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- ...At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with clinical team partners. This position...SuggestedPermanent employmentLocal area
Houston Methodist
Sugar Land, TX2 hours agonew - ...Position: Coding Specialist coding Holds and Denials Overview We're seeking a seasoned Coding Specialist to conduct high-quality reviews and assign accurate codes to a wide range of patient records. Your work ensures that physician services are properly documented and...SuggestedWork at officeLocal areaRemote work
CADUCEUSHEALTH®
New York, NY2 hours agonew - ...Core Responsibilites and Essential Functions Coding Denials Management - Identify major reasons for denials root causes (Diagnosis,... ...and revenue management to provide coding and document Physician, Specialist, Management, Patient Access, Healthcare, Skills, Practice...Suggested
WellStar Health System
Atlanta, GA1 day ago - ...matter expert in at least one specialty, e.g., oncology, gynecology, surgical coding (not including primary care procedures) and infusion coding including chemotherapy and infusions involving multiple drugs. Assigns CPT and ICD codes in cases Specialist, Healthcare...Suggested
Advocate Aurora Health
Allenton, WI2 days ago $21.4 - $30.6 per hour
...with the patient referral sources to process new applicants/liliSteward patient accounts from initial contact through final approval/denial/liliPrioritize multiple, concurrent assignments and work with a sense of urgency/liliMaintaining quality and providing an...SuggestedHourly payFull timeFor contractorsWork experience placementLocal areaImmediate startRemote workMonday to FridayShift workNebraska Staffing
Lincoln, NE2 days ago$21.4 - $30.6 per hour
...with the patient referral sources to process new applicants Steward patient accounts from initial contact through final approval/denial Prioritize multiple, concurrent assignments and work with a sense of urgency Maintaining quality and providing an empathetic...SuggestedHourly payFull timeTemporary workFor contractorsWork experience placementLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift workOhio Staffing
Columbus, OH1 day ago$100k
...Provider Enrollment Specialist Remote, Nationwide Everybody has a role to play in transforming healthcare. At Vituity you are part of... ...to learn billing processes, including timely filing and claims denial reasons. Proficient in Microsoft Office Suite (Word, Excel, Outlook...SuggestedDaily paidFull timeContract workPart timeWork experience placementWork at officeLocal areaRemote workFlexible hoursVituity
United States2 days ago- ...Authorization Specialist (Remote) Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is a leading outpatient treatment... ..., and partnerships teams to resolve prior authorization denials Enter all documents, client data, new payer data, or responses...SuggestedWork at officeRemote work
Kolmac Clinic
Burtonsville, MD4 days ago - ...Job Description Job Description About The Role BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially denied authorizations and preparing denial correspondence...SuggestedWork at officeFlexible hours
Brighton Health Plan Solutions, LLC
Chapel Hill, NC1 day ago - ...Senior Patient Access Specialist The Senior Patient Access Specialist is responsible for performing admitting duties for all patients... ...of Revenue Cycle including admission, billing, payments, and denials. Comprehensive knowledge of patient insurance process for obtaining...SuggestedWork at officeLocal area
Ensemble Health Partners
Lewiston, ME1 day ago $19.55 - $29.75 per hour
...document drug shipments received through a computerized tracking system. Serves as a resource in facilitating resolution of insurance denial referrals. Communicates effectively with pharmacy, hospital administration, medical staff, patients and personnel in the patient...SuggestedFull timeUniversity Health
San Antonio, TX35 minutes agonew$68k - $85k
...and over), ancestry, color, religious creed (including religious dress and grooming practices), family and medical care leave or the denial of family and medical care leave, mental or physical disability (including HIV and AIDS), marital status, domestic partner status,...SuggestedLocal areaFlexible hoursNight shiftWeekend workLive Nation Entertainment
San Diego, CA18 hours ago- ...care continuum. For more information, visit Job Title: RCM Specialist Must reside in/near Southgate, MI Onsite Work! Hybrid... ...cycle timeframe • Timely review/handling of insurance claim denials, exceptions, or exclusions • Forwards requests for medical records...SuggestedWork at officeRemote workHome officeFlexible hoursAfternoon shiftEarly shift
Eye Care Partners Career Opportunities
Southgate, MI14 days ago $16.59 per hour
...or the clinics * CASH - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials * REPORTS - Obtain police reports when appropriate for billing information for Patient Financial Services. Do the Census reports for...SuggestedFull timeWork at officeShift workRotating shiftWeekend workUniversity of New Mexico - Hospitals
Albuquerque, NM7 hours agonew- ...commercial, contracted and non-contracted payers, including preparing appeal letters. Working within a centralized department, reviews all denials for medical necessity and appeal ability utilizing clinical judgment and applying appropriate medical necessity criteria. Provides...SuggestedFull timeRemote workShift work
