Current jobs related to Denial Management Specialist - Kirkland, Washington - CSI

  • Denial Management Specialist

    4 weeks ago

    Kirkland, Washington, United States CSI Full time

    Denial Management SpecialistCareer Opportunity at CSI CompaniesCSI Companies is seeking a highly motivated and detail-oriented Denial Management Specialist to join our team. As a key member of our team, you will be responsible for investigating health plan denials to determine appropriate action and provide resolution.Key Responsibilities:Investigate...

  • Vendor Management Specialist

    4 weeks ago

    Kirkland, Washington, United States Nintendo Full time

    About Nintendo:Nintendo Co., Ltd., a leading global entertainment company, is seeking a skilled Vendor Management Specialist to join its team in Redmond, Washington. As a key member of the Nintendo of America Inc. team, you will play a critical role in ensuring the success of our outsourced labor programs. Your expertise will be instrumental in monitoring...

  • Inventory Management Specialist

    3 weeks ago

    Kirkland, Washington, United States Educated Solutions Corp Full time

    Job Summary Educated Solutions Corp is seeking a highly organized and self-starting Inventory Management Specialist to support our premier client's internal team. The ideal candidate will be able to work on several projects simultaneously and contribute to our client's world-class customer experience.Responsibilities:Assist in data accuracy to ensure all...

  • Administrative Support Specialist

    4 weeks ago

    Kirkland, Washington, United States Coldstream Capital Management Full time

    Job Title: Administrative AssistantColdstream Capital Management is seeking a highly organized and detail-oriented Administrative Assistant to join our team. As an Administrative Assistant, you will provide exceptional support to our clients and colleagues, ensuring seamless day-to-day operations.Responsibilities:Provide administrative support to our clients...

  • Administrative Support Specialist

    3 weeks ago

    Kirkland, Washington, United States Coldstream Capital Management Full time

    Job SummaryColdstream Capital Management is seeking an experienced Administrative Assistant to join our team in Kirkland. As an Administrative Assistant, you will provide exceptional client service, administrative support, and technical expertise to our clients and internal teams.Key ResponsibilitiesProvide administrative support to our clients and internal...

  • IT Support Specialist

    4 weeks ago

    Kirkland, Washington, United States Verasonics® Full time

    Job Title: IT Help Desk SpecialistVerasonics is seeking a highly skilled and motivated IT Help Desk Specialist to join our team in Kirkland.Job Summary:The IT Help Desk Specialist will be the primary point of contact for all internal technical issues and will provide support for all IT needs, including designing, implementing, and maintaining IT systems.Key...

  • Leasing Specialist

    1 month ago

    Kirkland, Washington, United States TBG | The Bachrach Group Full time

    Unlock Your Potential as a Leasing SpecialistAre you passionate about delivering exceptional customer experiences and driving business growth? Do you have a knack for building strong relationships and a talent for navigating complex sales processes? If so, we invite you to explore this exciting opportunity as a Leasing Specialist with TBG | The Bachrach...

  • Warehouse Inventory Manager

    2 weeks ago

    Kirkland, Washington, United States Insight Global Full time

    Job DetailsJob Title: Warehouse Inventory SpecialistCompany: Insight GlobalLocation: FlexibleDuration: 6+ monthsJob Description:As a Warehouse Inventory Specialist, you will be responsible for assisting in data accuracy, managing inbound shipments, and analyzing inventory position and SKU performance.Responsibilities:Assist in data accuracy so all tools and...

  • Ear, Nose and Throat Specialist

    3 weeks ago

    Kirkland, Washington, United States EvergreenHealth Full time

    Advanced Otolaryngology CareEvergreenHealth is seeking a skilled Ear, Nose and Throat Specialist to join our esteemed team of physician specialists. As an Otolaryngologist with EvergreenHealth, you will have the opportunity to provide exceptional care to patients in the Seattle East Side area.Our TeamWe are a physician-led health system that values...

  • Inventory Control Specialist

    3 weeks ago

    Kirkland, Washington, United States US Tech Solutions Full time

    Job Summary:We are seeking a highly skilled Inventory Control Specialist to join our team at US Tech Solutions. As an Inventory Control Specialist, you will be responsible for managing inbound shipments, analyzing inventory position, and executing on various purchase order and vendor-related systems.Key Responsibilities:Assist in data accuracy to ensure all...

  • Corporate Security Specialist

    4 weeks ago

    Kirkland, Washington, United States Securitas Inc. Full time

    Job Title: Corporate Security SpecialistSecuritas Inc. is seeking a highly skilled Corporate Security Specialist to join our team. As a key member of our security team, you will be responsible for providing exceptional security services to our clients and their guests.About the RoleThe ideal candidate will have a strong background in security, with...

  • Youth Specialist

    4 weeks ago

    Kirkland, Washington, United States Friends of Youth Full time

    Job Title: Bilingual Youth SpecialistFriends of Youth is seeking a highly motivated and compassionate Bilingual Youth Specialist to join our team. As a key member of our staff, you will provide supervision and support to youth utilizing a trauma-informed approach.Key Responsibilities:Maintain a safe living environment and promote a sense of community and...

