- Banner Health (AZ)
- …looking to leverage your abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing concurrent inpatient denials ... **Primary City/State:** Arizona, Arizona **Department Name:** Denial Recovery-Corp **Work Shift:** Day **Job Category:** Revenue Cycle Nursing careers are better at… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete and accurate appeals of denied claims are ... to guidelines set forth by the payer. The Appeal Support Specialist processes submissions of reconsiderations, redeterminations, appeals, resubmissions of previously… 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
- MyFlorida (West Palm Beach, FL)
- ENGINEERING SPECIALIST III - 37011364 1 1 Date: Nov 14, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 841415 Agency: Environmental Protection Working Title: ENGINEERING SPECIALIST III - 37011364 1 1...all applicable data management systems. * Recommends issuance or denial of permits as appropriate. * Ensures that Chapter… more
- MyFlorida (West Palm Beach, FL)
- ENVIRONMENTAL SPECIALIST II - 37010430 1 Date: Nov 12, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 841254 Agency: Environmental Protection Working Title: ENVIRONMENTAL SPECIALIST II - 37010430 1 Pay Plan: Career Service… more
- Motion Recruitment Partners (Fairfax, VA)
- Cash Specialist 1 Fairfax, VA **Onsite** Contract $24.36/hr - $29.84/hr Our client, a leading Healthcare company, is looking for a Cash Specialist for a ... 6-Month Contract onsite in Fairfax, VA. + The Cash Specialist 1 , ensures the appropriate and timely...+ Ensures the appropriate handling of non-payment EOB's and denial requests. + Takes ownership of the timely and… more
- TEKsystems (Jackson, MS)
- …Cycle/Appeals Specialist Needed Description: 100% Remote Equipment Provided The Appeals Specialist 1 , under the direction of the Director of Denial ... denials, correlating with the follow-up teams. -Works closely with Denial Coordinator, Facility Denial Liaison, and Managed...years of experience in revenue cycle and at least 1 year in denials or insurance medical billing -Experience… 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 information ... into electronic tracking system including the following: Process payer denial correspondence mail, end of day reports and fax,...high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery,… 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
- University of Virginia (Charlottesville, VA)
- The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct ... must be able to respond knowledgeably to a wide range of billing and complex denial issues when dealing with insurance companies. The goal is to resolve all of the… 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 work...payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist… more
- UPMC (Pittsburgh, PA)
- **UPMC University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to join their team at the** Heart Vascular Institute at CHP! This position ... authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through… 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 (Miami, FL)
- OPS REGULATORY SPECIALIST III - 79901903 Date: Nov 5, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 840834 Agency: Business and Professional Regulations Working Title: OPS REGULATORY SPECIALIST III - 79901903 Pay Plan: Temp Position Number: 79901903 Salary:… 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
- Medical Mutual of Ohio (Brooklyn, OH)
- …eligibility, benefits, and prior activity related to the claims payment or service denial issues related to appeal requests. Completes cases within the Center for ... systems and resources to communicate, in writing, findings, decisions, rationale for denial or approval and follow-up on corrective action as requested. Completes… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
- Sharp HealthCare (San Diego, CA)
- …health care field, preferably HMO or delegated risk medical group/IPA setting. + 1 Year experience with medical coding and data entry, preferably in a managed ... Health Plan benefit guidelines to approve referrals designated at the Care Specialist level.Investigate and follow-up on all eligibility issues in accordance with… 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