- Beth Israel Lahey Health (Burlington, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Denials Specialist 3 role specializes in high-dollar claims, aged claims, ... root cause and accurately appeal claims to ensure successful initial submission. The Denials Specialist 3 will be responsible for charge and claim review to… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …to help you flourish and leaders who care about your success. The RN Clinical Denials Appeals Specialist functions as a revenue management liaison for all care ... Experience required: 4 years clinical experience as a Registered Nurse. 3 years with progressive experience in utilization review, preferred. Prior experience… more
- UNC Health Care (Goldsboro, NC)
- …proactive with all ongoing information, rules and regulations, Medicare and other payor regulations. 3 . Reviews all denials and is key point person for assigning ... the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first...12. Assists in documentation review in the clinical documentation specialist role when needed. Working with Clinicians and Coders… more
- Beth Israel Lahey Health (Burlington, MA)
- …functions that cover an enterprise-wide scope, the Revenue Cycle Operations Specialist role is responsible for identifying, researching, and resolving various ... for all commercial and government payors. The Revenue Cycle Operations Specialist 's duties primarily involve registration error, coverage, and eligibility related… more
- Beth Israel Lahey Health (Burlington, MA)
- …identify paid claims or root causes of denial when assessing physician inpatient denials . 3 . Respond to incoming insurance/office calls with professionalism and ... **Licensure, Certification & Registration:** Billing Certification preferred **Experience:** 2 - 3 years of experience in healthcare denials . **Skills, Knowledge… more
- TEKsystems (Jacksonville, FL)
- …and goals to serve their clients Skills revenue cycle appeal, revenue cycle specialist , denials specialist , appeals specialist , insurance follow ... , insurance follow ups Top Skills Details revenue cycle appeal,revenue cycle specialist , denials specialist ,appeals specialist ,insurance follow up Pay… more
- Henry Ford Health System (Detroit, MI)
- …and assisting the supervisor with escalated issues. The CBO Coding Senior Specialist confirms the accuracy and completeness of coding to ensure compliant claims ... are sent to payers. The CBO Coding Senior Specialist works independently to resolve complex diagnostic accounts. The...sending out clean quality claims and working and preventing denials . EDUCATION/EXPERIENCE REQUIRED: + High school diploma or GED… more
- ProMedica Health System (Toledo, OH)
- …excellent interpersonal skills. Remote Work: If eligible, must follow Corporate Remote Work Policy, CP 3 .15 and Corporate Flexible Work Arrangement Policy, ... and billing in the professional environment, including ICD-10, CPT and HCPCS coding. 3 . Design educational documents and tools to improve the level of knowledge of… more
- Henry Ford Health System (Troy, MI)
- …workflows, research and identification of root causes resulting in edits and denials , development of error prevention initiatives, and coordination with CBO staff, ... One (1) year of experience with resolving insurance payer denials . + Experience with both technical (UB) and professional...and is leading the Future of Health: Detroit, a $ 3 billion investment anchored by a reimagined Henry Ford… more
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