Coding Denials Specialist - United States

The Revenue Specialist acts as the liaison between key client contacts and our denials appeal process to the appropriate payer. · High School Diploma or GED required. Associates or Bachelor's Degree preferred. · 5+ years' experience in healthcare field working in billing or colle ...

The Revenue Cycle Denial and Underpayment Analyst contributes to the collection of revenue through denial and underpayment appeals. · ...

The Revenue Cycle Denial and Underpayment Analyst contributes to the collection of revenue through denial and underpayment appeals. · ...

The Medical Billing & Denials Specialist ensures that all patient/insurance information, charges, billings and follow-up on patient accounts is accurate, complete, · and timely. · ...

About the Role · Impact you will make  · Are you an expert in healthcare insurance reimbursement? Do you thrive on solving complex insurance denials and underpayments? Join our team and play a vital role in ensuring hospitals receive the reimbursements they deserve. We're looking ...

Description · Job Summary  · The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role requires in-depth knowledge of payer guidelines, systems, and requirements to navigate complex denial ...

Description · Job Summary · The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating pr ...

The Sr. Director, Clinical Denials, will serve as the primary clinical authority supporting clients with denial prevention, appeal strategy, payer policy compliance, and industry education. · Serve as the vendor's lead clinical subject matter expert on clinical denials management ...

The Payer Specialist is responsible for performing duties of utilization review assisting case managers with patient accounts patient type timely payer authorizations for initial and continued stay. · Effective communication with payers case managers patient access financial serv ...

The Payer Specialist is responsible for preforming duties of utilization review assisting case managers with patient accounts and timely payer authorizations. · Effective communication with payers, case managers, patient access, financial services and clinical disciplines to capt ...

The Manager is responsible for the day-to-day Appeals and Denials process by providing general oversight including leadership for the inpatient DRG/Coding Denials and Appeals process which includes tracking prioritizing trending and writing appeal letters identifying training and ...

Denials and Appeals Analyst · Singing River Health System Administrative Building - Gautier | Full-Time | Monday-Friday 8:00am-4:30pm | · 2101 US-90 · Gautier, Mississippi · United States · Position Overview · The Denials and Appeals Analyst assists in the recovery of Health Sy ...

Facility: · Dayton Children's - Main CampusDepartment: · Family Resource ConnectionSchedule: · Full timeHours: · 40Job Details: · The Integrated Care Resource Specialist functions as a member of a multidisciplinary health care team with guidance from the Medical Social Workers, N ...

Purpose: All responsibilities of the Coding Specialist plus works on-site and assists with staff management. · ...

The Appeals Support Representative role directly supports the Clinical Appeals Specialist in the administrative functions of Denials and Appeals within the Utilization Review Team.Essential Job Functions: · Complete outbound calls to payers for status updates on retro authorizat ...

The Claims Resolution Specialist plays a critical role in the healthcare revenue cycle by ensuring the accurate and timely submission and resolution of insurance and patient claims. This position is responsible for claim billing, follow-up, and resolution for government, commerci ...

The Claims Resolution Specialist plays a critical role in the healthcare revenue cycle by ensuring the accurate and timely submission and resolution of insurance and patient claims. · ...

Assists in the physician advisor process for cases sent for peer-to-peer review. · Supports the scheduling of reviews, communicating the results and completing the required verbal and written correspondence. ...

About DrHouse is a leading U.S.-based telemedicine company redefining how patients access care. · ...

Transforming the healthcare industry isn't easy. But when you build a team like the one we have, that goal can become a reality.We are seeking a Payment Investigation Specialist to join us. · ...