Denial Specialist
5 hours ago
At Accounting Now, we are seeking a highly skilled Denial Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring timely and accurate reimbursement for our clients.
Key Responsibilities:- Denial Management: Conduct comprehensive reviews of insurance denials and work with Clinical Denials Nurses and Coding Denials Specialists to compile documentation and medical records for appeals or corrected claims.
- Appeals and Reconsiderations: Gather and submit all required documentation, including medical records, to support medical necessity for reconsideration, appeal, or retro authorization to insurance carriers.
- Communication and Collaboration: Interface with other departments to resolve issues related to appeals and initial denials, and communicate with Pre-Cert team and medical office personnel to obtain pertinent information.
- Knowledge and Compliance: Maintain a thorough understanding of operations and business unit processes, including authorizations and referral requirements, and in/out-of-network insurances, as well as payer portal access and utilization.
- Experience: Two years' recent experience in healthcare revenue cycle or prior authorizations for inpatient/outpatient, hospital/physician.
- Skills: Experience in healthcare claims processing and proficiency with medical billing and remittance forms and processes, including 835 and 837 files, and UB04 and CMS-1500 (HCFA) forms.
- Education: Medical terminology.
At Accounting Now, we offer a dynamic and supportive work environment, competitive compensation, and opportunities for professional growth and development.
-
Denial Specialist
4 days ago
Tampa, Florida, United States SNI Companies Full timeJob Title: Denial SpecialistAt SNI Companies, we are seeking a highly skilled Denial Specialist to join our team. As a Denial Specialist, you will play a critical role in ensuring timely and accurate reimbursement for our clients.Key Responsibilities:Denial Management: Conduct comprehensive reviews of insurance denials and work with Clinical Denials Nurses...
-
Clinical Denials Specialist
2 weeks ago
Tampa, Florida, United States SNI Companies Full timeJob Title: Denial SpecialistAt SNI Companies, we are seeking a highly skilled Denial Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring timely and accurate reimbursement for our clients.Key Responsibilities:Denial Management: Conduct comprehensive reviews of insurance denials and work with...
-
Denial Resolution Specialist
1 week ago
Tampa, Florida, United States Accounting Now Full timeJob Title: Denial SpecialistAt Accounting Now, we are seeking a highly skilled Denial Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring timely and accurate reimbursement for our clients.Key Responsibilities:Formulate and implement strategies for prioritizing and managing denial cases to minimize...
-
Clinical Denials Specialist
3 days ago
Tampa, Florida, United States SNI Companies Full timeJob Title: Denial SpecialistAt SNI Companies, we are seeking a highly skilled Denial Specialist to join our team. As a Denial Specialist, you will play a critical role in managing and appealing authorization or medical necessity denials, ensuring timely resolution and minimizing revenue loss.Key Responsibilities:Denial Management: Formulate strategies for...
-
Clinical Denials Specialist
2 weeks ago
Tampa, Florida, United States SNI Companies Full timeJob DescriptionThe Clinical Denials Specialist plays a critical role in ensuring accurate and timely reimbursement for SNI Companies. This position is responsible for conducting a comprehensive review of insurance denials and working with cross-functional teams to compile necessary documentation and medical records to submit appeals or corrected claims.Key...
-
Revenue Cycle Denials Manager
3 weeks ago
Tampa, Florida, United States SNI Companies Full timeJob Description**Job Title:** Clinical Denials Specialist**Job Summary:**We are seeking a highly skilled Clinical Denials Specialist to join our team at SNI Companies. As a Clinical Denials Specialist, you will be responsible for conducting a comprehensive review of insurance denials and working with our Clinical Denials Nurses and Coding Denials Specialists...
-
Medical Collections Specialist
3 days ago
Tampa, Florida, United States CarepathRx Full timeJob Title: Medical Collections SpecialistCarepathRx is seeking a dedicated Medical Collections Specialist to join our Revenue Cycle Team. In this role, you will be responsible for the collections of insurance claims.Key Responsibilities:Understand Third Party Billing and Collection Guidelines.Identify root cause of issues and demonstrate the ability to...
-
Medical Coding Specialist
4 weeks ago
Tampa, Florida, United States Orthopaedic Solutions Management Full timePosition OverviewRole Summary:The Coding Specialist collaborates with medical professionals, fellow coders, and insurance providers. This position involves occasional abstract coding, resolving claim discrepancies, and engaging in denial management processes. Additionally, Coding Specialists:Adhere to Orthopaedic Solutions Management policies and procedures...
-
RN Utilization Management Specialist
1 week ago
Tampa, Florida, United States AdventHealth Full timeAbout the RoleWe are seeking a skilled RN Utilization Management Specialist to join our team at AdventHealth. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key ResponsibilitiesConduct thorough reviews of patient records to determine the...
