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Healthcare Claims Denials And Appeals Specialist Jobs

Hospital Denials/Medical Appeals Specialist
By Beth Israel Lahey Health At Burlington, MA, United States
To be eligible, you must be a non-BILH employee or a previous eligible employee who returns to BILH after 1 year.
Previous employees returning within 1-Year are eligible for a retention bonus.
Employee must be in good standing to receive the bonus at the time of payment.
All bonuses are subject to applicable taxes. This program is subject to change at any point
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Cumming, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Duluth, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Acworth, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Smyrna, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Avondale Estates, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Stone Mountain, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Decatur, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Alpharetta, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Suwanee, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Roswell, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Norcross, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Rcm Healthcare Claims Denials Specialist
By CenterWell Home Health At Clarkston, GA, United States
Minimum of two years medical claims processing experience
Knowledge of healthcare collection procedures and microcomputer software/hardware
Effective analytical and communication skills
Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Insurance Denials Specialist Jobs
By Artius Solutions At United States
If candidate does not have EPIC experience, state what electronic medical record system they are using for working current denials.
Reviews all patient complaints and works to ensure a positive customer service experience by fully answering patient queries
Reviews denial reasons, validates accurate coding, and initiates appeals process for claims to ensure prompt and accurate payment.
Works to understand denial reason using provided information from payer
Collaborates with coding team, as needed, to ensure understanding of initial code selection and if updates are required
Researches payer-specific coverage policies to determine if an appeal is warranted
Healthcare Appeals/Denials Coordinator - Remote | Wfh
By Get It Recruit - Healthcare At Los Angeles, CA, United States

Are you passionate about making a difference in the healthcare industry? Do you thrive in a dynamic environment where your skills are valued? We are currently seeking a dedicated Healthcare ...

Denials And Appeals Specialist - Patient Financial Services - F/T Days
By UC Irvine Health At , Anaheim $28.61 - $35.58 an hour
Advanced knowledge of revenue cycle processes gained from previous related work experience in a healthcare setting
Demonstrated experience in CPT, HCPC and ICD billing codes, authorization requirements and related documentation
Effective data and numerical data entry skills
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Advanced knowledge of a variety of non-governmental and governmental payers
Skilled at using computerized systems and applications to maintain/update patient accounting information
Rn Denials Specialist Jobs
By Ensemble Health Partners At , Remote
Case Management or Utilization Review experiences strongly preferred
Knowledge of patient insurance process and requirements preferred
2+ years of experience in an acute care hospital direct patient care setting required
Identifying the root cause for clinical claim denial
Reviewing medical records against nationally recognized clinical criteria guidelines (Interqual, MCG, NCD/LCD,DCA, etc.)
Using clinical decision making to determine the appropriate actions needed to recover or defend revenue
Denials/Medical Appeals Specialist
By Lahey Health Shared Services At , Burlington, Ma
Required Education: High School Diploma
Preferred Licensure, Certification & Registration: Medical Billing Certification
-To be eligible, you must be a non-BILH employee or a previous eligible employee who returns to BILH after 1 year.
-Previous employees returning within 1-Year are eligible for a retention bonus.
-Employee must be in good standing to receive the bonus at the time of payment.
-All bonuses are subject to applicable taxes. This program is subject to change at any point
Claims Specialist - Healthcare
By Talently Recruiting At Illinois, United States
Prepare reports for management by collecting, analyzing, and summarizing claim information.
Maintain proper file documentation of assigned files by complying with company and state requirements.
2+ years of experience in the legal or medical field.
Experience with Professional Liability preferred.
Responsibilities include, but are not limited to:
Actively engage in review processes to evaluate liability, assess case value, and oversee reserving functions and total claims costs.
Accounts Receivable Representative, Denials And Appeals, Remote
By Providence At , , Wa

2 years Experience in automated, computerized account follow-up system in a hospital setting, health insurance claims processing or medical office

Check out our benefits page for more information about our Benefits and Rewards.