HIS Denials Specialist

3 weeks ago

Saratoga Springs, United States Saratoga Hospital Full time

Summary of Position:#Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement for HIS inpatient services from payers.# This position provides a vital link between inpatient coding, clinical documentation improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working with HIS Coders, payers, Department Directors, Clinical Managers, Case Management, Patient Access, and PFS.# Actively contributes to the morale and teamwork of the staff and facility always presenting a positive attitude and patient minded vision with patient satisfaction as the continuing goal. # Primary Job Responsibilities:# Uses software such as AUDAPRO, TRISUS, 3M, and Meditech.# Conducts trend analysis to identify patterns and variances in denied accounts Researches denied accounts to determine appropriate appeal/response to the denial notification to resolve claim. Tracks denied and overturned accounts, compiling routine and ad hoc reports. Develops and coordinates educational and training programs regarding trends in coding denials Initiates corrective action to ensure resolution of problem areas identified during internal or external auditing and provides feedback and focused educational programs on the results of auditing and monitoring activities to affected staff and physicians. Demonstrates competency in the use of computer applications and all coding convention and abstracting software and hardware currently in use by the Health Information Services Department. Minimum Qualifications:#RHIT, RHIA, CCS, CPC, etc and 3 years of experience with coding, abstracting, or billing experience. (or other equivalent credential and experience.).# Associate#s Degree Required, Bachelor Degree preferred. Salary Range: $21.78 - $35.90 Pay Grade: I Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

Summary of Position: Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement for HIS inpatient services from payers. This position provides a vital link between inpatient coding, clinical documentation improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working with HIS Coders, payers, Department Directors, Clinical Managers, Case Management, Patient Access, and PFS. Actively contributes to the morale and teamwork of the staff and facility always presenting a positive attitude and patient minded vision with patient satisfaction as the continuing goal.

Primary Job Responsibilities:

* Uses software such as AUDAPRO, TRISUS, 3M, and Meditech. Conducts trend analysis to identify patterns and variances in denied accounts
* Researches denied accounts to determine appropriate appeal/response to the denial notification to resolve claim.
* Tracks denied and overturned accounts, compiling routine and ad hoc reports.
* Develops and coordinates educational and training programs regarding trends in coding denials
* Initiates corrective action to ensure resolution of problem areas identified during internal or external auditing and provides feedback and focused educational programs on the results of auditing and monitoring activities to affected staff and physicians.
* Demonstrates competency in the use of computer applications and all coding convention and abstracting software and hardware currently in use by the Health Information Services Department.

Minimum Qualifications: RHIT, RHIA, CCS, CPC, etc and 3 years of experience with coding, abstracting, or billing experience. (or other equivalent credential and experience.). Associate's Degree Required, Bachelor Degree preferred.

Salary Range: $21.78 - $35.90

Pay Grade: I

Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

  • HIS Denials Specialist

    1 week ago

    Saratoga Springs, United States Saratoga Hospital Full time

    Summary of Position:#Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement for HIS inpatient services from payers.# This position provides a vital link between inpatient coding, clinical documentation improvement, Patient Access (PA) and Patient...

  • Billing and Coding Specialist

    1 month ago

    Colorado Springs, United States Peak Gastroenterology Associates Full time

    Job Summary:The Billing and Coding Specialist is responsible for supporting the department in maximizing revenue and cash flow by validating ICD and CPT codes, performing charge entries, following up on all outstanding A/R, including resolution of denials, and generating effective written appeals to carriers to maximize reimbursement on incorrectly denied...

  • Hearing Instrument Specialist

    1 month ago

    Coral Springs, Florida, United States Hearing Lab Technology, LLC Full time

    Job DescriptionHearing Instrument Specialist / AudiologistLooking for a Provider for a Busy Hearing Aid CenterFull-time Position: Specialist (HIS or AuD)Licensed Hearing Aid Dispenser / Audiolog

  • Billing Specialist

    1 month ago

    Colorado Springs, United States Adventure Learning Behavioral Interventions Full time

    Job DescriptionJob DescriptionBilling SpecialistAdventure Learning Behavioral Interventions is seeking a skilled Biller to join our company. The Biller plays a crucial role in our operations, ensuring seamless financial processes and facilitating the accessibility of ABA, SLP, OT, and other therapy services for our clients. The Biller at Adventure Learning...

  • Hearing Instrument Specialist

    1 month ago

    Coral Springs, United States Hearing Lab Technology, LLC Full time

    Job DescriptionHearing Instrument Specialist / AudiologistLooking for a Provider for a Busy Hearing Aid Center!Full-time Position: Specialist (HIS or AuD)Licensed Hearing Aid Dispenser / Audiolog

  • To-Go Specialist

    2 days ago

    Colorado Springs, United States Paravicini's Italian Bistro Full time

    Paravicini's Italian Bistro was opened in April 2003 by Chef Franco in Colorado Springs. Chef Franco was raised by Italian immigrants in Waterbury, Connecticut. While Franco is a trained chef, and a graduate of Baltimore Culinary College, his love for cooking and cooking style comes from his greatest mentor, his mother Mary Pisani. Chef Franco has been...