-
Insurance Claims Specialist
6 days ago
Tampa, Florida, United States Physicians Independent Management Services, Inc Full timeJob SummaryWe are seeking a highly organized and detail-oriented Insurance Follow-up Specialist to join our team at Physicians Independent Management Services, Inc. As an Insurance Follow-up Specialist, you will be responsible for resolving insurance claims and ensuring timely payment for our clients.Key ResponsibilitiesVerify claim status and resolve issues...
-
Coding Specialist
2 weeks ago
Tampa, Florida, United States Orthopaedic Solutions Management Full timeJob DescriptionJob Summary:We are seeking a highly skilled Coding Specialist to join our team at Orthopaedic Solutions Management. As a Coding Specialist, you will play a critical role in ensuring accurate and efficient coding of medical records, ensuring maximum reimbursement for our clients.Key Responsibilities:Coding and Compliance: Determine the proper...
-
Senior Insurance Claims Specialist
3 days ago
Tampa, Florida, United States AdventHealth Full timeJob SummaryWe are seeking a highly skilled Senior Account Specialist to join our team at AdventHealth. As a key member of our revenue cycle team, you will be responsible for processing insurance and reimbursement collection efforts in a timely manner.Key ResponsibilitiesReview and analyze electronic claims and submission reports to ensure accurate and timely...
-
Mortgage Underwriting Specialist
4 weeks ago
Tampa, Florida, United States PennyMac Financial Services, Inc. Full timePosition Overview:As a key member of our team, the Mortgage Underwriting Specialist will be responsible for evaluating and assessing mortgage applications to ensure compliance with company policies and regulatory standards.Key Responsibilities:1. Review and analyze loan applications and supporting documentation.2. Assess borrower creditworthiness and risk...
-
Healthcare Billing Specialist
4 weeks ago
Tampa, Florida, United States Florida Urology Partners LLP Full timeJob OverviewPosition Summary: We are seeking a dedicated professional to join our team as a Medical Insurance Billing and Collections Specialist. This role offers a competitive salary and comprehensive benefits package, including a YMCA membership. The position is full-time with some flexibility for hybrid work arrangements.Key Responsibilities:Review and...
-
Revenue Cycle Specialist
8 hours ago
Tampa, Florida, United States Orthopaedic Solutions Management Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Orthopaedic Solutions Management. As a key member of our revenue cycle team, you will play a critical role in ensuring timely collection of accounts receivable and maximizing reimbursement for our ancillary billing.Key ResponsibilitiesResearch and resolve claims denials...
-
Financial Operations Specialist
2 weeks ago
Tampa, Florida, United States Tampa General Hospital Full timeJob SummaryWe are seeking a highly skilled Financial Operations Specialist to join our team at Tampa General Hospital. This role will play a critical part in driving strategic process improvement, managing complex projects, and solving difficult problems within our Revenue Cycle department.Key ResponsibilitiesDrive strategic process improvement initiatives...
-
Financial Operations Specialist
7 days ago
Tampa, Florida, United States Tampa General Hospital Full timeJob SummaryWe are seeking a highly skilled Financial Operations Specialist to join our team at Tampa General Hospital. This role will play a critical part in driving strategic process improvement, managing complex projects, and solving difficult problems within our Revenue Cycle department.Key ResponsibilitiesDrive strategic process improvement initiatives...
-
Revenue Cycle Management Specialist
1 month ago
Tampa, Florida, United States Tampa General Hospital Full timePosition Overview:This role is integral to the Finance and Revenue Cycle Operations team, reporting directly to the VP of Finance and the Senior Director of Revenue Cycle Operations. The Revenue Cycle Management Specialist will engage in various essential functions aimed at enhancing operational efficiency and effectiveness.Key Responsibilities:1....
-
Claims Adjustment Specialist
4 weeks ago
Tampa, Florida, United States Loggerhead Full timePosition OverviewThe Claims Adjustment Specialist plays a vital role within Loggerhead's Claims division, tasked with the reception, investigation, and resolution of straightforward first-party homeowner claims. This position also involves providing support to the claims team through various administrative tasks. The specialist operates under standard...
-
Finance and Revenue Cycle Program Specialist
2 days ago
Tampa, Florida, United States Tampa General Hospital Full timeJob SummaryThis role reports directly to the Revenue Cycle Manager at Tampa General Hospital, overseeing strategic process improvement, managing complex projects, and solving difficult problems. The Finance and Revenue Cycle Program Specialist will drive project management skills and possess relevant finance and revenue cycle knowledge to ensure project...