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DENIAL SPECIALIST II

Generates, processes and maintains provider and member correspondence for preservice and concurrent review. Mainly computer based, provider-based work. Maintain good working relationship with other departments Team goal/state re...

CompanyBcforward
AddressTulsa, OK
CategoryHuman Resources
Job typeContractor
Date Posted 7 days ago See detail

Denial Specialist II

Bcforward

Tulsa, OK

Generates, processes and maintains provider and member correspondence for preservice and concurrent review. Mainly computer based, provider-based work. Maintain good working relationship with other departments Team goal/state re...

Appeal and Denial Specialist - Sioux Falls, SD

Sanford Health

Sioux Falls, SD

$18 - $29 an hour

00Salary Range: $18.00 - $29.00Department DetailsPossible work from home option after trainingJob SummaryIntake and coordinate appeals and Denials, and then make determinations based on member policy documents, and/or medical crit...

Denials Specialist (Medical Collections)

Dallas Nephrology Associates

Dallas, TX

$18 - $21 an hour

401(k). 401(k) matching. Dental insurance. Employee assistance program. Flexible spending account. Health insurance. Life insurance. Paid time off. Tuition reimbursement. Vision insurance. 8 hour shift. Day shift. Monday to Friday...

AR Denials Specialist - Claims/Insurance Experience

Lakeland Regional Health

Lakeland, FL

$15.45 - $18.00 an hour

Responsible for all aspects of follow up and collections on accounts. This includes making outbound calls to payers and accessing payer websites. Collect payments for outstanding claims and ensure payments received are reconciled...

Denial Coding Review Specialist

Parallon

Brentwood, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Denial Coding Review Specialist

Work From Home

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Multi-Specialty Coding Denials Specialist

Elevate Medical Solutions

Remote

$40.6K - $51.4K a year

Research payer denials related to referral, pre-authorization, eligibility/registration, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment. Submit detailed, customized a...

Denial Specialist

Northern Light Health

Brewer, ME

$37.2K - $47.1K a year

Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements. Work closely by way of problem solving with peers and leaders to address payer denial an...

Denials Specialist - Remote

Outer Cape Health Services

Harwich Port, MA

Review pre-bill holds relating to provider enrollment issues. Review, correct, track, trend, and quantify back-end denials for provider enrollments. Escalate trends identified to Senior Enrollment Analyst for corrections. Quantify...

Lead Insurance Denials Specialist for prior authorizations

Rayus Radiology

Minnesota, United States

$50.5K - $63.9K a year

Communicateswith patients, carriers, co-workers,center staff,attorneys, and other contracted entities and responsible partiesin a timely, effective manner to expedite the billing and collection of accounts receivable. Contributest...

Denial Specialist

Nephrology Assoc. Of S.w. Ohio, Inc.

Hamilton, OH

$20 an hour

Valuing Differences- Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations or backgrounds; seeks out and uses unique abilities, insights and ideas. Considers the collective. Collabora...

Specialist, DRG Denials and Appeals

Nyu Langone Health

United States

Analyzes adverse determinations and potential DRG Re-assignments from various Third Party Payors. Reviews denied cases by using pre-established criteria, and determines whether or not an appeal is warranted. Formulates responses t...

Denial Management Specialist (40 hours/week, Days)

Evergreenhealth

Kirkland, WA

$20.57 - $32.92 an hour

High School graduate or equivalent. 1-year previous experience in professional billing. Knowledge and experience in working with health care insurers' and their reimbursement systems, especially Medicare, Medicaid, Workers Compens...

Denial Management Specialist

Northside Hospital Inc.

Atlanta, GA

$65.2K - $82.6K a year

Drafts written letters of appeal on various types of denied claims utilizing standard letters as well as customized letters depending on the denial. Utilizes/reviews account information from various sources; on line data, hard cop...

Denial Management Specialist

Pentec Health

United States

$20 - $26 an hour

Communicate global payor issues with the Payor Relations team. Ensure all denials are fully worked. Denials include but are not limited to: Patient Ins Termed, Additional Information needed, medical record requests, COB denials an...

RC Denial & Appeal Specialist Remote

Nch Healthcare System

Naples, FL

$16.80 - $19.49 an hour

DEPARTMENT: 68221 - Business Office NCHHGLOCATION: 1100 Immokalee Road, Naples, FL, 34110WORK TYPE: Full TimeWORK SCHEDULE: 8 Hour Day$16.80-19.49hrABOUT NCHNCH is an independent, locally governed non-profit delivering premier com...

Denial Management Specialist (REMOTE)

Community Health Systems

Franklin, TN

$40K - $50.6K a year

ESSENTIAL DUTIES AND RESPONSIBILITIESThe Specialist will monitor assigned pools and duties in Artiva, HMS, Hyland, BARRT and other host systems and applications with currency to follow up dates.File appeals as needed to resolve pa...

Medical Billing Specialist; Denials

Teksystems

Indianapolis, IN

This is our first shot to come through for the 3rd largest hospital system in the state of Indiana!-The primary purpose of this role is to jump in and help with Denials within the Commercial lines of insurance. The patient account...

Denial Management Specialist

Radiology Of Indiana

Indiana, United States

$37.4K - $47.4K a year

401(k). 401(k) matching. Dental insurance. Health insurance. Health savings account. Life insurance. Paid time off. Retirement plan. Vision insurance. Monday to Friday. Remote....

Remote Denials Management Specialist

Spartanburg Regional Healthcare System

Spartanburg, SC

$43.1K - $54.6K a year

High School Diploma or equivalency. 4 years experience in medical billing, setting with exposure to denials, appeals, insurance collections and related follow-up. Must have good knowledge of ICD9 and CPT-4 coding. Must have a goo...

Remote Sr Denials Management Specialist

Spartanburg Regional Healthcare System

Spartanburg, SC

$55.4K - $70.2K a year

High School Graduate with some College. 5+ years experience in medical billing/collections setting with experience with denials, appeals, insurance collections and related follow-up. Must have extensive knowledge of ICD9 and CPT-...

Denial Coding Review Specialist

Work From Home

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...