alexandria, LA)
- MEDICAL CERTIFICATION SPECIALIST 1 OR 2 - WAIVERS Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5123919) Apply MEDICAL CERTIFICATION ... SPECIALIST 1 OR 2 - WAIVERS Salary $5,119.00 -...Location Alexandria, LA Job Type Classified Job Number 214270 Department LDH- Central Louisiana Human Services District Opening Date… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital ... necessary documentation needed to have claims reprocessed/adjudicated * Informs and/or transfers to management of any problem accounts and or denial trends that… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** +… more
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