- UHS (Binghamton, NY)
- Denials Recovery Specialist I, 33 Lewis Rd Shift Day Hours per week: 40 Salary range: $19.37 - $28.09 per hour, depending on experience. Overview Resolving ... denied insurance claims, for payment. Education/Experience Minimum Required: + For External Candidates: Three (3) years direct revenue cycle experience OR 1 year experience within NYS EPIC based organization within revenue cycle. + For internal candidates: One… 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
- Genesis Healthcare (PA)
- …appeal letters supporting the claim and reimbursement. Performs all appeals and denials recovery procedures needed to appropriately and accurately resolve denied ... expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up… 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
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …With direction from the Patient Financial Services Director, the Revenue Integrity Specialist is responsible for performing audits of itemized charges versus the ... the revenue cycle staff of appropriate HCPCS codes and modifiers. The Specialist works directly with revenue producing departments regarding lost charges, billing… more
- Granville Medical Center (Oxford, NC)
- …the use of Present on Admission indicators. * Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error ... Summary : The CDI Specialist is responsible for improving the overall quality...the physician and the hospital. * Reviews medical necessity denials and provides constructive feedback to providers. * Works… more
- Granville Health System (Oxford, NC)
- …the use of Present on Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive ... Summary:#The CDI Specialist is responsible for improving the overall quality...both the physician and the hospital.# #Reviews medical necessity denials and provides constructive feedback to providers.# #Works with… more
- On With Life (Ankeny, IA)
- …allow persons served, families and clinicians more time to focus on treatment and recovery . Hours for the Medical Billing Specialist are primarily between 8am ... As a onsite Medical Billing Specialist at On With Life, you can be...and clinicians more time to focus on treatment and recovery . Specific duties include but are not limited to:… more
- Mayo Clinic (Scottsdale, AZ)
- …schedules, and patient requests. Additionally, the EDIM Patient / Physician Specialist performs and coordinates various administrative tasks to assure an exceptional ... new patient orientation to the program and facility, and performing service recovery when needed. Provides support to EDIM physicians which includes calendar… more