- Blanchard Valley Health System (Findlay, OH)
- …Valley Facility and Professional services as well as the appeal of denials /rejections from third-party payers. The specialist will manage their assigned ... with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating to denials ....to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …Benefit verification result call. Welcome calls. Advanced alternate coverage research. Appeals / Denials . Intakes and reports adverse events as directed. Provides ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...reports any reimbursement trends/delays to management team (eg billing denials , claim denials , pricing errors, payments, etc.).… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …Benefit verification result call. Welcome calls. Advanced alternate coverage research. Appeals / Denials . Intakes and reports adverse events as directed. Provides ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...reports any reimbursement trends/delays to management team (eg billing denials , claim denials , pricing errors, payments, etc.).… more
- Option Care Health (Austin, TX)
- …with Billing and Collection Training and completes "second level" appeals to payers.Job Description: Job Responsibilities:Submits timely, accurate invoices to ... frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.Ensures compliance with policies and guidelines… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …referring Physician's office, and insurance payers to inform of authorization delays/ denials . Collaborates with Utilization Review nurses to ensure authorization for ... documentation of the pre-certification into the appropriate account.Collaborates with the appeals department to provide all related information to overturn denied… more
- Accounting Now (Pinellas Park, FL)
- …Billing and Collections Specialists in St Petersburg, Florida. Billing & Collections Specialist The medical billing and collection specialist is responsible for ... and/or paper claims, monitoring claim status, researching rejections and denials , documenting related account activities, posting adjustments and collections of… more
- Sanford Health (Sioux Falls, SD)
- …of documentation, interpretation of policies, and handling of correspondence related to denials and appeals submitted by providers and members. Must administer ... a demonstrated understanding of regulatory requirements and timeframes. Intake and coordinate appeals and denials , and then make determinations based on member… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials / appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for ... Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing...Responsible for timely medical records requests and submission of appeals * Maintain adequately trained staff to achieve daily… more
- Trinity Health (Farmington Hills, MI)
- …Payment Resolution with communication and follow-up processes related to rejections, denials and appeals , ensuring that such activities are tracked, ... Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed denials (inclusive of clinical denials ) for medical necessity and… more
- Trinity Health (Farmington Hills, MI)
- …activities as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and ... Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... pertaining to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and...appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment and mitigation… more
- Robert Half Accountemps (Cincinnati, OH)
- …We are offering a unique opportunity in the healthcare industry for a Denials Specialist located in Cincinnati, Ohio. This role involves reviewing and ... for a healthcare facility, with a focus on claim denials and appeals . The employment type for...* Minimum of 3 years of experience as a Denials Specialist or in a similar role… more
- Rush Copley Medical Center (Aurora, IL)
- **Position Summary** : The Appeals Specialist RN reviews inpatient hospital denials , clinical validation requests, and upheld denials after ... to details, and self-motivated. **Experience** + Knowledge/experience in utilization management, denials and/or appeals management in hospital or physician … more
- SSM Health (MO)
- …**Job Highlights:** We are seeking a highly skilled and detail-oriented Coder for Hospital Denials to join our team at SSM Health. You will be responsible for ... reviewing medical records and accurately coding diagnoses and procedures for hospital denials . This role requires strong analytical skills, attention to detail, and… more
- HCA Healthcare (Brentwood, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Appeals Specialist opening with Parallon today and find out what it ... benefits may vary by location._** We are seeking a Appeals Specialist for our team to ensure...for reconsiderations. + Identify contract protection to leveraged overturn denials . + Argue appeals that prevent claim… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as an Appeals Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... make a difference. We are looking for a dedicated Appeals Specialist like you to be a...arguments for reconsiderations. Identify contract protection to leveraged overturn denials . Argue appeals that prevent claim payment… more
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Senior Appeals Specialist . The Senior Appeals Specialist ... billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: +...+ Experience working in healthcare collections and with technical denials is required + Customer focused both internally and… more
- Universal Health Services (Bonham, TX)
- …is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare relevant ... in compliance with Managed Care contracts and government fee schedules. The Appeals Specialist will obtain, manipulate, and analyze data from a variety of… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES & ESSENTIAL JOB...Management team when cases do not meet criteria; coordinates denials with the attending physician and the Care Management… more
- St. Luke's University Health Network (Allentown, PA)
- …clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes ... coding errors and MUE frequency for clean claim submission + Resolve coding denials through claim correction or appeal. Claim corrections will be made after review… more
