- 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
- 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 ... may be filled in Memphis, TN; Jackson, MS The Denial Mitigation-Appeal Specialist II RN serves in...authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management… 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
- Louisiana Department of State Civil Service (Lafayette, LA)
- Medical Certification Specialist 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4983547) Apply Medical Certification Specialist 1-2 ... Monthly Location Lafayette, LA Job Type Classified Job Number OAAS/DPT/209516 Department LDH-Office of Aging & Adult Services Opening Date 06/25/2025 Closing… 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 ...Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + An approved Specialty Society Coding… 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
- 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 Outpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the… more
- UPMC (Pittsburgh, PA)
- …perform authorization activities for a broader scope of inpatient, outpatient and emergency department patients, denial management and all revenue functions. ... of Pittsburgh Physicians is hiring a full-Time Sr. Authorization Specialist to help support their UPMC Magee-Womens Center for...functions as the IVF Financial counselor for the REI department . Position is at the forefront of patient care… 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
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleInsurance Denials Specialist Position LocationFort Collins, CO Work LocationPosition qualifies for hybrid/in-office work ... on06/29/2025 Description of Work Unit Billing and Coding The Billing and Coding department at the CSU Health Network provides the service of accurately coding and… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the ... to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance responsibilities. Additionally, this… more
- MyFlorida (Sarasota, FL)
- …. Requisition No: 850037 Agency: Department of Health Working Title: ENVIRONMENTAL ... ENVIRONMENTAL SPECIALIST I - 64030982 Date: Jun 11, 2025...environmental health programs within Sarasota County in accordance with department policies and Environmental Health Program Manual 150-4. This… more
- MyFlorida (Miami, FL)
- REGULATORY SPECIALIST III - 79000182 Date: Jun 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 855572 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST III - 79000182 Pay Plan: Career Service Position Number: 79000182… 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 (Miami, FL)
- OPS REGULATORY SPECIALIST III - 79901904 Date: Jun 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 855453 Agency: Business and Professional Regulations Working Title: OPS REGULATORY SPECIALIST III - 79901904 Pay Plan: Temp Position Number: 79901904 Salary:… more
- Penn Medicine (Lancaster, PA)
- …Are you living your life's work? Summary: + Position Summary: The Utilization Management Specialist - Denials is responsible for evaluating medical records to ... class throughout patient stay by using Industry standard review tools, department policies, and critical thinking. + Occasionally coordinate with clinical staff… more
- Novant Health (NC)
- …and timeliness, unbilled claims management , claim edits and denial management . + The Corporate Coding Audit Response Specialist will be involved in ... Job Summary Department : Corporate Coding Location: Remote for candidates who...benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for… more
- Novant Health (NC)
- …and timeliness, unbilled claims management , claim edits and denial management . + The Corporate Coding Audit Response Specialist will be involved in ... Job Summary Department : Corporate Coding Location: Remote for candidates who...benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for… more
- MyFlorida (Spring Hill, FL)
- …. Requisition No: 855074 Agency: Department of Health Working Title: OPS ... OPS ENVIRONMENTAL SPECIALIST II - 64858524 Date: Jun 20, 2025...department laws and regulations. Issues permit or sends denial letter after completion of the site test. Responsible… more