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OU Health
Overview
The specialist manages complex and specialty-specific authorization requests across multiple payers. They are responsible for interpreting medical policies, resolving denials, and coordinating with clinical teams for documentation.
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Compensation
Salary not listed
Posted
3 days ago
University of Virginia
The specialist assigns and reviews the accuracy of diagnostic (ICD-10-CM) and procedural (CPT/HCPCS) codes for provider services across all settings for billing and regulatory compliance. Responsibilities include monitoring and resolving coding denials, providing feedback to providers, and assisting staff with complex coding questions.
$24 / HOUR
13 days ago
UF Health
This role serves as an enterprise-level denial management coding analyst focused on reducing denials, improving reimbursement, and maintaining high coding standards across the organization. Responsibilities include leading projects to enhance coding effectiveness and appeal turnaround times while educating departments on compliant practices.
Surgery Partners, Inc
The role involves verifying patient eligibility, benefits, and coverage limitations, as well as obtaining prior authorizations before service dates. Additionally, the position manages Accounts Receivable, follows up on unpaid or denied claims, and submits appeals to resolve payment issues.
3 months ago
Breg
The specialist will prepare and review Durable Medical Equipment, Prosthetics/Orthotics & Supplies (DMEPOS) claims for accuracy, verify payor selection, check eligibility, and obtain necessary authorizations prior to submission. Responsibilities also include answering inquiries, resubmitting claims, reviewing denial trends, and maintaining strict confidentiality according to HIPAA guidelines.
$21 - $26 / HOUR
4 months ago
