- TalentBurst, Inc. (Livermore, CA)
- Medical Billing Specialist 100 percent Onsite Role, Livermore, CA 94550 Shift: 7:00 am or 7:30 Am to 3:30 PM or 4:00 PM Duration: 6 months Chat note: Medical Billing ... Specialist -100 Percent Onsite-Livermore, CA The position of Medical Insurance...will handle and resolve all insurance follow up and denial issues to ensure that company receives correct reimbursements… more
- Banc of California (Santa Ana, CA)
- …relationship-based business banks focused on providing banking and treasury management services to small, middle-market, and venture-backed businesses. Banc of ... and more. TOGETHER WE WIN(R) THE OPPORTUNITY The Senior Wire Operations Specialist is responsible for performing operational support duties of the Wire Transfer… more
- UHS (Wayne, PA)
- …Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... to the King of Prussia, PA headquarters. Independence Physician Management (IPM), a subsidiary of UHS, was formed in...follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate… more
- Surgery Partners (Addison, TX)
- …meetings and /or various committees Ability to effectively present information regarding denial trends, and present to management Ability to read, understand, ... GENERAL SUMMARY OF DUTIES: The primary responsibility of the Medical Collection Specialist is to ensure effective collection of all patient accounts. This is a… more
- Patient Financial Concepts, Inc (Thomaston, GA)
- …insurance discrepancies. Train team members and assist with internal audits. Review Denial Reports, update accounts, and generate bad debt and Medicaid eligible ... to multi-task and work in a hospital environment Organization, time management and prioritization abilities Understanding of industry-specific policies, such as… more
- Indiana University Health (Indianapolis, IN)
- …next step in your nursing journey with Indiana's #1 healthcare provider? IU Health Denial Management is seeking a proactive and innovative RCS Senior Clinical ... Specialist to join our team. This role offers a...For: An experienced clinical professional with a background in denial appeals and mitigation, passionate about delivering meaningful work… more
- Bozeman Health (Bozeman, MT)
- …in healthcare administration, revenue cycle, or accounts receivable management . Knowledge of electronic healthcare payment transactions. Regulatory knowledge ... Helps plan initiatives to increase performance as needed Demonstrates responsible management of all departmental resources Monitors quality and productivity levels… more
- Banc of California (Brea, CA)
- …relationship-based business banks focused on providing banking and treasury management services to small, middle-market, and venture-backed businesses. Banc of ... WIN(R) THE OPPORTUNITY We are seeking a highly organized and proactive HR Specialist to support our Human Resources Business Partner (HRBP) team. This role provides… more
- Regal Medical Group, Inc. (Northridge, CA)
- …or in making recommendations for other determinations to the provider/vendor ( denial /modification/redirection). The goal of the medical director will cooperate with ... to deliver excellent care in a cost-effective manner based on medical management referral processing guidelines. The medical director will be detail-oriented and… more
- BronxCare Health System (Bronx, NY)
- …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
- Baptist Memorial (Memphis, TN)
- …as obtaining authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management experience, or ... Overview Specialist - Denial Mitigation II RN Job Code:...nursing program Training Description Minimum Required Preferred/Desired Nursing, Case Management or Denial Management . Familiarity… more
- Alameda Health System (San Leandro, CA)
- Patient Financial Services Denial Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Pro + Services As Needed / Per Diem - Day + $35.26 / Hour + ... #:41693-30873 + FTE:0.01 + Posted:May 15, 2025 **Summary** **SUMMARY:** The PFS Denial Specialist is responsible for validating dispute reasons following… more
- UnityPoint Health (Davenport, IA)
- …patients and provider offices-all while communicating with the team leaders (business coordinator/ denial management specialist , manager, and lead) and ... therapists to provide great experience and customer service.; Why UnityPoint Health? At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our… more
- Omaha Children's Hospital (Omaha, NE)
- …and people with disabilities. **A Brief Overview** The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers ... efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons and resolving issues through well-written appeals. **Essential… more
- Hartford HealthCare (Farmington, CT)
- …now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the ... system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate coding assignment for ICD-10,… more
- Novant Health (NC)
- …and timeliness, unbilled claims management , claim edits and denial management . + The Corporate Coding Audit Response Specialist will be involved in ... benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for...not be limited to: coding audits, charge edit and denial audits, commercial payers, and CMS payers. Responses will… more
- Novant Health (NC)
- …and timeliness, unbilled claims management , claim edits and denial management . + The Corporate Coding Audit Response Specialist will be involved in ... benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for...not be limited to: coding audits, charge edit and denial audits, commercial payers, and CMS payers. Responses will… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing ... follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future...Medical Staff teams to ensure a unified approach to denial management and appeals. . Serve as… more
- Beth Israel Lahey Health (Charlestown, MA)
- …necessary documentation needed to have claims reprocessed/adjudicated . Informs and/or transfers to management of any problem accounts and or denial trends that ... oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay. This… more
