- Locations: California, Texas, Florida, Massachusetts, New York
- Related Keywords: Denial, Medical Denial Specialist, Specialist
- Medical Claims Specialist
- NES Staffing (Lakeland, FL)
- ...logs, and records. * Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter. * Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations....
- Certified Coder
- Healthcare (Raleigh, NC)
- ...Registered Health Information Technician (RHIT) certified or Certified Coding Specialist (CCP)with three years of experience in ICD-9-CM. Must have...Insurance Department for timely processing of claims. Responsible for appealing any PRO or insurance denial based on coding issues.
- Denial Management Specialist
- UMASS Memorial (Worcester, MA)
- ...to the latest clinical trials and cutting-edge technology providing our patients with quality and compassionate health care. Denial Management Specialist Department: Schedule: Full-time Shift: SHIFT 1 (DAYS) Hours: 40 Requisition Number: 12681 Job Details: Department: FINANCE...
- Denial Management Specialist
- UMASS Memorial (Worcester, MA)
- ...trials and cutting-edge technology providing our patients with quality and compassionate health care. Denial Management SpecialistDepartment: Schedule:Full-timeShift:SHIFT 1 (DAYS)Hours:40Requisition Number:12681Job Details:Department: FINANCE ADMINISTRATION Schedule Details: 8:00am...
- Denial Management Specialist
- UMASS Memorial Medical Center (Worcester, MA)
- ...Demonstrates successful appeal and audit responses to third-party payers concerning hospital clinical and bill claim denials. Serves as an educational resource for staff and physicians to reduce or eliminate denials. Position Qualifications: Massachusetts licensure as registered nurse...
- UB-04 Claims Specialist
- iplacement, Inc. (Coral Gables, FL)
- ...Education: High School or equivalent Skills: Category: Healthcare - Business Office & Finance Compensation: - Position Summary: Denial Recovery Specialist The essential function of this position within the organization is to provide specified services to recover monies...
- Provider Reconsideration Specialist - LPN
- Windsor Management Services, Inc. (Brentwood, TN)
- ...Provider Reconsideration Specialist processes requests for reconsideration initiated by network providers regarding the denial of claim payment. The specialist reviews each request using administrative rules and InterQual guidelines to render an appropriate determination. Final...
- Coding Claims Specialist
- Akron Children's Hospital (Akron, OH)
- POSITION DESCRIPTION: The Coding Claims Specialist is responsible for reviewing professional fees which are on patients'...coding certification knowledge to investigates denied claims to determine if denial is appropriate and reports appropriately denied claims to departments as...
- Clin Authorization Specialist
- Sentara Health (Norfolk, VA)
- Job Title CLIN AUTHORIZATION SPECIALIST Physical Location Hospital-Norfolk General In support of our mission "to improve health...is placed into financial system for processing of payment. Notification of denial issues and potential avoidance of a denial and changes...
- Clinical Appeal Specialist
- Provena Health (Mokena, IL)
- Clinical Appeal Specialist Job Description Job Title: Clinical Appeal Specialist Company Name: Provena...Works with the Account Resolution Specialists/Clerical Support to gather and display denial data for distribution to management. Supports the Resource Center Director to...
- Laboratory Revenue Cycle Specialist /Billing & Coding
- HealthPartners (St. Paul, MN)
- Laboratory Revenue Cycle Specialist /Billing & Coding Job ID 15741 Department Lab Administration City St. Paul,...regulations and legislation regarding laboratory coding and billing compliance issues. B.) Denial Management 1. Working all coding related denials. 2. Working all...
- Grievance Specialist , OptumHealth Pierce County, Tacoma, WA
- UnitedHealth Group (Tacoma, WA)
- ...their personal health and well-being goals. Position Description: The Complaints/Grievance Specialist will provide administrative support and customer service to consumers and providers throughout the complaint, denial , grievance, and appeal processes. He or she will be responsible...
- Utilization Review/Documentation Specialist
- Fairview (Minneapolis, MN)
- ...observation status. When criteria are not met this position is responsible for implementing the Utilization Review processes including denial letters. Also, assists physicians with concurrent documentation to facilitate optimal documentation and DRG assignment on discharge. Attends daily...
- Denial Management Specialist
- UMASS Memorial (Worcester, MA)
- ...trials and cutting-edge technology providing our patients with quality and compassionate health care. Denial Management SpecialistDepartment: Schedule:Full-timeShift:SHIFT 1 (DAYS)Hours:40Requisition Number:12681Job Details:Department: FINANCE ADMINISTRATION Schedule Details: 8:00am...
