Clinical Denials Specialist - Remote

This position comes with a comprehensive benefits package. The role is eligible to work remotely from an approved state by St. Charles in Oregon. · Able to work all payers and denials in a single financial class. · Identify and resolve intermediate denials through research, appea ...

SCOTUSblog is launching a daily business-docket newsletter that covers every federal appellate decision in the prior 24 hours and distills the developments that matter for corporate counsel and commercial litigators. · ...

+ As Hey Jane expands to partner with more payers, we are seeking a highly organized and detail-oriented Billing Specialist with specific expertise in Medicaid and Medi-Cal. · +Ensure a smooth, efficient, and timely claim submission process with minimal denials. · Follow up on un ...

+Job summary · The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. · +Receives daily receipts that have been balanced and stamped for deposit and verifie ...

The CDI Validation Specialist assists the CDI Manager with oversight, evaluation, and analysis of CDI functions including efficiency, accuracy, continuing education needs, and overall quality. · ...

The Medical Insurance Accounts Receivable Specialist is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. · The responsibilities include verifying patient eligibility and/or authorization, updating patient dem ...

The Benefits Specialist Lead is responsible for verifying patient insurance coverage and submitting pre-authorizations to ensure patients receive coverage for medical services provided. · ...

The Benefits Specialist is responsible for verifying patient insurance coverage. · ...

The Hospital Claims Biller - Follow-up (UB04) position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. They work closely with TruBridge management and hospital employees in receiving, preparing and posting ...

We have an exciting opportunity for a Certified Coding Specialist with experience in Pediatric Speciality Coding to join our team.Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team app ...

The Revenue Cycle A/R Specialist will analyze and review aged accounts to final resolution. · Works within payer portals, such as Availity, Optum, MMIS and Medicare Contractors. · Understands payor contracts and can apply calculations to resolve under/overpayments. · ...

We are seeking a Coding Specialist to join our team at CorroHealth. The successful candidate will provide CPT, HCPCS and ICD-10-CM coding services to support our clients. · Provide various components of coding services to support our clients. · Calculate ProFee E/M levels by usin ...

This is an opportunity to apply DME experience in a new way by reviewing clinical documentation, assessing model-generated qualification outcomes, and identifying when decisions do or do not align with real-world payer standards. · ...

If you've worked in front-end intake, quality control, operations compliance, or audit review in the DME space, this is an opportunity to apply that experience in a new way. We're growing our documentation and criteria review team to help ensure our platform accurately applies qu ...

The Charge Integrity Specialist will play an important role in SmarterDx's next product launch in the Charge Integrity space. · This role will work closely with Product and Data science to refine and collaborate on strategies that will assist our customers in decreasing missed or ...

We are seeking a Credentialing Specialist who will be responsible for maintaining individual provider files, completing credentialing applications and other associated duties that support the credentialing requirements at Expressable. · About Expressable · Expressable is a virtua ...

This revenue integrity specialist role involves conducting reimbursement audits to verify accurate payments per payer contract agreements and government rates. The specialist will also conduct post-implementation care center audits and assist in leading initiatives that drive eff ...

We're reimagining what exceptional care looks like—and that vision extends far beyond the clinical setting. Our Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy and a clear understanding of ...

The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. · Receives daily receipts that have been balanced and stamped for deposit and verifies receipt total. ...

The Revenue Integrity Specialist is responsible for complete, accurate and timely processing of reimbursement/payment audits in compliance with Privia policies, payer contracts and government fee schedules. · ...