- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in... Denial Mitigation-Appeal Specialist II RN serves in a key role of... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the… more
- Omaha Children's Hospital (Omaha, NE)
- …and people with disabilities. **A Brief Overview** The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers ... efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. **Essential… more
- 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 ... necessity, addressing authorization issues, and resolving coverage-related discrepancies. The specialist will also collaborate with clinical and revenue cycle teams… more
- 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 ... and Information Services to improve systems communication, tracking and reporting ie denial , hold and activity reports. - Maintains a Clinic Insurance Eligibility… more
- Baptist Memorial (Memphis, TN)
- …to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities Reviews, assesses, ... and evaluates all communications received in order to optimize reimbursement. + Evaluates clinical information and supportive documentation prior to initial appeal action in order to optimize reimbursement and utilization of resources. + Prepares response to… more
- Baptist Memorial (Memphis, TN)
- …services to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities + Reviews, ... assesses, and evaluates all communications received in order to optimize reimbursement. + Evaluates clinical information and supportive documentation prior to initial appeal action in order to optimize reimbursement and utilization of resources. + Prepares… 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 ... coordinating follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future downgrades by… more
- Guthrie (Towanda, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on… more
- Cardinal Health (Fresno, CA)
- …ends when the patient's account balance is zero. **_Job Summary_** The Coding Denial Specialist is responsible for reviewing, analyzing, and resolving medical ... CPT, ICD-10, and HCPCS coding to support appropriate reimbursement and reduce denial rates. The specialist collaborates closely with billing, coding, clinical… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital financial ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health… more