1-15 of 252,577 Jobs
Conduct customers to confirm approval/denials of coverage, co-pays, patient assistance programs and verification of specialty pharmacy that will dispensing their medication.
Supervisor, Coding Hospital - Based
Phoenix Children's Hospital
Will assist Coding Manager with all Coding Denials with staff.
RN Case Manager- WMH- .8FTE- Days
This position will proactively prevent denials through assessment and application of Milliman Care Guidelines to determine status for appropriate reimbursement and bed placement.
Denials Support Specialist
Blue Ash, OH
Experience in hospital operations, billing, AR follow-up, denials & appeals, compliance, and provider relations.
Medical Claims Denial Specialist
Community Surgical Supply
Toms River, NJ
As a Medical Claims Denial Specialist with Community, you will be responsible for monitoring denials, appeals, and resolutions from participating insurance carriers and play a key role in the collections from insurance carriers.
Root Claims Analyst
Baylor Scott & White Health
Examines information including, but not limited to, authorizations, benefits, payments and denials.
RN Clinical Manager
Responds to Additional Documentation Requests/Denials as directed by the regulatory affairs department.
Supv - Accounts Receivable
Independence Physician Management
The Accounts Receivable (A/R) Supervisor has day to day oversight of all insurance accounts receivable functions including outstanding insurance claims (no response), insurance denials/appeals with a primary focus on maximizing insurance revenue collection.
Case Management Representative
Houston Methodist Hospital
Sugar Land, TX
Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies as necessary, and documentation of authorization, approvals and denials.
Investigate claim denials and underpayments by insurance carriers and appeal for payment or make appropriate adjustement.
Behavioral Health Analyst
North Texas State Hospital - Wichita Falls Campus
Wichita Falls, TX
(20%) Reviews medical records, MCO policies, and PA/authorization criteria to determine the compliance of approvals/denials of services with PA/authorization policies and procedures and evidence-based standards of care.
Memorial Hermann Health System
Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
Manager, SNF Rehabilitation
Brookdale Senior Living
Ensures timely response to compliance and / or Medicare claim reviews and denials in coordination with Brookdale Regional Director of Appeals.
Patient Financial Services Supervisor - Home Health
This position is also responsible for trending issues, attending 1:1 conference calls with payers and payer meetings, monitoring A/R, completing supervisory billing functions, taking supervisor/escalated customer service calls, monitoring denials/appeals, training new staff and performance reviews for their direct reports.
Patient Advisor - Cancer Center
Lovelace Health System
Research denials for no authorization, pre-existing and appeals, obtain retro-authorization.