- RWJBarnabas Health (New Brunswick, NJ)
- …and opportunities, reduce denials and improve processes + The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols for ... rendered and minimizing financial risk + The Patient Access Specialist has extensive knowledge of payer requirements...when necessary + Utilize system generated reports to analyze data + Analyze denial data to determine… more
- RWJBarnabas Health (Hamilton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... services rendered and minimizing financial risk. The Patient Access Specialist has extensive knowledge of payer requirements...when necessary + Utilize system generated reports to analyze data + Analyze denial data to determine… more
- Boys Town (Omaha, NE)
- …worked in a timely manner to ensure claims are processed according to payer fee schedules and timely filing appeal guidelines are followed. Resolves insurance ... potential bad debt. Communicates and collaborates with leadership to ensure third party payer issues are resolved in a timely manner. Accurately resubmits claims for… more
- University of Utah (Salt Lake City, UT)
- …on one or in-group settings as needed. 4. Responsible for identifying and summarizing payer concerns and escalating for resolution. 5. Quality Review of team for ... payer policy, procedures, workflows and updates. Working with Quality Assurance Educators, communicates to appropriate personnel and departments. 7. Assists… more
- Hartford HealthCare (Hartford, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Quality Performance Improvement Specialist * **Location:** ... the system. *_Position Summary:_* Is a professional role supporting the Quality and Safety Management Department in conducting ongoing performance improvement… more
- Hackensack Meridian Health (North Bergen, NJ)
- …Tuition Reimbursement, Employee Discounts and much more The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access functions ... in their assigned area/hospital(s) at Hackensack Meridian Health (HMH). Conducts quality interviews with every patient to ensure compliance with patient safety… more
- Houston Methodist (Houston, TX)
- …also providing support when IT related or systematic changes are needed. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources (medical ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the...records, claims data , payer medical policies, etc.), determines the causes for denials… more
- Tidelands Health (Murrells Inlet, SC)
- …in researching and responding to Business Office questions and/or questions by the payer + Works collaboratively with CDI, Quality , and other facility leadership ... using ICD-10-CM and PCS codes as defined in the Uniform Hospital Discharge Data Set (UHDDS), based on the American Health Information Management Association (AHIMA)… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Coding Specialist is responsible for supporting Penn Medicine Lancaster General Health Physicians (LGHP) by ... to practices for coding issues and education. The Coding Specialist helps to optimize revenue through appropriate coding while...Keeps abreast of CPT coding changes + Assures that quality and timely coding, charging and abstraction of accounts… more
- HonorHealth (Phoenix, AZ)
- …Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Reimbursement Specialist audits commercial and government payer reimbursements for ... 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional… more
- Sonora Quest (Phoenix, AZ)
- …management to develop learning materials and necessary tools for Revenue Specialist 's ongoing success. Provides quality assurance and professional development ... Revenue Cycle **POSITION SUMMARY** This position identifies and evaluates quality and productivity for the Revenue Department. Demonstrates understanding of… more
- HCR Home Care (Rochester, NY)
- Role and Responsibilities The Billing Specialist position is a member of the Billing Team which reports up through the Finance Department . Th e Billing S pecialist ... for submitting and receiving all electronic claim files and payer response/rejection files , and for r esearching and...setup process. + Support, maintain , and administer multiple data systems for commercial insurances . + Daily mapping,… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity Location: Midtown Org Unit: AR - Coding Medicine Work Days: Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary ... met for billing. + Analyze for invalid denial trends, payer specific carrier submission requirements & system optimization. +...as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is required. + Should be certified from… more
- Community Clinic Inc. (Silver Spring, MD)
- CCI Health Services' mission is to deliver high quality , accessible care to our community members, leading the way to a more equitable health care system for ... everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support...and in compliance with all State, Federal, and/or contracted payer rules, terms, regulations, and guidelines. + Ensures claims… more
- Billings Clinic (Billings, MT)
- …and pre-authorization needs. Responsible for the integrity and accuracy of the payer data *Assists patients/family members with status of pre-certification or ... You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and… more
- Penn Medicine (Philadelphia, PA)
- …Improvement Outcomes Specialist is focused on the core components of quality , patient safety, and regulatory standard compliance for a designated solid organ ... transplant program(s). The Transplant (PI) Outcomes Specialist utilizes medical records, data systems, best practices, analysis of patient outcomes, and… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Program Research Specialist 1 (HCF) - 61635 Occupational Category Administrative or General Management Salary Grade 18 ... of Health(DOH) employee with permanent or contingent-permanentstatus as a Program Research Specialist 1 HCF (G18).Public Candidates: Active list candidate on the New… more
- Trinity Health (Baker City, OR)
- …Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We are looking to hire a **Patient Access Specialist ** ... at Saint Alphonsus Medical Center. As a **Patient Access Specialist ** you will play a significant part in creating...forms to ensure accuracy. + Accesses information and translates data into information acceptable to the claims processing system.… more
- Peak Vista (Colorado Springs, CO)
- Enrollment Services Specialist Summary Title:Enrollment Services Specialist ID:0910-Multiple Department Location:Multiple locations Category:Administrative / ... exchange process. The Phone Team answers calls regarding patient coverage status, payer contract, and billing questions. Phone Team staff make appointments and… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Managed Care Enrollment Specialist ILocation: Springfield, MO (Remote eligibility)Department: Managed CareEmployment Type: ... and Medicaid, ensuring that they are properly credentialed and able to deliver high- quality care to patients. You'll also act as a liaison between external… more