- Community Health Systems (Antioch, TN)
- **Job Summary** The Denials Management Specialist is responsible for working assigned denials and appeals claims by communicating with all necessary departments ... Communicates with all necessary departments to identify and resolves denial trends and issues. Tracks and documents all ...denial trends and issues. Tracks and documents all denial and appeal activity. + Maintains working knowledge of… more
- CaroMont Health (Gastonia, NC)
- …as required. Other duties as assigned. CDS and Denial Specialist will work collaboratively with Health Information Management , Utilization Review ... Specialist is responsible for assisting the denial coordinator with management of client DRG...denials. This position is for CaroMont Health care system. Remote work may be approved per Manager/Director discretion with… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a RN Denial Reviewer for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $54.61 - ... change agent with in-depth knowledge of workflow related to denials and appeals management . Performs in depth reviews of clinical DRG downgrade denials to draft… more
- AdventHealth (Altamonte Springs, FL)
- … root cause and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and ... even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** This position is...degree in any field of study . Experience in denial management , utilization review, case management… more
- Community Health Systems (Fort Smith, AR)
- As a Remote Medical Denials / Appeals Specialist at Community Health Systems - Shared Services Center, you'll play a vital role in supporting our purpose to help ... including health insurance, flexible scheduling, 401k and student loan repayment programs. The Remote Medical Denials / Appeals Specialist position is remote … more
- Community Health Systems (Franklin, TN)
- …books, video tapes/audio Works with associates, departments and facilities to understand denial /appeal management processes. + Performs other duties as assigned. ... **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for… more
- Aveanna Healthcare (Atlanta, GA)
- Workers Compensation Claims Specialist - Remote ApplyRefer a FriendBack Job Details Requisition #: 199495 Location: Atlanta, GA 30339 Category: OT Salary: ... This is a remote position. Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna Field Staff… more
- Beth Israel Lahey Health (Charlestown, MA)
- …necessary documentation needed to have claims reprocessed/adjudicated * Informs and/or transfers to management of any problem accounts and or denial trends that ... in people's lives.** This position is full-time with benefits and offering a Remote work schedule. Under oversight of the Department Manager & Supervisor, the… more
- University of Miami (Hialeah, FL)
- …compatible with orders. + Communicates professionally identified discrepancies, documentation issues, denial management issues and coding concerns in the medical ... continuing education requirements. + Prepare ad-hoc reports as requested by senior management . + Develops, mentors, educate and provide feedback to providers, CDI,… more
- Mount Sinai Health System (New York, NY)
- …processes appeals. Posts denials in IDX on a timely basis. + Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports on ... **Job Description** **Procedural Billing Specialist II- Oncology & Therapeutic Infusion Centers Billing-...credentialing issues for department physicians. + Meets with practice management , leadership and/or physicians on a scheduled basis to… more