• Payment Resolution Specialist -I (Hospital…

    Trinity Health (Farmington Hills, MI)
    …Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of the Payment ... as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves payment… more
    Trinity Health (05/09/24)
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  • Payment Resolution Specialist -II (Hospital…

    Trinity Health (Farmington Hills, MI)
    …Patient Business Services (PBS) location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials ). Serves as part of a team ... fashion. Resolves claims, conducts formal account reviews, identifies lost charge recovery , and analyzes and documents delays and payment variances. Identifies… more
    Trinity Health (05/07/24)
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  • Transaction Flow Coding Specialist /Full…

    Henry Ford Health System (Troy, MI)
    …processes, including the use of coding knowledge to effectively design insurance recovery and patient pay workflows, research and identification of root causes ... resulting in edits and denials , and assisting with developing error prevention initiatives and...design and continuous evaluation of insurance follow up and recovery functions and workflow, to organize work based on… more
    Henry Ford Health System (05/24/24)
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  • Remote Insurance/Collections Specialist

    Conduent (Los Angeles, CA)
    …timely, maximum call time is achieved, and ensures quality results. Insurance-Collections Specialist will handle the collection/ recovery of medical claims with ... where individuality is noticed and valued every day. **Insurance/Collections Specialist ** **Pay $18-20hr based on experience** The Insurance/Collections … more
    Conduent (05/15/24)
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  • Medical Billing Specialist

    On With Life (Ankeny, IA)
    …allow persons served, families and clinicians more time to focus on treatment and recovery . Hours for the Medical Billing Specialist are primarily between 8am ... As a Medical Billing Specialist at On With Life, you can be...and clinicians more time to focus on treatment and recovery . Specific duties include but are not limited to:… more
    On With Life (05/18/24)
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  • UM Specialist (LVN) - SNF - Sharp Extended…

    Sharp HealthCare (San Diego, CA)
    …to determine whether patient is meeting skilled care criteria based on MCG Recovery Care Guidelines and Healthplan SNF guidelines. Performs data entry related to ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more
    Sharp HealthCare (04/03/24)
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  • Accounts Receivable Specialist I

    TERROS, Inc. (Phoenix, AZ)
    …is pleased to share an exciting and rewarding opportunity for an Accounts Receivable Specialist Iw orking at our Central Avenue location in Phoenix, AZ . Reporting ... use treatment for the last 50 years. We help people live their lives in recovery and we save lives every day. Terros Health is a healthcare organization of caring… more
    TERROS, Inc. (05/16/24)
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  • Patient Access Specialist

    Helio Health Inc. (Syracuse, NY)
    Overview Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare ... issues. The Patient Access Specialist (PAS)meets with patients entering our programs to collect...follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid… more
    Helio Health Inc. (05/22/24)
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  • Medical Billing Specialist

    Educational Alliance, Inc. (New York, NY)
    …culture, and civic engagement. The Role: Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and ... on Issue Tracker, identify and resolve billing issues, and follow up on denials if required + Review Service documentation and Billing files for accuracy and… more
    Educational Alliance, Inc. (04/30/24)
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  • Chief Medical Officer (no less than 4 days/week)

    State of Colorado (Denver, CO)
    …providers and the Recovery Audit Contractor to facilitate approvals and prevent denials . Assures that RAC program activities are conducted in a manner that is ... for overtime compensation. Department Contact Information Sarah Roman, Talent Acquisition Specialist ~ ###@state.co.us Type of Announcement This announcement is not… more
    State of Colorado (05/24/24)
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  • Registered Nurse, Case Manager, Per Diem

    Baystate Health (Greenfield, MA)
    …talented surgical teams of the Baystate Health network. Our spacious pre-surgery, recovery , and family waiting areas offer privacy and comfort with natural light, ... **Cole Courtemanche, Healthcare Recruiter** **###@baystatehealth.org** **Summary:** The Utilization Management Specialist (UMS)/Hospital Case Manager (HCM) is a Registered Nurse… more
    Baystate Health (05/24/24)
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  • Sr Utilization Review Spec- Physician FT Humc

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... initiatives j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent… more
    Hackensack Meridian Health (05/07/24)
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  • Integrated Care Coordinator - SCRBH

    Spokane County (Spokane, WA)
    …determination. + Consults with the Medical Director for any service authorization denials . + Determines financial eligibility which involves utilizing the State of ... youth must be designated as a Child Mental Health Specialist . + ICC's who make service authorization decisions for...care coordination. + Knowledge of person centered treatment and recovery models. + Knowledge of computer applications related to… more
    Spokane County (03/18/24)
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