- 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
- BronxCare Health System (Bronx, NY)
- …Position Type Regular Full-Time Division Bronxcare Hospital Center - Concourse Shift Day Shift Department : Name Patient Financial Services (BHCS) ... Job LocationsUS-NY-Bronx ID2025-5671 Category Administrative/Clerical… 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 ... 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- CHILD WELFARE SPECIALIST TRAINEE/1/2/3 (HOME DEVELOPMENT) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5147115) Apply CHILD WELFARE ... SPECIALIST TRAINEE/1/2/3 (HOME DEVELOPMENT) Salary Depends on Qualifications Location...Baton Rouge, LA Job Type Classified Job Number 214997CWST-3HDBR111925HS Department DCFS- Department of Children and Family Services… 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 tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** +… more
- Houston Methodist (Sugar Land, TX)
- …and/or as needed, report to management and, as appropriate, the finance department . Makes recommendations at denial management meetings on processes, ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...for performing utilization review activities, and monitoring the clinical denial management and appeals process, as applicable,… 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
- 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
- Guthrie (Sayre, PA)
- The Guthrie Clinic's Corporate Patient Accounts Receivable Management department is seeking a detail-oriented and motivated Insurance Specialist I to join ... resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more… more
- Fairview Health Services (St. Paul, MN)
- … reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report… more
- Stanford Health Care (Palo Alto, CA)
- … Specialist II plays a critical role in the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government ... clarify clinical documentation to support appeals. + Collaboration with Management : Identify and escalate denial patterns to...audit tools, goals, policies, and procedures for the Denials Management Department . Serve as a subject matter… 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...Job Type Civil Service Permanent Full-Time Job Number CS-2025-36830-L0686 Department Local Government Division DA Delaware Co Drg Alchl… 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 ... designated entities and payers to the appropriate billing system(s). As the Payment Specialist II you will manage electronic remittance file retrieval and posting as… 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
- Ventura County (Ventura, CA)
- …reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department ; and + Performs other related duties as ... Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … more
- Penn Medicine (East Petersburg, PA)
- …appropriate documentation. + Ensures that all activities related to denials management functions meet department requirements, maximize revenue collection, and ... and follows-up with the appropriate payor, practice, and/or patient to resolve denial . Provides missing or additional information if necessary, to expedite the… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- MyFlorida (West Palm Beach, FL)
- OPS REGULATORY SPECIALIST III - 79901910 Date: Nov 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 865896 Agency: Business and Professional Regulations Working Title: OPS REGULATORY SPECIALIST III - 79901910 Pay Plan: Temp Position Number: 79901910 Salary:… more