- Christus Health (Noonday, TX)
- …needed Master INFOR modules appropriately (according to assignment) including Par Specialist , Purchasing Receiver, Inventory Management , Warehouse Clerk, and ... associates including training on ERP systems. Responsible for supporting and enhancing department processes by providing excellent service as well as support on… more
- San Diego Housing Commission (San Diego, CA)
- …units in service in the City today with SDHC's participation. About the Department : San Diego Housing Commission (SDHC) partners with nonprofit agencies and private ... created by government entities for the same purpose. SDHC's Compliance Monitoring Department ("CMD") monitors compliance with the affordability terms that apply to… more
- 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
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion...knowledge of workflow, systems, and tools used in the department **Qualifications:** + Minimum two years related experience preferred,… more
- Omaha Children's Hospital (Omaha, NE)
- …work queues according to the prescribed priority and/or per the direction of management and in accordance with department expectations. Recognize when additional ... where it matters most. **A Brief Overview** The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Denial Specialist is responsible for reviewing, analyzing and appealing denials ... 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
- 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)
- …standards that are tracked and monitored. Support and perform high level AR & Denial Specialist tasks to improve operations and problem solve by developing ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… 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 ... 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
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital ... necessary documentation needed to have claims reprocessed/adjudicated * Informs and/or transfers to management of any problem accounts and or denial trends that… 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
- 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
- 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
- Penn Medicine (East Petersburg, PA)
- …shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am (8 hour ... appropriate documentation. + Ensures that all activities related to denials management functions meet department requirements, maximize revenue collection, and… 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
- MyFlorida (Tallahassee, FL)
- REGULATORY SPECIALIST III - 79001052 Date: Dec 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 866479 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST III - 79001052 Pay Plan: Career Service Position Number: 79001052… more
- Defense Logistics Agency (Tracy, CA)
- …Requirements Conditions of Employment Qualifications To qualify for a Traffic Management Specialist (Deployable), your resume and supporting documentation must ... below for important information regarding this job. Responsibilities Serves as the specialist and technical advisor in the development of general and detailed… more
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