Henry Ford Health System
Troy, MI2 days ago - ...surgery coding and ASC coding specialties. The Medical Coding Specialist plays a key part in ensuring accurate coding for optimal... ...areas for improvement. Assist in resolving coding-related denials and contribute to appeal processes when necessary. Performs...Part timeApprenticeshipWork experience placementImmediate startWork from home
iMedX
Memphis, TN1 day ago - ...Central Authorization Specialist The purpose of the Central Authorization Specialist position is to centrally facilitate the successful... ...procurement is obtained from back end coding, billing and denial management resources and distributed to ordering physicians and...Full timeWork experience placementWork at officeRemote work
Henry Ford Health System
United States2 hours agonew - ...and EMR computer system. Possesses excellent organizational, interpersonal, verbal, and written communication skills. Knowledge of denials management preferred. Special Training: Instructed in APC assignment and the application of the requirements needed to comply with...Local areaRemote work
Capital Health Services
United States1 day ago - ...Reimbursement Specialist At UP Health System Marquette, we are committed to empowering and supporting a diverse and determined workforce... .... When necessary implements action plans to prevent denials and rejection recurrence with Directors approval. Coordinates...Full timeWork experience placementLocal area
LifePoint Health
Marquette, MI3 days ago - ...organizational quality standards. The Medical Coder works collaboratively with clinical teams, CDI specialists, and revenue cycle partners to resolve documentation issues, prevent denials, and maintain coding quality and productivity benchmarks. KNOWLEDGE/EXPERIENCE: Minimum...
Montana Staffing
Helena, MT1 day ago - ...Orientation. 16.Responsible for assisting Billing and Collection staff with identifying appropriate documentation needed for appeals/denials. 17.Assist with Annual Provider chart audits promptly. 18.Accurately enters E&M level charges on all patients...Full timeWork at officeShift work
North Oaks Medical Center
Hammond, LA4 days ago $24 - $36.54 per hour
...Reimbursement Specialist The Reimbursement Specialist is responsible for performing a variety of complex duties, including working insurance... ...in reading explanation of benefits, understanding ANSI codes/denial codes Ability to identify trends in underpayments/...Hourly payContract workWork experience placementWork at officeBoston Staffing
Broomfield, CO2 days ago- ...divh2Hospital Coding Specialist III/h2pHospital Coding Specialist III is responsible for the coding and optimization of electronic medical... ..../liliReviews and resolves coding and reimbursement related denials and edits to ensure timely submission of claims./liliRemains...Local areaShift work
West Tennessee Healthcare
Jackson, TN1 day ago $53k - $57k
...and payer-specific rules Participate in internal audits and implement coding corrections or education as needed Monitor coding denials, identify root causes, and recommend corrective actions Serve as a coding resource and provide guidance or training to peers and...Flexible hoursHoward University
Washington DC1 day ago- Description: The Reimbursement Specialist II is responsible for executing core reimbursement processes to confirm medical necessity... ...and referral requests, resolving claim and authorization denials, and negotiating single case agreements. The Reimbursement Specialist...Full timeContract workWork at officeLocal areaShift work
Novocure
Portsmouth, NH1 day ago $23.69 - $32 per hour
...subspecialties. Job Summary The Authorization Referrals Specialist II is responsible for verifying insurance policy benefit information... ...with surgical coordinators regarding authorization status or denials. Submit appeals in the event of denial of prior...Hourly payFull timeLocal areaImmediate start61st Street Service Corp
New York, NY4 days ago- ...Access, Case Management, and others in regard to contract guidelines and pre-certification requirements. Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future...Contract workWork experience placementWork at office
Methodist Le Bonheur Healthcare
Cordova, TN1 day ago - ...Medical Coding Specialist Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes.... ...procedures, and other medical services or charges. Reviews claims denials and appeals to identify coding errors. Performs coding and...Flexible hours
Nationwide Children's Hospital
Columbus, OH1 day ago - ...billing-related activities to ensure billing for laboratory services complies with regulatory standards. The Lab Denials and Coding Management-Specialist works with all areas of lab billing/denials functions to assure accounts Specialist, Billing, Medical Billing, Processing...
Spartanburg Regional Healthcare System
Spartanburg, SC3 days ago - ...Insurance Verification Specialist Responsibilities: Verifies patient insurance coverage timely utilizing phone or online resources... ...the authorization approval. Communicates any authorization denials to the appropriate staff. Handles any discrepancies, errors...
Myriad Genetics
Brooklyn, NY4 days ago
