- Beth Israel Lahey Health (Boston, 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
- Wellstar Health System (Roswell, GA)
- …leadership to develop and implement goals, objectives and Action Plans for the department . * Responsible for the ongoing management of daily operational ... has an opportunity for a Team Lead Patient Access Specialist - Friday, Saturday and Sunday 1pm - 1am. The...functions of the department . * Informs Management of non-compliance with WellStar/ department dress code.… more
- City of Kenosha, WI (Kenosha, WI)
- …is subject to change by the City as the needs of the City and department change over time. Requirements Housing Specialist I Training & Experience: High School ... : Kenosha, WI Job Type: Regular - Full Time Job Number: 20250325 Department : Housing Authority Opening Date: 07/10/2025 Closing Date: 7/27/2025 11:59 PM Central… more
- Sonora Quest Laboratories (Phoenix, AZ)
- Primary City/State: Phoenix, Arizona Department Name: Billing Reimbursement Work Shift: Varied Job Category: Revenue Cycle POSITION SUMMARY This position coordinates ... complex adjustments and collection activities. Also responsible for the posting of denial and non-payment Explanation of Benefits. The position will also participate… more
- State of Colorado (Denver, CO)
- …Location : Denver, CO Job Type: Full Time Job Number: PMA 32183 07/25 Department : Department of Natural Resources Division: Colorado Parks & Wildlife Opening ... FLSA Status: Exempt; position is not eligible for overtime compensation. Department Contact Information: Cayla ###@state.co.us Salary Note: Although the full salary… more
- Abode Services (Milpitas, CA)
- …lease-up activities and post lease-up requirements. Coordinate with the Sr. Compliance Specialist on property set-up in property management software. Manage ... Area, has two openings for a Compliance & Leasing Specialist at our Milpitas, CA site. This position is...portfolio of housing. Provides information necessary to the Property Management team and Asset Management team to… more
- Phoenix Police Department (Phoenix, AZ)
- …activity statistical reports, budget monitoring, and/or other special projects. Ensuring that department management is informed of critical issues or other ... ABOUT THIS POSITION The Planning & Development Department (PDD) guides the physical development of the...customer inquiries in the work unit. Reviewing and recommending approval/ denial for code modifications and appeals. Supervising a work… more
- Vidant Health (Greenville, NC)
- …appeals related to denials to include coding, bundling, duplicate, and other assigned denial volume. As well as responsible for the coordination and management ... and making necessary corrections or modifications. Make a preliminary determination whether denial can be overturned and if initial or secondary appeals should be… more
- Halo Staffing Group (Laguna Woods, CA)
- …for ensuring accuracy in insurance claim follow-up, root cause analysis, appeals and denial management . The Collector is highly attentive to detail, organized, ... process-driven, collaborative, and possesses strong time management skills. Summary: Title: Medical Collector Facility: Surgery Center Schedule: Monday thru Friday,… 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 ... participates in the Performance/Quality Improvement activities of the assigned department . Contribution and participation includes data collection, analysis, implementation… more
- Baptist Memorial (Memphis, TN)
- …and training goals as determined by the Manager/Director of the Denial Mitigation Department . The Denial Mitigation- Appeal Specialist II RN role reports ... Overview Specialist - Denial Mitigation II RN Job Code:...authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management… more
- Omaha Children's Hospital (Omaha, NE)
- …work queues according to the prescribed priority and/or per the direction of management and in accordance with department expectations. Recognize when additional ... and people with disabilities. **A Brief Overview** The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers… 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 ... 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
- 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
- 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
- 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 ...of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… more
- Commonwealth of Pennsylvania (PA)
- Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5009526) ... Apply Drug & Alcohol Case Management Specialist (Local Government) - Delaware County...Job Type Civil Service Permanent Full-Time Job Number CS-2025-30000-L0686 Department Local Government Division DA Delaware Co Drg Alchl… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 852781 Agency: Department of Education Working Title: PROGRAM ... PROGRAM SPECIALIST IV-DOE - 48002950 Date: Jul 19, 2025...Closing Date: 08/03/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Florida Department of Education Division of Public Schools Office of… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department : Utilization Management Location: Los Angeles, CA, US, 90017 Position ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more
