- 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
- 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 Preferred/Desired Training Description Minimum Required: Nursing, Case Management or Denial Management . Familiarity… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... difference. We are looking for a dedicated Impatient Coding Denial Specialist like you to be a...RHIT or CCS preferred **Parallon** provides full-service revenue cycle management , or total patient account resolution, for HCA Healthcare.… 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
- Beth Israel Lahey Health (Burlington, MA)
- …just taking a job, you're making a difference in people's lives.** The Denial Specialist will identify, review, and interpret third-party payments, adjustments, ... A/R and ensures that they are maintained at the levels expected by management . Analyzes work queues and other system reports. Identifies denial /non-payment… more
- Nuvance Health (Danbury, CT)
- …Summary: Works closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, and Insurance ... in work queue and incoming fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials...timeframe. 8. Documents and updates the denials in the denial tracking tool timely and accurately. 9. Collects and… 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
- Fairview Health Services (St. Paul, MN)
- … reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the ... **Job Overview** The Outpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... over 5,120 contracted workers of varying professions in facilities management , information technology, environmental, administrative, purchasing, and contracting, ISD… more
- UPMC (Pittsburgh, PA)
- …for a broader scope of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through ... of Pittsburgh Physicians is hiring a full-Time Sr. Authorization Specialist to help support their UPMC Magee-Womens Center for...provider web sites to perform prior authorization, edit, and denial services.4. Provides on the job training for the… more
- Sharp HealthCare (San Diego, CA)
- …and maintain case files.Provide clerical support and assistance to the Case Management team.Contributes to the continuous improvement initiatives of the Case ... Management team to deliver quality interventions timely.Maintain data, run...benefit guidelines to approve referrals designated at the Care Specialist level.Investigate and follow-up on all eligibility issues in… more
- Alameda Health System (Oakland, CA)
- Care Management Specialist + Oakland, CA + Highland General Hospital + HGH Care Coordination + Services As Needed / Per Diem - Day + Care Management + ... Denial Letters, patient choice forms; regularly updates Care Management team. 10. Supports any audits with coordinating medical...field. Required Experience: One year experience in a case management specialist position in an acute care… more
- Access: Supports For Living (Middletown, NY)
- …the organization, including working with appropriate programs, front desk staff, remit, denial management and insurance verifications areas to aid in the ... Specialist is a key position in the financial management of the company. The Senior Billing Specialist...cycle areas to support and back-up the remit and denial management functional areas Required Skills/Abilities: +… more
- MyFlorida (Tallahassee, FL)
- PROGRAM SPECIALIST IV-DOE - 48002950 Date: May 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 852781 Agency: Department of Education Working Title: PROGRAM SPECIALIST IV-DOE - 48002950 Pay Plan: Career Service Position Number: 48002950… more
- Novant Health (NC)
- …to code assignment accuracy and timeliness, appropriate provider documentation, unbilled claims management , claim edits and denial management . This position ... Job Summary The Coding Audit Response Specialist position responds to external and internal audits...not be limited to: coding audits, charge edit and denial audits, commercial payers, and CMS payers. Responses will… more
- Novant Health (NC)
- …to code assignment accuracy and timeliness, appropriate provider documentation, unbilled claims management , claim edits and denial management . This position ... Job Summary The Coding Audit Response Specialist position responds to external and internal audits...not be limited to: coding audits, charge edit and denial audits, commercial payers, and CMS payers. Responses will… more
- Penn Medicine (Lancaster, PA)
- …Are you living your life's work? Summary: + Position Summary: The Utilization Management Specialist - Denials is responsible for evaluating medical records to ... denials. + Facilitate Peer to Peer appeal processes and complete written appeal processes post- denial in a timely fashion. + Follow up with payers to account for all… more
- Adams County Government (Brighton, CO)
- Contract Specialist II/III Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4940215) Apply Contract Specialist II/III Salary $64,229.13 - ... determine the level at which they are hired. Contract Specialist II: This position is intended for those individuals...+ Prepare Notices of Award, Notices to Proceed and Denial Letters. + Promote good customer service and open… more
- Access Dubuque (Dubuque, IA)
- …Spends most of the time focused on handling follow-ups and denials, utilizing denial management to optimize resolution. + Researches changes in patient ... Medical Billing Specialist **Unified Therapy Services** 1 Positions ID: 66604...**Job Overview** **Unified Therapy Services is hiring a Billing Specialist !** This is a full-time position that will be… more
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