- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist II Department: Radiation Oncology Location: Hospital of the ... Spruce St Hours: Full Time Summary: + The Accounts Resolution Specialist II reports to...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Baptist Memorial (Memphis, TN)
- … RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to...in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received… more
- Baptist Memorial (Memphis, TN)
- … RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to...in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …experience demonstrated by NF-04/4C Contact Specialist I or NF-04/4D Contract Specialist II . Incumbent selected at the lower level may progress ... non-competitively to a Facility Contract Specialist II position, NF-04/4D, upon the completion of qualification requirements and training within a 2-year… more
- Methodist Health System (Dallas, TX)
- …resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by ... Description :** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...follow up for family and multi-specialty claims , able to identify, address, and… more
- MyFlorida (Tallahassee, FL)
- REGULATORY SPECIALIST II - 79011169 Date: Apr 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 852049 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST II - 79011169 Pay Plan: Career Service Position Number:… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Procedural Billing Specialist II - Oncology & Therapeutic Infusion Centers Billing- Corporate 42nd Street Full-Time Days** Responsible for ... and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or Revenue… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- Texas A&M University System (College Station, TX)
- Job Title Benefits Specialist II Agency Texas A&M University Department Human Resources Proposed Minimum Salary $4,936.67 monthly Job Location College Station, ... Staff Job Description What we want The Human Resources Specialist II (Benefits Specialist ...and in collaboration with System office contacts, facilitates the resolution of coverage issues and disputes between employees and… more
- UIC Government Services and the Bowhead Family of Companies (Quantico, VA)
- **Overview** SERVICE DESK SPECIALIST | TIER II (MIELS): Bowhead is seeking Service Desk Specialists to support a customer in Stafford, VA. Support for the ... 24/7 support, including nights, weekends, and holidays, with timely issue resolution . + Assist in maintaining and administering Windows servers, workstations,… more
- Horizon Services, Inc. (Hayward, CA)
- JOB TITLE: Human Resource Specialist II LOCATION: Hayward, CA- Hybrid Type: Full-time Who are we? Horizon Services, Inc. (HSI) is a nonprofit established in 1974 ... collective experiences enrich each other's growth. The Human Resource Specialist II is an integral part of...hires. (401k, stand-alone medical enrollments, Monitor new workers comp claims ) with Assistance of the HR Manager. + Collaborate… more
- AIG (Atlanta, GA)
- …investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned ... cases to a timely, proper resolution . This requires accurate and thorough documentation, as well...upon the applicable law, coverage and supporting evidence. Assigned claims typically consists of medium to moderate complex litigated… more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Specialist II - PB AR** _Bring...What You Will Do: Expedite and maximize payment and resolution of insurance medical claims by resolving ... as advised by leadership team. Demonstrate strong technical skills and account resolution abilities. 100% What You Need: **Education** HS Diploma or Equivalent Req… more
- Cedars-Sinai (Los Angeles, CA)
- …our care the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : ... performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating… more
- Centene Corporation (Tampa, FL)
- …in maintaining relationships between departments to ensure timely and appropriate issue resolution + Supports the documentation, tracking, and resolution to all ... effective support to customers + In some instances, researches and identifies basic claims payment errors and make appropriate adjustments + Performs other duties as… more
- Guthrie (Sayre, PA)
- …and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...2. Works closely with a Denial Resolution Specialist or Billing Specialist II … more
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! HIM Coder II FINANCE (Billings Clinic Main Campus) req9696 ... and certification, may qualify for a Level I or II HIM Coder Responsible for coding and abstracting diagnoses...* Ensures data accuracy prior to billing interface and claims submission. (ie, discharge disposition, appropriate use of modifiers,… more
- Entergy (Port Gibson, MS)
- …the RFx processes, supporting supplier negotiations, and providing supplier management support for claims , invoice resolution , etc. The specialist will have ... the Summer 2025 term) will be considered for this posting.** + **Site Procurement Specialist II ** : + Bachelor's degree in supply chain, Business, Accounting,… more
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