- Baptist Memorial (Memphis, TN)
- … DENIAL - HS REVENUE ENHANCEMENT-ONCOLOGY CORPORATE (JOB ID: 15486) Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) ... education * Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department:… more
- Cardinal Health (Nashville, TN)
- …and ends when the patient's account balance is zero. **_Job Summary_** The Authorization Denial Specialist is responsible for reviewing and resolving ... appeals or corrected claims to reduce revenue loss. The specialist works closely with clinical, billing, and authorization...+ Assist in training or educating front-end teams on authorization best practices + Analyze denial trends… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- Baptist Memorial (Memphis, TN)
- Overview Job Summary * The position may be filled in Memphis, TN; Jackson, MS The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC ... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- 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 ... and Information Services to improve systems communication, tracking and reporting ie denial , hold and activity reports. - Maintains a Clinic Insurance Eligibility… 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 ... the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all...to help resolve more complex inquiries. + Assists Drug Authorization Specialists with medical necessity denial review:… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- Select Medical (Frisco, TX)
- …A joint venture with Select Medical & Baylor Scott & White Health Frisco, TX **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** ... _335336_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations Specialist_ **Street… more
- Henry Ford Health System (Troy, MI)
- The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered ... of care and providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance… more
- Trinity Health (Syracuse, NY)
- …order type to ensure proper authorization obtained pre-procedure. * Review authorization denial trends in partnership with supervisor to identify and address ... 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to substantiate… more
- Genesis Healthcare (NM)
- …with the Central Business Office (CBO) collectors and CBO supervisor to address denial issues related to Medicaid authorization . *Provide support to the nursing ... savvy to our team in this remote position as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical Eligibility… 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 ... Management - MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer Authorization & Denials Management.** Communicate with payer to obtain request for… more
- RWJBarnabas Health (Trenton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... Hamilton Health Place, Hamilton, NJ 08619 Job Title: Patient Access Specialist Location: RWJ Hamilton Department: Patient Access Services Req#: 0000150869 Status:… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and...decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or… more
- Fairview Health Services (Minneapolis, MN)
- …on the day shift!** As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit… more
- Fairview Health Services (Minneapolis, MN)
- …Bachelor's degree in a biological/health science or equivalent years of experience with pre- authorization and denial appeal work or combination of education and ... east-bank) is looking for a full time, day shift Genomics Support Specialist working Monday-Friday during regular business hours. Schedule subject to change based… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...days of receipt; + Reviews and follows up on denial codes transmitted to the billing department, analyzes reasons… more
- Amentum (Washington, DC)
- …the FOs and / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and service to the ... decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or...or revocation of security clearance and / or access authorization which will ultimately lead to the firing or… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit… more