- 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
- 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
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist will identify, review, and interpret third-party payments, adjustments, ... A/R and ensures that they are maintained at the levels expected by management . Analyzes work queues and other system reports. Identifies denial /non-payment… more
- Omaha Children's Hospital (Omaha, NE)
- …work queues according to the prescribed priority and/or per the direction of management and in accordance with department expectations. Recognize when additional ... and people with disabilities. **A Brief Overview** The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers… 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
- WMCHealth (Hawthorne, NY)
- … Specialist is responsible for providing analysis and reporting for all Denial Management functions at Westchester Medical Center Health Network. The role ... Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne,...measures + Ensures that all activities related to Denials Management functions meet department requirements, maximizes revenue… 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
- Houston Methodist (Sugar Land, TX)
- …and/or as needed, report to management and, as appropriate, the finance department . Makes recommendations at denial management meetings on processes, ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...for performing utilization review activities, and monitoring the clinical denial management and appeals process, as applicable,… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... Location Los Angeles County, CA Job Type Full time Job Number W7200K Department INTERNAL SERVICES Opening Date 01/03/2024 + Description + Benefits + Questions… more
- Houston Methodist (Houston, TX)
- …is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment with ... feasibility of submitting appeals. + Works with revenue cycle management and staff to ensure claim edit/ denial ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… more
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