- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete and accurate appeals of denied claims are ... according to guidelines set forth by the payer. The Appeal Support Specialist processes submissions...an appeal letter with details of the denial and information to support overturning the… more
- Sanford Health (Sioux Falls, SD)
- …interpreting medical policies. The As a lead position, lead appeals and denial specialist this role will additional support the leads the team by providing ... the ability to identify resources and support processes for the appeal and denial team. Serves as the go to source for complex questions and issues.… more
- HCA Healthcare (Nashville, TN)
- …Sign-On Bonus Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? We have an exciting ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating… more
- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist -Authorization Denial Facility: BMHCC Corporate Office Department: HS … more
- Nuvance Health (Danbury, CT)
- …manner in collaborationand working closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, ... to insurance companies including Medicare and Medicaid for entire network. Provides support in all the administrative and clerical duties to promote efficient and… more
- McLaren Health Care (Bay City, MI)
- **Position Summary:** Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . ... support to both internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing... in response, tracking and completion of all payer audit/ denial / appeal activity to ensure that timelines in… more
- Hartford HealthCare (Farmington, CT)
- …for improvement. . Works with insurance companies as needed to resolve and appeal denials. . Proposes denial prevention workflows to achieve greater efficiency ... comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and.... Monitors and follows up on appeals to ensure appeal has resulted in an overturned denial … more
- Intermountain Health (West Valley City, UT)
- …researching and appealing denied medical claims. Responsible to proactively identify insurance denial trends and to then work with Payer Contracting on these issues. ... insurance laws so that they can file the appropriate appeal based on the law that applies. **Schedule is...+ Understands and identifies the true reason of the denial and looks at payer contracts, clinical data 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 ... risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position will collaborate with physicians,… more
- St. Luke's University Health Network (Allentown, PA)
- …CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and ... assignment for OP encounters. 2. Analyze DRG or CPT denial letters and draft appeal letters, including...record, supporting clinical evidence, and the coding argument, to support network coding. Develop and apply appeal … more