- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... trust patients place in our care. Primary Department, Division, or Unit: Denials Recovery , UHS Revenue Cycle Operations Primary Work Shift: Day Regular Scheduled… 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 ... recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing… 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 ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- HCA Healthcare (Brentwood, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your… more
- Queen's Health System (Honolulu, HI)
- …audits, creating reports and implementing process changes, to minimize and/or prevent denials . * Follows up on insurance claims with outstanding balances; leads ... zero balance analysis. Creates, reviews and distributes accounts receivable reports on denials , audits, payment trends, and AR status. * Meets with department staff… more
- Avera (Sioux Falls, SD)
- …Overview** Responsible for researching, analyzing and validating accounts to resolve denials , inappropriate payment and non payment of claims. The Specialist ... will identify, review and interpret third party payments, adjustments, denials , and facilitate appeals. Responsible for taking the appropriate action needed to… more
- Louisiana Department of State Civil Service (Alexandria, LA)
- MEDICAL CERTICATION SPECIALIST 1 OR 2 - WAIVERS Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5087385) Apply MEDICAL CERTICATION ... SPECIALIST 1 OR 2 - WAIVERS Salary $5,119.00 -...+ Philosophy: to integrate community-based services while promoting wellness, recovery , and independence through education and choice of a… more
- Movn Health (CA)
- …Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery ... a self-starter with a proven track record in A/R recovery , claim appeals, and payer follow-ups. Experience in startup...24 hours of service + Review and process claim denials and rejections, executing timely appeals and follow-up strategies… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the ... payment issues, and monitor overdue accounts, Identify and analyze denials and payment variances and takes action to resolve...drafting and submitting technical appeals. In addition, the AR specialist is the subject matter expert for all billing… more
- Select Medical (West Orange, NJ)
- …- West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** **Full-Time** **Onsite ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more
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