- TEKsystems (Austin, TX)
- We are hiring for Hospital Denial Management specialists to support a growing healthcare RCM company! As a specialist on our team you will be verifying ... increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New...and left a balance or denied it and the specialist needs to assist. - Could be coded incorrectly… 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 ... caring group of colleagues. Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating positive patient interactions is valued?… more
- Baptist Memorial (Memphis, TN)
- Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational controls ... including federal and state regulations and guidelines. The Quality Assurance Specialist will be responsible for analyzing and interpreting trends associated with… more
- Nuvance Health (Danbury, CT)
- …collaborationand working closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, and ... appeal upheld cases in work queue and incoming fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials and documents appropriately. 4.… more
- Hartford HealthCare (Farmington, CT)
- … hospital setting. . Two years denials review, auditing, management , mentoring and/or coder training experience. *Licensure, Certification, Registration* . ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- McLaren Health Care (Bay City, MI)
- …Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both ... internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing activities, reviews outcomes and communicates findings… more
- Columbus Regional Hospital (Columbus, IN)
- …to know about the position: + The Professional Billing Coding Reimbursement Specialist provides the coding staff with the necessary support for coding guidelines ... and ensures accurate billing. + The PB Coding Reimbursement Specialist is responsible for reviewing and appealing all coding...position is responsible for acting as a liaison for denial communication between coding and billing teams. + The… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... with Third Party Payor requirements preferred. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer… more
- Weill Cornell Medical College (New York, NY)
- …critical thinking and analytical skills. + Ability to meet daily coding and denial management production requirements along with quality as per Company norms. ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...standards are met for billing. + Analyze for invalid denial trends, payer specific carrier submission requirements & system… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** ... and maintain case files.Provide clerical support and assistance to the Case Management team.Contributes to the continuous improvement initiatives of the Case … more