- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and...and responds to a wide variety of issues/concernsThe Denials Specialist works independently to plan, schedule and organize activities… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... be required to work with multiple departments and communicate to the Denial Avoidance Specialist when identifying trends relating to denials. The specialist … more
- Accounting Now (Tampa, FL)
- …medical billing systems requiredPrior healthcare and medical billing/collections/ denial remediation experience requiredIntermediate computer proficiency in Microsoft ... Office tools including Excel, PowerPoint and Outlook Education: Highschool Diploma or equivalent required more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and assists with initial assessment as Intake backup when an Intake Specialist is unavailable.Assists with coverage of the nursing station including answering the ... patients in their level of recovery while strongly confronting denial .Demonstrates appropriate use of therapeutic communication with chemically dependent and… more
- CenterWell (Marietta, GA)
- …of our caring community and help us put health first** As an **RCM Claims Denial Specialist - MAV1/A** **c** **counts Receivable Specialist ** , you will: ... + Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.… more
- Carle (Urbana, IL)
- Outpatient Denial /Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... clinical documentation review to establish and manage clinical and prior authorization denial appeals for the Carle enterprise. Represents Carle in clinical meetings… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 3484 - Specialist - Denial II RN Facility: BMHCC Corporate Office Department: HS ... services to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities + Reviews,… more
- Nuvance Health (Danbury, CT)
- …manner in collaborationand working closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, ... in work queue and incoming fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials...timeframe. 8. Documents and updates the denials in the denial tracking tool timely and accurately. 9. Collects and… more
- Insight Global (Fort Mill, SC)
- …will either be needing additional information or have been completely denied. This denial specialist will enter the claim information into the system (open ... Description A client of Insight Global is looking for a remote denials specialist to work within their correspondence team. Daily responsibilities of this … more
- Guthrie (Sayre, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on… more
