- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the ... DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information… 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 ... and findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,...data, payer medical policies, etc.), determines the causes for denials of payment and partners with management … more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join...system issues, or user errors, and report findings to management . + Contribute to team development by assisting in… more
- UTMB Health (Galveston, TX)
- Revenue Cycle QA Specialist - Revenue Cycle HB Billing & Denials **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # ... up and documentation quality assurance reviews to Patient Accounts and Senior Patient Account Representatives in the Hospital Billing Department. Incumbent will… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The ... Senior Billing Specialist is responsible for multiple...procedures. + May run and work missing charges, edits, denials list and process appeals. Posts denials … more
- Independent Health (Buffalo, NY)
- …Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals ... that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical… more
- SERV Behavioral Health System (Hamilton, NJ)
- …a wide range of services. JOB SUMMARY: Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting ... claims and handling escalated billing and collection issues. The Senior Accounts receivable specialist serves as a subject matter expert in complex accounts… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Utilization Review Specialist (RN) Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 Hours (Full-Time) ... Schedule: Monday - Friday, Days SUMMARY:The Utilization Review Specialist actively participates in the utilization management of patients and evaluating hospital… more
- Ascension Health (Glendale, WI)
- …specific experience required. **Additional Preferences** **Billing, A/R Follow Up, Denials Management experience preferred.** Personal vehicle, valid driver's ... **Details** + **Department:** Revenue Cycle Mgmt + **Schedule:** Monday-Friday / 8 hours per day. Hours will vary between 7AM-7PM depending on clinic needs. +… more
- Henry Ford Health System (Troy, MI)
- … senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple clinical ... involving all appropriate personnel. Prepares reports and recommendations for management and coordinates implementation. The Revenue Integrity Specialist … more