Manager, Clinical Denials - Revenue Cycle
By UT Southwestern At , Dallas, 75390

JOB SUMMARY: UT Southwestern has an amazing leadership opportunity available in the Revenue Cycle Department team. The successful applicant in this position duties will include but not be limited ...

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
Technical Denials Management Specialist Ii - Revenue Cycle
By UT Southwestern At , Dallas, 75390

JOB SUMMARY: UT Southwestern Medical Center has a new employment opportunity available in the Revenue Cycle Department for the role of Technical Denials Management Specialist II. The duties for the ...

Revenue Cycle Representative (Pb Reimbursement Verification) - Physician Hospital Accounts Receivable (Pharm) Patient Financial Services
By University of Iowa At Iowa City, IA, United States
Experience with Experian Contract Management software.
Perform extensive research on reimbursement methodologies, maintain industry knowledge related to changes regarding reimbursement, and apply knowledge to claims processing.
Revenue Cycle experience (typically 6 months or more) in a healthcare environment.
Experience maintaining professionalism while handling difficult situations with callers or customers.
Working knowledge of medical terminology.
Working knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
Revenue Cycle Denials Receivable Representative
By Carle Health At Fields, OR, United States
Assists with training and education to staff for accuracy.
Must be able to perform essential job functions of Revenue Cycle Accounts Receivable Representative 1.
Identifies payer and system issues to initiate project requests for process improvements.
Assists in credit balance review according to organization’s credit balance/refund policy.
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.

Accounts Receivable Representative, Denials And Appeals, Remote
By Providence At , , Tx

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.

Accounts Receivable Representative, Denials And Appeals, Remote
By Providence At , , Nm

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.

Revenue Cycle Denials Specialist
By Cook Children's Health Care System At , Fort Worth, 76116, Tx
Knowledge of the payor appeal timeframes, levels and operations in order to successfully maneuver payor operations.
Excellent written and oral communication skills to effectively appeal denials and communicate with payors and other departments.
Knowledge of healthcare related financial and/or accounting practices
Detailed knowledge of health plan operations, reimbursement methodologies, payer contracts and clinical policies
Knowledge of state, federal and compliance regulations as they pertain to coding and billing processes and procedures.
Prior experience with Epic Systems Revenue Cycle Solutions preferred
Technical Denials Management Specialist I - Revenue Cycle Department
By UT Southwestern At , Dallas, 75390, Tx

JOB SUMMARY: The Department of Revenue Cycle at UT Southwestern Medical Center has a new employment opportunity available for the role of Technical Denial Management Specialist I. This is a work ...

Technical Denials Management Specialist Ii - Revenue Cycle
By UT Southwestern At , Dallas, 75390, Tx

JOB SUMMARY: Why UT Southwestern? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned ...

Revenue Cycle Denials Receivable Representative
By Carle Health At , Remote
Assists with training and education to staff for accuracy.
Must be able to perform essential job functions of Revenue Cycle Accounts Receivable Representative 1.
Identifies payer and system issues to initiate project requests for process improvements.
Assists in credit balance review according to organization’s credit balance/refund policy.