15 denials coder jobs found

The Medical Billing Assistant is responsible for handling insurance claims, patient billing, and  payment processing in a fully remote environment. This role ensures the accuracy and timeliness  of financial transactions while maintaining compliance with regulatory standards. The position  requires a dedicated home office setup, reliable high-speed internet, and proficiency with digital  communication and billing systems. Duties & Responsibilities  Billing & Claims Processing  ● Prepare, review, and submit insurance claims and patient invoices with accuracy and  timeliness.  ● Verify patient insurance coverage and eligibility prior to billing.  ● Follow up with insurance companies to ensure timely payments and resolve claim issues.  ● Process claim denials and coordinate appeals when necessary.  ● Follow up and collect payments from patients.  Financial Management  ● Process patient payments, reconcile accounts, and manage accounts receivable.  ● Investigate...

Ortho Las Vegas Medical Billing Specialist – Revenue Cycle / A/R Follow Up Position: Medical Billing Specialist Department: Billing / Revenue Cycle Status: Full-Time Location: Ortho Las Vegas Reports To: Billing Manager Position Summary The Medical Billing Specialist is responsible for supporting the revenue cycle operations of the practice by managing insurance claim follow-up, resolving claim denials, and ensuring timely reimbursement from insurance carriers. This role focuses on accounts receivable management, denial resolution, claim corrections, and payer communication to maintain healthy revenue cycle performance. The position works closely with the Billing Manager, providers, and administrative staff to ensure accurate claim submission, proper documentation, and compliance with payer requirements. This role plays an essential part in maintaining the financial health of the practice by reducing revenue delays and resolving billing issues...

What You'll Be Doing As Flagler continues to grow, there is a unique opportunity to strengthen customer relationships and leverage deep revenue cycle expertise to help our provider partners maximize financial performance. This is where you come in - to design and own customer success processes with a specific focus on RCM operations for MSK practices. Note: this role is not responsible for direct claim submission or coding production, but requires the ability to diagnose revenue cycle issues and guide execution across billing vendors, clinical staff, and practice leadership. Work directly with the CEO, Head of Business Operations, and Head of Clinical Operations to own dozens of relationships with provider groups, ensuring customer satisfaction and retention. Serve as the primary point of contact and subject matter expert for all RCM-related questions, issues, and escalations from provider partners. Onboard new customers, ensuring fast, smooth...

POSITION:   RCM AR Specialist RESPONSIBLE TO: RCM Supervisor, AR Collections JOB SUMMARY:   Follows up on Claim Denials and overdue insurance balances using Explanation of Benefits (EOB) documents and reports.  RCM AR Specialist are assigned specific book of business based on Financial Class and Payers. Work to support the field related to claim denials. RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: Daily Duties Follows up on denied claims and no response within a timely manner. Submits appeals related to contract rate variances with a discrepancy in allowed amounts; notifies Supervisor of payers for which this is a consistent problem. Submit Medical Records when requested by the payer for claims processing determination. Monitor and review Payer correspondence from the lockbox and faxes. Monitor, review, and respond to Hub (field) communication inquiries within the 48-hour requirement. Account Follow-Up Using data from the...

Pathology Coder APS Medical Billing, located in Toledo, Ohio, is seeking certified professional coders with experience to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. Requirements Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology preferred Experience in reviewing, resolving and preventing coding denials Understanding and application of CMS initiatives including NCCI Edits, MIPS and NCD/LCD polices Competitive wages; benefit package (Health, Health Savings Account, Dental, Vision, Personal Health Care Advisor, EAP, Life, 401k, Paid Holidays, Vacation & Earned Time Off (ETO). We are an Equal Opportunity Employer...

IMPORTANT: To submit your application, please click "Apply" to view our full job description, then submit the form listed under "Application Process". We're looking forward to receiving your application! INTRODUCTION: JotPsych is hiring a Behavioral Health Billing Specialist at both the middle and senior level to own the end-to-end billing lifecycle for a dedicated set of JotBill customers—behavioral health and psychiatry practices that depend on us to get their claims submitted accurately and paid promptly. This is a high-ownership, execution-focused role. You'll run the billing independently—managing the full claim lifecycle with a high standard of accuracy and follow-through. You'll thrive here if you: Are comfortable owning multiple accounts end-to-end, without needing someone to review your work at every step Get satisfaction from resolving a denial that's been sitting open—and then identifying why it happened so it doesn't happen again Are...

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODING EDUCATION ANALYSTS. WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for. Serve as an expert in Inpatient coding, respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure. DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical...