- Saratoga Hospital (Saratoga Springs, NY)
- …coding, clinical documentation improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for ... be a vital part of our team, ensuring excellent service , collaboration, and patient outcomes in a...outcomes in a fast-paced healthcare environment. You'll ensure appropriate financial reimbursement for HIS inpatient services from… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH - Regional Administrative Campus Hours Per Week: 40 ... analysis to support revenue goals. + Communication & Customer Service : Answers patient and payer inquiries, verifies...or business administration + Experience in medical billing and denials , customer service and relevant finance experience… more
- University of Southern California (Alhambra, CA)
- …NCD, LCDs, etc. Analyze, investigate, and resolve coding-related pre-bill edits from the Patient Financial Services (PFS) Dept. Researches, responds, and ... performance of duties including answering questions and providing guidance, as necessary. * Assists Patient Financial Services (PFS), Patient Access, and… more
- Houston Methodist (Sugar Land, TX)
- …clinical information utilizing various resources and skills to reduce significant financial risk and exposure caused by unnecessary services provided. ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing...payors to ensure appropriate utilization of medical resources and services based on payor regulations and guidelines and, as… more
- UNC Health Care (Kinston, NC)
- …findings on all medical necessity and status denials . 5. Works closely with Patient Financial Services for issues related to reimbursement, denials , ... the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first...documentation review to support the clinical documentation specialists and Patient Financial Services . Supports the… more
- Trinity Health (Hartford, CT)
- …required **Position Purpose** This position is responsible for reviewing financial /insurance information obtained to meet State, Federal and Third-Party billing ... requirements to ensure reimbursement for services . **What you will do** + Responsible for authorization...**What you will do** + Responsible for authorization and denials within Case Management ensuring appropriate authorization for inpatient… more
- Rochester Regional Health (Rochester, NY)
- …TITLE: Collections and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM ... and collaborate across departments to ensure successful claim outcomes. + Customer Service & Communication: Respond to patient inquiries, verify insurance… more
- Nuvance Health (Danbury, CT)
- …*Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within the first 12-24 hours and that ongoing ... delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while… more
- Sharp HealthCare (San Diego, CA)
- …**Required Qualifications** + HS Diploma or Equivalent + 2 Years experience with patient accounts, patient access, billing/collections, or related. + 1 Year ... setting. **Essential Functions** + Billing AccuracyReview account after payment for correct patient balance and apply necessary adjustments prior to patient or… more
- Rochester Regional Health (Rochester, NY)
- …STATUS: Full Time LOCATION: SLH - Regional Administrative Campus DEPARTMENT: Patient Financial Services SCHEDULE: 8am-4pm Responsibilities Responsibilities ... will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The Medical collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within… more