- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and...responds to a wide variety of issues/concerns. The Denials Specialist works independently to plan, schedule and organize activities… more
- CDI (St. Louis Park, MN)
- …Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining ... proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist II, you will investigate and determine the reason for a denied or… more
- Insight Global (Miami, FL)
- …accounts according to company's policies and procedures. - Report any coding related denial to the Coding Specialist . - Performs other duties including but ... - Updates patient account information. - Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. - Runs… 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
- Children's Hospital Boston (Boston, MA)
- 72876BRJob Posting Title:Senior Financial Insurance Authorization Specialist - Infusion TeamDepartment:Finance-Patient Access ... CenterAutoReqId:72876BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:The Authorization Specialist is the Perfect job for… more
- Fairview Health Services (St. Paul, MN)
- …possibility of approval. If an insurance request is rejected/denied, they facilitate denial mitigation steps and effectively communicate what is needed to care ... and determine appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization requests and/or ensure… more
- University of Colorado (Aurora, CO)
- …(https://www.jobelephant.com/) As a key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist (PAPR) at the CU Hemophilia ... escalate to appointed appeal personnel, and relay the necessary denial detail to the provider to support the appeal...key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist (PAPR) at… more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites… 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
- CDI (St. Louis Park, MN)
- …for Diagnostic Imaging and Insight Imaging, is looking for a Lead Insurance Denials Specialist to join our team. We are challenging the status quo by shining light ... us and shine brighter together! As a Lead Insurance Denials Specialist , you will coordinate communications regarding billing information with patients, carriers,… more
- Carle (Urbana, IL)
- Cancer Services Specialist (Carle Cancer Institute) + Department: Cancer Institute - CPG_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin ... appeals the denials from insurance companies. The Cancer Services Specialist coordinates all cancer conferences/tumor boards at CCI-Urbana and CCI-Normal.… 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
- Universal Health Services (Denison, TX)
- …focused care to the Texoma region for over 50 years. The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by ... the payer defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite… more
- Universal Health Services (Sparks, NV)
- Responsibilities The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging ... the payer defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite… more
- Robert Half Accountemps (Moline, IL)
- Description Robert Half is hiring a full-time Insurance Verification Specialist to join our client! This candidate will work closely with the Revenue Cycle Manager ... while performing all components in the Insurance Verification/ Authorization process for existing and new patients, as well as working closely with staff. This person… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for ... rules. Completes check in and scheduling for Clinician in Epic. Communicates authorization , benefits and limitations to providers and patients; obtaining ABN or… more
- DEFTEC (Arlington, VA)
- Arlington, VA, USA | Full Time Legislative Affairs Specialist DEFTEC delivers mission-critical solutions through skillfully delivered services and innovative ... services and products. Position Overview: We are seeking a Legislative Affairs Specialist to support DARPA Director's Officer (DIRO). The Legislative Affairs … more
- Intermountain Health (Broomfield, CO)
- **Job Description:** ..The Specialist for Pharmacy Revenue will serve as the operational and clinical liaison between pharmacy, clinical specialties, and the Revenue ... while promoting and supporting stewardship initiatives and fiscal responsibility. The Specialist will report to the Manager, Pharmacy and Oncology Revenue Practice.… more
- House of Blues (Houston, TX)
- …THE ROLE: As a member of Global Procurement's Stakeholder Support team, the Sourcing Specialist - Indirect will lead - with appropriate supervision - a portfolio of ... to leading their own portfolio of projects, the Sourcing Specialist - Indirect will play a supporting role for...Applicants for employment in the US must possess work authorization which does not require sponsorship by the employer… more
- Sutter Health (Berkeley, CA)
- …on specific patients. Develops, coordinates and monitors systems for the appeal/ denial process, tracks and trends data, and coordinates utilization management ... compare criteria with written documentation. Track and trend timely appeal/ denial data, following up with appropriate staff/departments. + Conduct retrospective… more
