- 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 ... participates in the Performance/Quality Improvement activities of the assigned department . Contribution and participation includes data collection, analysis, implementation… more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by Denial Manager. The Denial ... experience such as clinical denials or reference to a denials management department . Thorough knowledge of medical terminology and coding. **Minimum License… more
- Sanford Health (SD)
- …$34.50 ** Department Details** Remote position **Job Summary** Facilitates the denial and appeal process through exercising clinical expertise and clinical by ... maintaining progress of regularly scheduled work. Implements effective medical case management strategies. Adapts language, tone, structure, and level of detail to… more
- McLaren Health Care (Grand Blanc, MI)
- …experience in an acute healthcare facility** **.** American Case Management Certification (ACM), Certified Clinical Documentation Specialist (CCDS) ... **Position Summary:** Responsible for assisting the Corporate Director Denials Management in providing regional management of day-today operation and workflow of… 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)
- …of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing and ... needed to have claims reprocessed/adjudicated** **Informs and/or transfers to management of any problem accounts and or denial... management of any problem accounts and or denial trends that require escalation within 2 days of… more
- Louisiana Department of State Civil Service (Gretna, LA)
- CHILD WELFARE SPECIALIST TRAINEE/1/2/3 (HOME DEVELOPMENT) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5101629) Apply CHILD WELFARE ... SPECIALIST TRAINEE/1/2/3 (HOME DEVELOPMENT) Salary Depends on Qualifications Location...Location Gretna, LA Job Type Classified Job Number 213628CWSHD10325HS Department DCFS- Department of Children and Family Services… 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...outcomes, and training impact, and present regular reports to management . + Illuminate common denial trends and… 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 tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** +… more
- Houston Methodist (Sugar Land, TX)
- …and/or as needed, report to management and, as appropriate, the finance department . Makes recommendations at denial management meetings on processes, ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...for performing utilization review activities, and monitoring the clinical denial management and appeals process, as applicable,… more
- Houston Methodist (Houston, TX)
- …is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment with ... feasibility of submitting appeals. + Works with revenue cycle management and staff to ensure claim edit/ denial ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… 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 ... Location Los Angeles County, CA Job Type Full time Job Number W7200K Department INTERNAL SERVICES Opening Date 01/03/2024 + Description + Benefits + Questions… 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
- Beth Israel Lahey Health (Burlington, MA)
- …Based through AHIMA) Experience: 1-2 years of experience in billing, coding, denial management environment related field. Skills, Knowledge & Abilities: + ... to the coding supervisor for education within the coding department and/or physician education. 5. Confers regularly with the...that they are maintained at the levels expected by management . Analyzes work queues and other system reports and… more
- City of New York (New York, NY)
- …is provided to those who fail to meet requirements. Your Impact: The Risk Management Specialist will identify and address potential risk for fraud. The ... of Housing Access and Stability: The New York City Department of Housing Preservation and Development (HPD) is the...of HPD's Section 8 program rules. Responsibilities: The Risk Management Specialist will be responsible for the… more
- Ventura County (Ventura, CA)
- …reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department ; and + Performs other related duties as ... Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Reporting to the Senior Manager, Corporate Risk Management , the role involves systematically managing potential and actual claims. Analyzing clinical data is crucial… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Defense Logistics Agency (Round Hill, VA)
- …See below for important information regarding this job. Responsibilities As an Emergency Management Specialist , you will be responsible for the following duties: ... Conditions of Employment Qualifications To qualify for an Emergency Management Specialist , your resume and supporting documentation...Military retirees seeking to enter federal service in the Department of Defense now require a waiver if they… more
- Defense Logistics Agency (Fort Belvoir, VA)
- …Requirements Conditions of Employment Qualifications To qualify for a Inventory Management Specialist , your resume and supporting documentation must support: ... and forecast complex material requirements using advance supply chain management principles, identifying constraints, and developing strategies that ensure mission… more