- Emanate Health (Covina, CA)
- …care system in the United States, and the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by ... Denial Manager. The Denial Specialist will possess and apply thorough knowledge of collections and the ability to apply the knowledge to all aspects of a… more
- McLaren Health Care (Grand Blanc, MI)
- …quality outcomes and revenue integrity. **Essential Functions and Responsibilities:** 1 . Provides regional management of operations, including assisting with ... practice standards. 5. Assists with managing the revenue cycle by reducing clinical denial write offs 6. Assists in running reports and utilizes tools for reporting… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... cycle industry practices. *_Position Responsibilities:_* *Key Areas of Responsibility* 1 . Analyze provider documentation for appropriate assignment of Evaluation and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing ... Hospital Billing System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues** **Work assigned accounts with higher complexity (high… more
- McLaren Health Care (Mount Clemens, MI)
- …for medical record documentation and the filing of responses and appeals. 1 . Appropriately documents denial /appeal activities; oversees and documents payer and ... Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both… more
- University of Michigan (Ann Arbor, MI)
- …regulations. The Specialist will utilize technology to track and monitor denial trends and coordinate documentation improvement efforts. As a key resource for ... Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials...involves performing high-level, complex primary and secondary clinical validation denial case reviews to obtain and scrutinize denials to… 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 Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report… 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 ... documentation ###@isd.lacounty.govand indicate your name, exam name (Stationary Engineer Controls Specialist ), and the exam number (W7200K ) . LICENSE: A valid… 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 information ... Unit, 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** 1 . **Admission: Payer Authorization & Denials Management.** Communicate with payer to… more
- Beth Israel Lahey Health (Burlington, MA)
- …or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1 -2 years of experience in billing, coding, denial management environment ... Duties & Responsibilities** including but not limited to: **Coding Responsibilities:** 1 . Provides review and/or coding of any coding related denied professional… more
- Louisiana Department of State Civil Service (Gretna, LA)
- …As part of a Career Progression Group, vacancies may be filled as a Child Welfare Specialist Trainee, Specialist 1 , Specialist 2 or Specialist ... children placed in these homes. + Recommends approval or denial of recertification for certified foster/adopt homes. + Develops,...1 ,649.60 bi-weekly (Pay Level SS-411) + Child Welfare Specialist 1 - SER: $ 1… more
- Ventura County (Ventura, CA)
- …Billing Specialist IV - Four (4) years of professional billing experience OR one ( 1 ) year as a Medical Billing Specialist III for the County of Ventura. ... Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … more
- UPMC (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The ... authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals ... plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology,… more
- UPMC (Pittsburgh, PA)
- University of Pittsburgh Physicians is hiring an Authorization Specialist to help support Plastic Surgery. This position is a part-time position with daylight hours, ... authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through… more
- Guthrie (Towanda, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... a high volume and fast paced environment. Essential Functions: 1 . Works pre‐AR edits, paper claims, reports and work...payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist… more
- The Speech Pathology Group & Rehab Services of CT (Shelton, CT)
- …services. " Full-Time/Part-Time Full-Time Shift Days Tags Salary Position Medical Billing Specialist Number of Openings 1 Number Filled 0 Exempt/Non-Exempt ... Medical Billing Specialist EOE Statement We are an equal employment...of primary code classifications (ICD-10-CM,CPTcoding) and remittance (payment & denial coding). + Working experience as a liaison between… more
- UPMC (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you will ... authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist MSH PT Days 4/Days Week (Days Vary) 8a-1p with Every Weekend** To maintain front end operations of the Case Management ... of appeals process to assist Appeals Nurse and Enter Denial information in Allscripts + Meets time frame for...high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and… more
- CUNY (New York, NY)
- Cybersecurity Engineer (IT Security Specialist 3) - Provisional **GENERAL DUTIES** This position encompasses professional and responsible technical consultative ... go tohttp://www.cuny.edu/about/administration/offices/hr/classified-civil-service/ccsjobs/and view the Job Description for **IT Security Specialist .** **CONTRACT TITLE** IT Security Specialist **FLSA**… more