RCM Wound Care Claim Denial Specialist - Rochester Hills, MI
1 month ago

The RCM Wound Care Claim Denial Specialist is responsible for the management of activities relative to third party payer collections.
- Monitor accounts receivable agings to ensure timely resolution of claims
- Ability to identify and report any trends causing future potential denials
- Review payer denials, analyze accounts, and determine the next appropriate steps to achieve payment success
- Comprehensive Benefit Package To Include
- Health, Dental, Vision
- Life Insurance, STD & LTD
- 401(k) with a specified Company Match
- Tuition Assistance
- Paid Time Off plan+Skills
- Possess knowledge on billing guidelines and modifiers used for Advanced Wound Care and Negative Pressure Wound Therapy+
Job description
Lorem ipsum dolor sit amet
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.
Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.
Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.Get full accessAccess all high-level positions and get the job of your dreams.
Similar jobs
The RCM Wound Care Claim Denial Specialist is responsible for the management of activities relative to third party payer collections. This includes performing accounts receivable management and following up on denials/non-payments. ...
1 month ago
The Wound Care Denials & Appeals Specialist (RCM / DME) is responsible for the management of activities relative to third party payer collections.This includes but is not limited to performing accounts receivable management following up on denials/non-payments filing appeals for ...
1 month ago
SIRM is seeking a detail-oriented Accounts Receivable Specialist to support our physicians and staff by ensuring accurate and timely payment for services rendered. · ...
1 week ago
We are seeking a detail-oriented Authorization Specialist to join our healthcare team. · The ideal candidate will play a crucial role in ensuring that patients receive the necessary authorizations for medical services. · This position requires a strong understanding of medical te ...
1 week ago
The Wound Care Denials & Appeals Specialist is responsible for managing third party payer collections, performing accounts receivable management and following up on denials/non-payments. · ...
1 week ago
The RCM Collections Specialist is responsible for the management of activities relative to third party payer collections. This includes performing accounts receivable management and following up on denials/non-payments. · Monitor accounts receivable agings to ensure timely resolu ...
2 weeks ago
The RCM Collections Specialist is responsible for the management of activities relative to third party payer collections. · This includes performing accounts receivable management, following up on denials/non-payments, filing appeals for medical necessity benefit coverage etc. · ...
2 weeks ago
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. · ...
1 month ago
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. · ...
1 month ago
Revenue Integrity Specialist(Clinical Coding)/Full Time/Hybrid
Only for registered members
This is a Full Time/Hybrid position for Revenue Integrity Specialist with the following responsibilities: Identifies revenue opportunities and works collaboratively to drive process improvement; Educates clinical departmental staff and documents workflows under limited supervisio ...
1 month ago
The Payment Applications Specialist is responsible for accurately posting payments received from patients and third-party payers to healthcare accounts receivables across a multi-facility integrated healthcare delivery system. · This includes managing billing associated with Henr ...
1 month ago
The support specialist is a crucial role in the centralized Utilization Review team for time-sensitive authorization tracking and resolution process. · ...
1 month ago
This position is responsible for receiving analyzing and assigning Appeals Grievances and Complaints to the A&G Analysts. Ensures daily case receipt via mail fax email Customer Message Center and HAP's documentation application Pega. Responsible for investigation assignment and t ...
1 month ago
++Pelvic Rehabilitation Medicine is a physician-led specialty health care organization whose core business is to provide evidence-based, individualized treatment services for those suffering with chronic pelvic pain.+ · +Approximately 15-25% of men and women suffer from pelvic di ...
1 month ago
Support Specialist- Utilization Review/Part Time/Remote
Only for registered members
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process.Obtaining and tracking approvals, denials,and additional information requests received from third party payers within EMR. ...
1 month ago
Appeal & Grievance Ops Analyst (Hybrid - Troy/MI) - Health Alliance Plan
Only for registered members
This position is responsible for receiving, analyzing and assigning · Appeals, Grievances and Complaints to the A&G Analysts. Responsible for all activities related to maintaining and providing pertinent information for regulatory reporting ensuring integrity and accuracy.Associ ...
1 month ago
The Payment Applications Specialist is responsible for accurately posting payments received from patients and third-party payers to healthcare accounts receivables across a multi-facility integrated healthcare delivery system. · This includes managing billing associated with Henr ...
1 month ago
Appeal & Grievance Ops Analyst (Hybrid - Troy/MI) - Health Alliance Plan
Only for registered members
This position receives analyzes and assigns Appeals Grievances Complaints A G to A G Analysts Responsible for all activities related to maintaining providing pertinent information for regulatory reporting ensuring integrity accuracy Assisting staff with administrative duties stat ...
1 month ago
Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. · ...
1 month ago
Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us a ...
1 month ago