- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - ... Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance… more
- UTMB Health (Galveston, TX)
- Revenue Cycle QA Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # ... to Patient Accounts and Senior Patient Account Representatives in the Hospital Billing Department. Incumbent will ensure compliance with Billing and Accounts… more
- Hartford HealthCare (Farmington, CT)
- …**Coding and Billing * **Organization:** **Hartford HealthCare Corp.* **Title:** * Denials Specialist 2 / HIM Coding* **Location:** *Connecticut-Farmington-9 ... impact denials and coding practices. *Communication* . Collaborate with Revenue Cycle, Billing , and Medical Staff teams to ensure a unified approach to… more
- Fairview Health Services (St. Paul, MN)
- …pertaining to billing , coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance responsibilities. ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to...accurate actions including preparing and submitting appropriate appeals or re- billing of claims to resolve coding denials … 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 ... to make appropriate decisions and is accountable for reviewing denials for level of care, medical necessity,...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information… more
- University of Michigan (Ann Arbor, MI)
- Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials Prevention & Appeals Specialist role is entirely remote. ... The Clinical Denials Prevention & Appeals Specialist plays a critical role in optimizing the revenue cycle and supporting accurate reimbursement for Michigan… more
- St. Luke's University Health Network (Allentown, PA)
- … Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists ... billing staff regarding outpatient denials for experimental,...Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity… 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 ... + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), determines the causes for denials of payment and partners… 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
- Datavant (Hartford, CT)
- …software tools. The specialist serves as a key liaison between coding, billing , utilization review, case management, and payer relations to reduce denials ... denials throughout the entire revenue cycle, including registration, eligibility, coding, billing , and medical necessity. + Analyze denial trends and root… more
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