- Carle (Urbana, IL)
- Outpatient Denial /Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... - Time + Job ID: 44345 + Experience Required: 1 - 3 Years + Education Required: Bachelors Degree...review to establish and manage clinical and prior authorization denial appeals for the Carle enterprise. Represents Carle in… more
- Crouse Hospital (Syracuse, NY)
- The DRG Denial Specialist works under the Inpatient Coding Manager and oversees compliance with coding standards and regulations. Advises and assists in ... Information Technology or related field is required. Experience: Approximately 1 year IP coding and or DRG validation experience...DRG validation experience in an acute care setting required. 1 - 2 years of IP Clinical Documentation Integrity role… more
- Nuvance Health (Danbury, CT)
- …manner in collaborationand working closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, ... duties to promote efficient and effective department operation. Responsibilities: 1 . Reviews new and appeal upheld cases in work...in work queue and incoming fax queue. 2. Reviews denial letters through daily mail. 3. Identifies retro denials… more
- McLaren Health Care (Bay City, MI)
- …for medical record documentation and the filing of responses and appeals. 1 . Appropriately documents denial /appeal activities; oversees and documents payer and ... 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… more
- University of Colorado (Aurora, CO)
- JDC IOP Insurance Specialist - 34664 University Staff **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of ... Psychiatry** **Job Title:** **JDC IOP Insurance Specialist ** **Position: #00826736 - Requisition: #34664** **Job Summary:** **Key Responsibilities:** + Evaluate… more
- Beth Israel Lahey Health (Danvers, MA)
- …just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims, aged claims and denied claims for ... cause and accurately appeal claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review to ensure the… more
- Ventura County (Ventura, CA)
- …Billing Specialist IV - Four (4) years of professional billing experience OR one ( 1 ) year as a Medical Billing Specialist III for the County of Ventura. ... Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary… 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 ... a high volume and fast paced environment. Essential Functions: 1 . Works pre‐AR edits, paper claims, reports and workqueues...payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist… more
- Ventura County (Ventura, CA)
- …of professional medical billing experience including billing in Medi-Cal and/or chemotherapy OR one ( 1 ) year as a Medical Billing Specialist I for the County of ... Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply Medical Billing Specialist I/II Salary… more
- MyFlorida (Doral, FL)
- REGULATORY SPECIALIST III - 79001445 Date: Sep 18, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 837842 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST III - 79001445 Pay Plan: Career Service Position Number: 79001445… more
- MyFlorida (Miami, FL)
- …Tool (https://compcalculator.myflorida.com/) DIVISION OF ALCOHOLIC BEVERAGES & TOBACCO Regulatory Specialist III Position Number: 79000823 Hiring Salary: $ 1 ... REGULATORY SPECIALIST III - 79000823 Date: Sep 20, 2024...79000823 Pay Plan: Career Service Position Number: 79000823 Salary: $ 1 ,531.54 Biweekly Posting Closing Date: 09/29/2024 Total Compensation Estimator… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Drug Authorization Specialist , with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug authorizations ... to all aspects of drug prior authorization work. The Drug Authorization Specialist creates accurate, thorough, and concise prior authorization requests to all payers… more
- University of Utah (Salt Lake City, UT)
- …Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt **Patient Sensitive Job ... the University of Utah School of Medicine, serving over 1 ,800 providers and 30 different specialties across Utah and...documentation and coding. This position analyzes codes, charges and denial trends for complex or specialty services and will… more
- UPMC (Pittsburgh, PA)
- …authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through ... to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities… more
- Tufts Medicine (Burlington, MA)
- …of deficiencies, within Epic, for missing documentation. Works with leadership to review denial reports as well as participating in internal and external audits to ... any other related duties as assigned. **Job Description** **Minimum Qualifications:** 1 . High school diploma or equivalent. 2. Certified Coding Specialist… more
- ATI Physical Therapy (Bolingbrook, IL)
- …to improve and deliver positive change throughout the revenue cycle. The RCM Specialist will work to improve the accuracy and effectiveness of revenue cycle ... projects as assigned **Qualifications** **Measurable Scope and Accountability** The RCM Specialist will need understanding of all revenue cycle processes but will… more
- Indian Health Service (Whiteriver, AZ)
- …per week. MINIMUM QUALIFICATIONS, GS-0671-09: Your resume must demonstrate at least one ( 1 ) year of specialized experience equivalent to at least the next lower ... Examples include: Direct the activities of the Accounts Receivable and/or Denial /Accounts Management functions, perform long and short range planning, evaluation,… more
- UNC Health Care (Rocky Mount, NC)
- …the unique communities we serve. Summary: The Medicaid Eligibility Specialist coordinates and facilitates the Medicaid application process across multidisciplinary ... for services provided by Nash Health Care Systems. Responsibilities: 1 . Advise and instruct patients on the procedures of...DSS contacts and/or patient to determine basis of the denial ; evaluate denial and follow through with… more
- MyFlorida (Fort Pierce, FL)
- OPS ENVIRONMENTAL SPECIALIST II - 64956543 Date: Sep 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 838203 Agency: Department of Health Working Title: OPS ENVIRONMENTAL SPECIALIST II - 64956543 Pay Plan: Temp Position Number:...evaluations, inspections, plan reviews, and approve the issuance or denial of new construction and repair permits in a… more
- City of New York (New York, NY)
- …provided to those who fail to meet requirements. Your Impact: The Risk Management Specialist will identify and address potential risk for fraud. The Specialist ... from the members of the Housing Access and Stability team. The Specialist will identify discrepancies between third party systems and participant self-reports to… more