- Insight Global (Miami, FL)
- …accounts according to company's policies and procedures. - Report any coding related denial to the Coding Specialist . - Performs other duties including but ... of all transactions, and account resolution - Maintains active communications with insurance carriers and third-party carriers until account is paid. - Negotiates… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** The Insurance Follow-up Specialist is responsible for corresponding with commercial ... leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues… more
- Guthrie (Sayre, PA)
- …correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work ... individual payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross… more
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist will identify, review, and interpret third-party payments, adjustments, ... to ensure timely and maximum payment. Manually and electronically applies for insurance payments and works insurance overpayments, credits, and undistributed… more
- Hartford HealthCare (Farmington, CT)
- …to ensure Hartford HealthCare will always be the first. The Accounts Receivable & Denial Specialist II assures timely and accurate submission of claims on UB04 ... across all Hartford HealthCare hospitals, medical group and homecare. Accounts Receivable & Denial Specialist II is responsible for the following when a claim… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/ insurance verification activities to improve denial rates and enhance revenue. In-service ... - Develops with Clinic Operations corrective action plans to improve insurance identification and reporting. - Coordinates with Patient Financial Services (PFS)… more
- Methodist Health System (Dallas, TX)
- …Manager in this role is responsible for of the oversight of 16-20 AR Specialist and a Team Lead. Setting and achieving performance goals by fostering teamwork, ... for physician services. + Systems: Epic experience required; experience with denial management systems and reporting tools preferred. + Certifications: Certification… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process.… more
- WMCHealth (Hawthorne, NY)
- Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: ... Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis and reporting for all… more
- Beth Israel Lahey Health (Charlestown, MA)
- …oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing ... Hospital Billing System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues** **Work assigned accounts with higher complexity (high… more