  • Product Configuration Specialist

    4 weeks ago

    Kirkland, Washington, United States Nintendo Full time

    Nintendo is seeking a skilled Product Configuration Specialist to collaborate with internal departments to define and develop product and part specifications. The ideal candidate will assess impacts related to product changes and coordinate the change management planning and implementation efforts to address impacts.The successful candidate will remediate...

  • Pool Safety Specialist

    3 weeks ago

    Kirkland, Washington, United States Wave Aquatics Full time

    Job SummaryWe are seeking a skilled Pool Safety Specialist to oversee facility operations and patron safety at our Redmond and Kirkland locations. The ideal candidate will have a valid American Red Cross Lifeguard/First Aid/CPR/AED certificate and the ability to react calmly and effectively in emergency situations.Key ResponsibilitiesEnforce pool rules and...

  • IT Support Specialist

    3 weeks ago

    Kirkland, Washington, United States Verasonics® Full time

    Job Summary:The IT Help Desk Specialist is the primary point of contact for all internal technical issues and supports all IT needs at Verasonics. This role involves designing, implementing, and maintaining IT systems, providing desktop, software, network, and hardware support to staff, and ensuring the highest levels of systems and infrastructure...

  • Pediatric Medical Support Specialist

    3 weeks ago

    Kirkland, Washington, United States Allegro Pediatrics Full time

    Pediatric Medical Support SpecialistAt Allegro Pediatrics, we are seeking a highly skilled and compassionate Pediatric Medical Support Specialist to join our team. As a key member of our healthcare team, you will provide exceptional support to our providers and patients, ensuring a smooth and efficient workflow within our clinic setting.Key...

  • IT Support Specialist

    3 weeks ago

    Kirkland, Washington, United States Verasonics® Full time

    Job SummaryThe IT Help Desk Specialist is responsible for providing technical support to staff, designing, implementing, and maintaining IT systems for Verasonics. This role requires a self-motivated individual with excellent communication skills and a customer support orientation.Key Responsibilities Troubleshoot and maintain hardware and software Perform...

  • Leasing Specialist

    4 weeks ago

    Kirkland, Washington, United States TBG | The Bachrach Group Full time

    Job SummaryWe are seeking a highly skilled Leasing Specialist to join our team at TBG | The Bachrach Group. As a key member of our leasing team, you will be responsible for converting prospect inquiries into successful property tours and leases.Key ResponsibilitiesLeverage your apartment leasing expertise to provide personalized and memorable experiences for...

  • Corporate Payroll Specialist

    4 weeks ago

    Kirkland, Washington, United States Maverick Washington LLC Full time

    Job Title: Corporate Payroll SpecialistMaverick Washington LLC is seeking a highly skilled Corporate Payroll Specialist to join our team. As a key member of our payroll department, you will be responsible for ensuring the accurate and timely processing of payroll for our employees.Key Responsibilities:Process payroll bi-weekly and off-cycle as required,...

  • Data Quality Specialist

    4 weeks ago

    Kirkland, Washington, United States EvergreenHealth Full time

    Job SummaryEvergreenHealth seeks a highly skilled Data Quality Specialist to support our Home Care Services teams. This role will provide advanced analytic support for strategic goals and priorities by partnering in the collection, analysis, display, development, and writing of reports that allow us to improve the quality we deliver to our patients.Key...

Denial Management Specialist

2 months ago

Kirkland, Washington, United States CSI Full time
{"title": "Denial Management Specialist", "description": "Job Summary

Csi Companies is seeking a highly motivated and detail-oriented Denial Management Specialist to join their team. As a key member of the healthcare team, you will be responsible for investigating health plan denials to determine appropriate action and provide resolution.

Responsibilities
  • Investigate insurance denials to identify necessary action.
  • Correct claims based on denials, complaints, and audits, and rebill using payor-approved processes.
  • Determine the need for payor appeals and send individualized appeal letters, monitoring appeals for resolution.
  • Adjust denials determined to be appropriate using corresponding adjustment codes.
  • Work accounts that meet denial management criteria, coordinating resolution with other departments.
  • Log all denials, including actions and resolution, on a denial spreadsheet.
  • Identify denial patterns to identify potential process improvements.
  • Produce quarterly denial reports.
Requirements
  • High school graduate or equivalent.
  • College degree or vocational training in billing or business highly preferred.
  • One year of previous experience in professional billing.
  • Knowledge and experience working with healthcare insurers and their reimbursement systems, especially Medicare, Medicaid, Workers Compensation, Motor Vehicle, and contract payers.
  • A good understanding of CPT, Modifiers, HCPC, ICD-10 codes, and medical terminologies.
  • Demonstrated problem-solving ability.
  • Ten-key by touch.
  • Experience working with EMR systems, including EPIC or CERNER, highly preferred.
About Us

Csi Companies is a national workforce solutions firm established in 1994, awarded "Best of Staffing" for 5 years in a row. Based in Jacksonville, FL, Csi Companies provides comprehensive workforce solutions, including recruiting, technology, IT consulting, and staffing for leading businesses and Fortune 500 companies nationwide.

", "lang_code": "en-US"}