- 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 ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
- BronxCare Health System (Bronx, NY)
- Job LocationsUS-NY-Bronx ID2025-5671 Category Administrative/Clerical Position Type Regular Full-Time Division Bronxcare Hospital Center - Concourse Shift Day Shift ... Department : Name Patient Financial Services (BHCS) more
- Advocates (Framingham, MA)
- …Apply Now! (https://careers-advocatesinc.icims.com/jobs/12471/data-entry-payment-%26- denial - specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336180790) ... **Overview** **Starting Rate: $22/hour** The Data Entry Payment specialist assists with payment intake and post payments...have a high school diploma and 1-3 years cash management experience. + Preferred at least one year experience… more
- Hartford HealthCare (Farmington, CT)
- …now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the ... system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate coding assignment for ICD-10,… more
- Dana-Farber Cancer Institute (Boston, MA)
- …obtaining health plan authorizations for inpatient admissions, and denial management . In addition, the Inpatient Authorization Specialist is responsible for ... and 1 week onsite at Longwood Medical Center.** The Inpatient Authorization Specialist reports to and receives direction from the Access & Financial Engagement… 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)
- …necessary documentation needed to have claims reprocessed/adjudicated** **Informs and/or transfers to management of any problem accounts and or denial trends ... oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing… more
- McLaren Health Care (Mount Pleasant, MI)
- …Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both ... internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing activities, reviews outcomes and communicates findings… more
- University of Southern California (Alhambra, CA)
- …state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related ... OP healthcare services provided to covered patients. Manages the denial management process for coding-related denials, triage...provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated… 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 external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay. This… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable,...recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing… more
- MyFlorida (Tallahassee, FL)
- …Resident Denial , Non-Resident Denial , Permanent Bar, Rescind Denial , Criminal Grants, Sealed/Expunged and Monthly Management spreadsheets. Performs other ... REGULATORY PROGRAM SPECIALIST - 43001140 Date: Nov 18, 2025 The...given if the degree is in insurance or risk management . + Writing reports, memorandums, and/or work emails. +… more
- Guthrie (Sayre, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... The Guthrie Clinic's Corporate Patient Accounts Receivable Management department is seeking a detail-oriented and motivated...payer or submission issues. + Works closely with a Denial Resolution Specialist or Billing Specialist… 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 ... over 5,120 contracted workers of varying professions in facilities management , information technology, environmental, administrative, purchasing, and contracting, ISD… 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/5144215) ... Apply Drug & Alcohol Case Management Specialist (Local Government) - Delaware County...inpatient treatment services as well as communicate approval or denial with the referral source. This position requires a… more
- Henry Ford Health System (Detroit, MI)
- …procedures, and guidelines related to pharmaceutical coding, billing, pricing, charging, denial management , and collections to ensure compliant and optimized ... Services Center - Detroit Schedule: Full Time The Pharmacy Specialist is a pharmacist who, by virtue of knowledge...Health's Clinical Delivery System as part of our Medication Management program. + Financial Stewardship & Compliance: Develop and… more
- Stanford Health Care (Palo Alto, CA)
- …information and clarify clinical documentation to support appeals. + Collaboration with Management : Identify and escalate denial patterns to the Manager of ... **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue...plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related… more
- UPMC (Pittsburgh, PA)
- UPMC Revenue Cycle is hiring a Payment Specialist II to join our team. The Payment Specialist II will work Monday through Friday during business hours from the ... payers to the appropriate billing system(s). As the Payment Specialist II you will manage electronic remittance file retrieval...with the ability to identify issues and present to management . + Interpret and key RAC Audit correspondence into… more
- DEFTEC (Washington, DC)
- Washington, DC, USA | Salary | Full Time Personnel and Training Management Specialist The Pentagon, Washington DC DEFTEC delivers mission-critical solutions ... and products. POSITION OVERVIEW DEFTEC Corporation seeks a Personnel and Training Management Specialist to provide support services and program management… more
- Access: Supports For Living (Middletown, NY)
- …the organization, including working with appropriate programs, front desk staff, remit, denial management and insurance verifications areas to aid in the ... Specialist is a key position in the financial management of the company. The Senior Billing Specialist...cycle areas to support and back-up the remit and denial management functional areas Required Skills/Abilities: +… more