- Genesis Healthcare (PA)
- …your expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the ... writing detailed appeal letters supporting the claim and reimbursement. Performs all appeals and denials recovery procedures needed to appropriately and… more
- Catholic Health (Buffalo, NY)
- …liaison between front-end clinical areas and third party payers in scenarios related to denials and appeals . This position educates all members of the patient ... position is accountable for carrying out and documenting the appeals process for denied claims denied due to reasons...on an ongoing basis in relation to trends in denials , and clinical documentation. Responsible for working alongside coding,… 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 ... functions as clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** +...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… 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 rejections. + Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and impact on revenue and trending. +… more
- Fairview Health Services (St. Paul, MN)
- …and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment and mitigation of denials + ... among all department managers, staff, physicians and administration with respect to coding denials issues. + Assists with the development of denial reports and other… more
- Scottish Rite for Children (Dallas, TX)
- …We're committed to giving children back their childhood! Job Posting Title: Denials Specialist Location: Dallas - Hospital Additional Posting Details: Monday ... payor. This includes online reconsiderations. + Follow specific payer guidelines for appeals submission + Escalate exhausted appeal efforts for resolution + Research… more
- Molina Healthcare (West Valley City, UT)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers... appeals and denials . + Strong verbal and written communication skills To… more
- St. Luke's University Health Network (Allentown, PA)
- …clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes ... coding errors and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal. Claim corrections will be made after review… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes a thorough… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes a thorough… more