- CenterWell (Topeka, KS)
- …a part of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you ... High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection procedures and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- Northern Montana Hospital (Havre, MT)
- …, reviews managed care contracts and comparison of such contracts against healthcare claims to identify underpayments and manages underpayment vendor tool ... Revenue Cycle Denials Management Specialist - FT The...Administration, or related field preferred. 2. Previous experience in healthcare revenue cycle management, medical billing, or claims… more
- CenterWell (Atlanta, GA)
- …Develop department tools and training programs, along with the Training Specialist , to encourage growth and development. Analyze/monitors their implementation. **Use ... the equivalent preferred + A minimum of five years healthcare related billing/collection experience preferred + At least three...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Fresenius Medical Center (Kennesaw, GA)
- …PRINCIPAL DUTIES AND RESPONSIBILITIES: + Monitors all work lists specific to the Denials Management Specialist Role. + Ensures escalation of any work listed ... any issues. Performs Accounts Receivable collection duties as assigned by Denials Supervisor, ensuring collection of past due balances to maintain profitability.… more
- UHS (Binghamton, NY)
- Denials Recovery Specialist I, 33 Lewis Rd Shift Day Hours per week: 40 Salary range: $19.37 - $28.09 per hour, depending on experience. Overview Resolving ... denied insurance claims , for payment. Education/Experience Minimum Required: + For External...United Health Services United Health Services is a not-for-profit healthcare system serving more than 500,000 people in Upstate… more
- Sharp Electronics Corporation (Downers Grove, IL)
- **Overview** The Claims Specialist position is responsible for Point of Sale (POS) data management and processing back-end pricing rebates/credits, including ... issues related to master data that impact POS and/or claims data. + Process and issue credits for incoming...Desk for further internal review as needed. + Communicate discrepancies/ denials to claim partner for review and alignment. +… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …With direction from the Patient Financial Services Director, the Revenue Integrity Specialist is responsible for performing audits of itemized charges versus the ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising… more
- Beth Israel Lahey Health (Burlington, MA)
- …Billing Certification preferred Experience: 2 - 3 years of experience in healthcare denials . Skills, Knowledge & Abilities: Working knowledge of third-party ... will identify, review, and interpret third-party payments, adjustments, and denials . Initiates corrected claims , appeals, and analyzes unresolved third-party… more
- Baptist Memorial (Memphis, TN)
- …appeal along with pertinent clinical and financial information to send along to healthcare insurance providers in response to post-claim denials received by ... Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA...analyzes, and distributes pertinent clinical and financial information to healthcare insurance providers in response to post-claim denials… more