- 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
- University of Southern California (Alhambra, CA)
- …federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve ... this position will provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties:… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the ** Senior Revenue Cycle Specialist ** will act as an operational leader ... Patient Accounting Department resolving hospital Managed Care payment variances and/or denials . **Job Responsibilities may include the following, but are not limited… more
- Henry Ford Health System (Troy, MI)
- …resolution workflows, and assisting the supervisor with escalated issues. The CBO Coding Senior Specialist confirms the accuracy and completeness of coding to ... compliant claims are sent to payers. The CBO Coding Senior Specialist works independently to resolve complex...sending out clean quality claims and working and preventing denials . EDUCATION/EXPERIENCE REQUIRED: + High school diploma or GED… 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
- Thrive Proactive Health (Virginia Beach, VA)
- …full claim lifecycles, denials , appeals, and collections. + Level 3 - Senior Billing Specialist / Billing Lead: Mentor peers, manage audits, support ... follow up on claims, corrected claims, and appeals. + Denials & A/R Management : Investigate, appeal,...Learn systems, submit claims, post payments, follow up on denials . + Level 2 - Medical Billing Specialist… more
- Guidehouse (Washington, DC)
- **Job Family** **:** Management Consulting **Travel Required** **:** None **Clearance Required** **:** Active Top Secret SCI (TS/SCI) **What You Will Do** **:** + ... to potential exception requests, including but not limited to license denials , interpretive guidance, or return without action letters. + Research, analyze,… more
- University of Utah (Salt Lake City, UT)
- …PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA ... May include contact with patients, families, doctors, or insurance companies. Senior -level support role. Completes assignments with little supervision. May assist… 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
- WMCHealth (Valhalla, NY)
- Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/31159) Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to… more