- TEKsystems (Sarasota, FL)
- …confidentiality of all patient accounts by following HIPPA guidelines Skills appeals , Denials , Medical Claims, Accounts receivable, medical collections, ... insurance verification, collections Top Skills Details appeals , Denials ,Medical Claims Additional Skills & Qualifications Appeals and denials medical… 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 ... scheduling, 401k and student loan repayment programs. The Remote Medical Denials / Appeals Specialist position is remote and full time, which… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials ... billing with information needed to obtain payment of claims. Remote within local geography after orientation. JOB DUTIES AND... and rejections. + Assists in preparing reports regarding denials to include volumes, number of appeals ,… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** This position is responsible for investigating ... and appealing post-remit denials for all Inpatient and Outpatient clinical services across...best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN41434B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals & Coding Specialist III **Job Grade** E **FLSA Code** ... attributes too. We are looking for an experienced **Medical Appeals & Coding Specialist ( MAC )...1 & 2 team members. 3. Monitor and resolve denials and appeals to ensure timely collection.… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for ... of data and information. This position provides feedback to facilities regarding denials that are resulting in retractions. **Essential Functions** + Responsible for… more
- Community Health Systems (Antioch, TN)
- …The Denials Management Specialist is responsible for working assigned denials and appeals claims by communicating with all necessary departments to ... of all payer guidelines and requirements as they relate to denials and appeals . + Payor portal knowledge. + Maintains BARRT requests (Outbound/Inbound) timely.… more
- Mount Sinai Health System (New York, NY)
- …and/or outpatient charges. + Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts denials in IDX on a ... **Job Description** **Procedural Billing Specialist II- Oncology & Therapeutic Infusion Centers Billing- Corporate 42nd Street Full-Time Days** Responsible for… more
- Catholic Health Services (Farmingdale, NY)
- …of regulatory appeals related to home care services, including insurance denials , service coverage disputes, and reimbursement issues. Review denials and ... Overview The Quality Assurance Regulatory Specialist plays a pivotal role in overseeing the... plays a pivotal role in overseeing the regulatory appeals process and the release of information, ensuring compliance… more
- CaroMont Health (Gastonia, NC)
- …clinical documentation to determine if an appeal is warranted. Where warranted, the Appeals Specialist will write sound, compelling factual arguments to recoup ... collaboratively with Health Information Management, Utilization Review and Clinical Documentation Specialist to mitigate coding denials . This position is for… more