- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 3484 - Specialist - Denial II RN Facility: BMHCC Corporate Office ... services to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned. Responsibilities + Reviews,… more
- Guthrie (Sayre, PA)
- …and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, ... or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on various payers and tasks… more
- Ventura County (Ventura, CA)
- …of higher level Medical Billing Specialists and within established guidelines. Medical Billing Specialist II ($22.90 - $29.05 per hour): is the journey level ... of receipt only; + Reviews and follows up on denial codes transmitted to providers for potential reimbursement on...(6) months of medical billing experience required. Medical Billing Specialist II - Two (2) years of… more
- UPMC (Cumberland, MD)
- UPMC Revenue Cycle is hiring a Payment Specialist II to join our team. The Payment Specialist II will work Monday through Friday during business hours at ... payers to the appropriate billing system(s). As the Payment Specialist II you will manage electronic remittance...Department to determine how to follow up on a denial . Verify that funds are in the bank prior… more
- Priority Health Care (Marrero, LA)
- JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of Ethical Conduct and foster positive relationships within the company, across departments, ... claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, maintaining up-to-date account… more
- MyFlorida (Fort Pierce, FL)
- OPS ENVIRONMENTAL SPECIALIST II - 64956543 Date: Nov 2, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 838203 Agency: Department of Health Working Title: OPS ENVIRONMENTAL SPECIALIST II - 64956543 Pay Plan: Temp...evaluations, inspections, plan reviews, and approve the issuance or denial of new construction and repair permits in a… more
- MyFlorida (Tallahassee, FL)
- REGULATORY SPECIALIST II - 79011477 Date: Oct 26, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 835681 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST II - 79011477 Pay Plan: Career Service Position Number:… more
- Penn Medicine (Philadelphia, PA)
- …Medicine-3400 Civic Center Blvd Hours: Full-Time JOB SUMMARY: The Accounts Resolution Specialist II reports to the Supervisor of Billing; this individual ... Act as a subject matter expert escalated issues and provide insight on identified denial trends or root cause of denials to mitigate future denials, expedite the… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Location:** Hospital of the University of ... hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor of...matter expert escalated issues and provide insight on identified denial trends or root cause of denials to mitigate… more
- Randstad US (West Jordan, UT)
- network real estate specialist / developer - ii . + west jordan , utah + posted october 24, 2024 **job details** summary + $35.83 - $45.83 per hour + contract + ... reference1070117 job details job summary: Description: JOB TITLE: Network Real Estate Specialist MUST HAVE SKILLS (Most Important): - Good written and verbal… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …social, and educational services. We are recruiting for the following position(s): Billing Specialist I, II or III - Posting #26048 Hourly Rate: $20.00 ... - $21.75 Position Summary: Full-time Billing Specialist available immediately for our Federal Way Billing Department. Main responsibilities include: ensuring… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 11823 - Specialist -Customer Care II Facility: BMH - Central Business Office ... customers to completion. Responsible for the daily completion of both claims edit, denial , and no response billing functions for timely follow up. Handles internal… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: A Clerical Specialist II will provide overall patient care and administrative support to Upstate Rehab Therapies where needed. Reports directly to ... services not covered, coordinates incoming and outgoing referrals and manages denial processes. May assist in preparation of monthly reporting activities. Serves… more
- Tidelands Health (FL)
- …various departments and processes corrections for clean claim submission or posts claim denial review for appeal. + As assigned, assists in training new coders to ... (RHIT(R)) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) + Certified Outpatient Coder (COC) **Knowledge/Skills/Abilities** **:** +… more
- Modivcare (Dover, DE)
- …meals & lodging, and level of service.* Manages and suggests improvements in the denial and appeal process.* Assists other specialists in faxes, mail, email, and web ... requests (inbound and outbound).* Suggests improvement of quality and efficiency with the department's phone activity (inbound and outbound).* Investigates complex issues to confirm the utilization.* Identifies and monitors utilization and billing trends that… more
- US Tech Solutions (San Antonio, TX)
- …patient and other healthcare professionals following agreed upon approval & denial management processes. (15%) 3. Handles inbound phone calls and escalations ... from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health plan and employer group staff. (5%) 5. Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy… more
- General Dynamics Information Technology (Washington, DC)
- …Seize your opportunity to make a personal impact as a **PERSONNEL SECURITY TIER II SAP ADJUDICATOR.** Join a high optempo, mission critical team in support of a ... resolve issues in the areas of Level I and II SAPNP access eligibility as quickly and efficiently as...initiating staffing for approval. + Coordinating access approval or denial process with appropriate access approval authority. + Preparing… more
- MyFlorida (Tallahassee, FL)
- …The Work You Will Do: This is an OPS Employment Security Representative II - Employment Review Specialist position in the Department of Commerce's Reemployment ... 828113 - OPS EMPLOYMENT SECURITY REP II - 40099084 1 1 1 1 1...of work, ability and availability for work, "between terms denial " relating to individuals employed by educational institutions, self-employment,… more
- MyFlorida (Fort Lauderdale, FL)
- …The Work You Will Do: This is an OPS Employment Security Representative II - Employment Review Specialist position in the Department of Commerce's Reemployment ... 832672 - OPS EMPLOYMENT SECURITY REP II - 40099086 1 1 1 1 1...of work, ability and availability for work, "between terms denial " relating to individuals employed by educational institutions, self-employment,… more
- MyFlorida (Orlando, FL)
- …The Work You Will Do: This is an OPS Employment Security Representative II - Employment Review Specialist position in the Department of Commerce's Reemployment ... 828166 -OPS EMPLOYMENT SECURITY REP II - 40099083 1 1 1 1 Date:...of work, ability and availability for work, "between terms denial " relating to individuals employed by educational institutions, self-employment,… more