  • HIS/AuD - Colorado Springs, CO

    4 days ago

    Colorado Springs, United States Lucid Hearing Full time

    Job DescriptionJob DescriptionJob DescriptionOur Mission: "Helping People Hear Better"About this Hearing Specialist / Audiologist opportunity in Colorado Springs, CO:Lucid Hearing is looking for a Hearing Instrument Specialist / Audiology near Colorado Springs, CO to add to our dedicated and passionate team. Lucid Hearing is a leading innovator in the field...

  • Medical Billing Specialist- Ophthalmology

    3 weeks ago

    Tarpon Springs, United States P.M. Medical Billing Full time

    Job DescriptionJob DescriptionP.M. Medical Billing, the original and largest National Ophthalmology Billing Company is once again hiring! We are a full-service medical billing firm specializing in Ophthalmology, providing clients all over the country with the most expert knowledge and service.We welcome you to join the original and fastest-growing national...

  • Government Information Specialist

    3 weeks ago

    Colorado Springs, United States U.S. Space Command Full time

    The United States Space Command (USSPACECOM) in Colorado Springs, CO is searching for a well-qualified candidate to fill a Government Information Specialist NH-0306-03 position. Come join our amazing team who helps ensure there is never a day without space!There’s a reason Colorado Springs has ranked in the top 10 U.S. cities to live for the past several...

  • Government Information Specialist

    1 day ago

    Colorado Springs, United States U.S. Space Command Full time

    The United States Space Command (USSPACECOM) in Colorado Springs, CO is searching for a well-qualified candidate to fill a Government Information Specialist NH-0306-03 position. Come join our amazing team who helps ensure there is never a day without space! The following information provides an overview of the skills, qualities, and qualifications needed...

  • Government Information Specialist

    3 weeks ago

    Colorado Springs, United States U.S. Space Command Full time

    The United States Space Command (USSPACECOM) in Colorado Springs, CO is searching for a well-qualified candidate to fill a Government Information Specialist NH-0306-03 position. Come join our amazing team who helps ensure there is never a day without space!There’s a reason Colorado Springs has ranked in the top 10 U.S. cities to live for the past several...

  • Government Information Specialist

    3 weeks ago

    Colorado Springs, United States U.S. Space Command Full time

    The United States Space Command (USSPACECOM) in Colorado Springs, CO is searching for a well-qualified candidate to fill a Government Information Specialist NH-0306-03 position. Come join our amazing team who helps ensure there is never a day without space! Theres a reason Colorado Springs has ranked in the top 10 U.S. cities to live for the past several...

  • Medical Billing Specialist

    5 days ago

    Colorado Springs, United States MBI Acquisition Corp Full time

    Job DescriptionJob DescriptionFounded in 1982, MBI Industrial Medicine, Inc. is an Arizona based company operating 31 full service occupational healthcare facilities in Arizona, Colorado, California and Nevada. MBI is unique - we are the only occupational healthcare company with the sole focus of treating the injured worker. Staffed with passionate medical...

  • Specialist in eCommerce Returns

    1 day ago

    Coral Springs, United States Design-Tactics, LLC Full time

    Job DescriptionJob DescriptionHi Applicants!We are seeking a skilled and detail-oriented Return Specialist to join our team in managing the return process for our online retail operations. You will be responsible for handling customer returns, exchanges, and refunds efficiently and effectively, ensuring a positive experience for our customers. This role...

  • Inbound Sales Specialist

    4 weeks ago

    Holly Springs, United States Triangle Pest Control Full time

    Job DescriptionJob DescriptionWho are we?At Triangle Home Services, we live by our motto that we are professionals serving professionals. We offer an environment where our team members exercise respect, integrity, service and excellence. We keep our promises, improve quality of life, and fulfill the need for peace of mind at every interaction.Position...

  • Teen Center Summer Camp Counselor- Peach Springs

    2 days ago

    Peach Springs, United States Boys & Girls Club of Greater Scottsdale Full time

    Job Details Job Location: Peach Springs Branch - Peach Springs, AZ Position Type: Seasonal Salary Range: $15.50 Description POSITION DESCRIPTION Hi Superstar! Do you consider yourself to be a positive person who can build honest relationships with the youth? Do you enjoy participating in activities, discussions, and field trips that are youth-oriented?...

  • Registered Nurse

    2 weeks ago

    Steamboat Springs, CO, United States SCA Health Full time

    Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes...

  • Registered Nurse

    4 weeks ago

    Colorado Springs, CO, United States Surgical Care Affiliates, LLC Full time

    RN PreOp PACU, Pool - Surgical Center of the Rockies Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a...

  • Registered Nurse

    4 weeks ago

    Colorado Springs, CO, United States Surgical Care Affiliates, LLC Full time

    Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...

  • Registered Nurse

    1 day ago

    Colorado Springs, CO, United States Surgical Care Affiliates Full time

    RN PreOp PACU - Optum Peak Endoscopy Center Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal:...