- Montrose Memorial Hospital (Montrose, CO)
- …or service is billed to the patient. About The Career: + The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality of ... Montrose, CO, USA | Case Management | Hourly | 36.17-57.87 per hour...to quality reporting measures, and ensures accurate reimbursement. The Clinical Revenue Specialist is a… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital… more
- Geisinger (Danville, PA)
- …driver for overall System Case Mix Index. Job Duties The RN CDI Specialist acts as a liaison between the clinical and coding functions. Provides education ... of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to...functions. Provides education to the medical staff and other clinical professional on documentation relevant to the Revenue… 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 ... plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing...plans that require prior authorization. + Serve as a clinical resource to the Revenue Integrity and… more
- GE HealthCare (WI)
- **Job Description Summary** As the Clinical Applications Specialist (CAS), you will deliver clinical and product platform knowledge and expertise by ... and results as outlined in the "Priorities" of a Clinical Applications Specialist . + Act as a...for the customer and growth + Drive realization of revenue thru execution of on-site or remote clinical… more
- GE HealthCare (CA)
- **Job Description Summary** As the Clinical Applications Specialist for General Imaging Ultrasound, you will drive and execute clinical education training ... and demonstration strategies. The Clinical Applications Specialist will facilitate evidence-based practice and support the customer experience and commercial… more
- GE HealthCare (Salt Lake City, UT)
- **Job Description Summary** As an MRI Clinical Applications Specialist (CAS), you will be supporting the GE imaging applications team. You will deliver ... implementation by providing effective outcome-based education and training solutions. The Clinical Applications Specialist will be supporting the following… more
- Abbott (Houston, TX)
- …Our 114,000 colleagues serve people in more than 160 countries. **Principal Clinical Specialist ** **About Abbott** Abbott is a global healthcare leader, ... and performance are at the highest level of all Clinical Specialists in the region. + Acts as the...the value proposition of the full ABT portfolio. + Revenue / case higher than national average. + Performs… more
- UHS (Binghamton, NY)
- …Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital role, you ... will focus on the prevention and resolution of clinical claim denials by analyzing denial patterns, investigating and appealing denied claims, and collaborating… more
- Cordis (Los Angeles, CA)
- …for direct revenue generation (transactional Business) through direct case support. Reports to National Clinical Sales Director. **Responsibilities** ... are the people behind the people who keep saving lives.** The ** Clinical Closure Sales Specialist ** is focused on the support of the Cordis closure business… more
- Tufts Medicine (Burlington, MA)
- …academic and research structure. Tufts Medicine is comprised of the following clinical entities: . Tufts Medicine Professional Group (TMPG) . Tufts Medicine ... of the medical record to improve overall quality and completeness of clinical documentation. The position facilitates and obtains appropriate modifications to … more
- Tufts Medicine (Burlington, MA)
- …academic and research structure. Tufts Medicine is comprised of the following clinical entities: . Tufts Medicine Professional Group (TMPG) . Tufts Medicine ... of the medical record to improve overall quality and completeness of clinical documentation. The position facilitates and obtains appropriate modifications to … more
- Cordis (Frankfort, KY)
- …keep saving lives. **Responsibilities** **J** **ob** **Summary** **:** The Clinical Sales Specialistis responsible forsupporting the cardiovascular and endovascular ... a defined territory, with a strong focus on procedural case coverage. Working in close partnership with the Territory...Director, the position plays a key role in driving revenue growth by increasing product adoption, supporting current and… more
- Houston Methodist (Houston, TX)
- …charges and denial management and appeals process in a collaborative environment with revenue cycle management and clinical partners at various Houston Methodist ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the...material for staff, letter templates, and regular feedback for revenue cycle coding staff; and functions as clinical… more
- Houston Methodist (Sugar Land, TX)
- …to both operational and clinical stakeholders. The Senior Denials Management Specialist position collaborates with physicians, case managers, and payors to ... which includes three years in utilization review, case management or equivalent revenue cycle clinical role + Experience includes writing clinical … more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This opportunity works Monday through Friday during daylight hours. The ... will be fully remote! In this role, the DRG Specialist II will review clinical documentation within...complete and accurate. Prepare monthly productivity reports of DRG revenue profiles to identify total amount of optimization and… more
- Medtronic (Philadelphia, PA)
- …a comprehensive understanding of related programs and value-added offerings + Utilize Specialist and Clinical resources in an efficient and cost effective ... Day in the Life** As an **Operating Room Sales Specialist ** , you will promote the Acute Care Monitoring's..., you are the primary person responsible for driving revenue generating sales to key hospital personnel and the… more
- Houston Methodist (Houston, TX)
- …years of hospital clinical nursing experience, which includes five years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - ... At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered...nurse (RN) responsible for promoting the achievement of optimal clinical and resource outcomes, accountable for a designated assignment… more
- St. Luke's University Health Network (Allentown, PA)
- …and logging of action eg no appeal, appeal level and final decision with revenue impact. + Assists Case Management as necessary to ensure that documentation ... ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for...reports regarding denials to include volumes, number of appeals, case resolution, and impact on revenue and… more
- BriteLife Recovery (Englewood, NJ)
- …clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical providers, and ... What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team...a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating… more