- United Health Services (Binghamton, NY)
- Denials Recovery Specialist I - Per Diem, 33 Lewis Rd United Health Services is seeking a Denials Recovery Specialist I - Per Diem to join our ... Denials Recovery department at 33 Lewis Rd in Binghamton, NY....Under the direction of the Denial's Manager the Recoveries Specialist is Responsible for validating dispute/denied claims reasons as… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... and payers to successfully clear front end claim edits, appeal clinical denials , and address customer service inquiries. Additionally, this position will collaborate… more
- St. Luke's Health System (Boise, ID)
- …and establish a resilient work environment. **What You Can Expect:** The Billing/ Recovery Specialist is responsible for providing support in the functional ... as directed. + Understands insurance plan coverages, authorizations and limits. Insurance Recovery : The Insurance Recovery Specialist is responsible for… more
- Granville Health System (Oxford, NC)
- …the use of Present on Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive ... Summary:#The CDI Specialist is responsible for improving the overall quality...both the physician and the hospital.# #Reviews medical necessity denials and provides constructive feedback to providers.# #Works with… more
- State of Colorado (CO)
- Employee and Labor Relations (ELR) Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4675745) Apply Employee and Labor Relations ... (ELR) Specialist Salary $57,708.00 - $92,340.00 Annually Location Statewide, CO...on our roads, preparing and mitigating environmental disasters, disaster recovery , combating crime, school safety, and victim recovery… more
- United Health Services (Binghamton, NY)
- … Specialist , 33 Lewis Rd United Health Services is seeking a Payer Information Specialist to join our Denials Recovery department at 33 Lewis Rd ... $18.56 - $26.92 per hour, depending on experience. Overview The Payer Information Specialist (PIS) is responsible for working with the health plans on the front… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This is an** ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more
- Helio Health Inc. (Syracuse, NY)
- Overview Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare ... issues. ThePatient Access Specialist (PAS)meets with patients entering our programs to collect...follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid… more
- R1 RCM (Boise, ID)
- …operating costs and enhancing the patient experience. As our Revenue Integrity specialist , you will be responsible for key operational functions to include charge ... Revenue Cycle Management (RCM). + Often leading key projects to include Recovery Audit Contractors (RAC) Program, Charge Description Master (CDM), Texas Medicaid… more
- Educational Alliance, Inc. (New York, NY)
- …culture, and civic engagement. The Role: Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and ... on Issue Tracker, identify and resolve billing issues, and follow up on denials if required + Review Service documentation and Billing files for accuracy and… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... initiatives j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL ... identifies areas that would permit enhanced reimbursement and reduce denials of claims. + Verifies correct payment of claims...the risk of fraud and abuse, and optimize revenue recovery . + Assists in training of Patient Account staff… more
- Robert Half Accountemps (Inglewood, CA)
- …closely with our billing department, patients, and insurance companies to ensure recovery efforts are precise and effective. Responsibilities: + Oversee and manage ... on their outstanding balances and insurance coverage. + Develop and maintain a recovery system to improve collection efforts. + Understand all facets of infusion… more
- Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
- …to the accuracy of the facility database as well as all cost recovery programs. Assists facility staff with documentation requirements to completely and accurately ... and supported. Such efforts are conducted to ensure the accuracy of billing denials and prevention against fraud and abuse and to optimize the medical center's… more
- Mohawk Valley Health System (Utica, NY)
- …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors (RAC's). + Assist with mitigating barriers to discharge… more
- Spokane County (Spokane, WA)
- …determination. + Consults with the Medical Director for any service authorization denials . + Determines financial eligibility which involves utilizing the State of ... youth must be designated as a Child Mental Health Specialist . + ICC's who make service authorization decisions for...care coordination. + Knowledge of person centered treatment and recovery models. + Knowledge of computer applications related to… more
- Stanford Health Care (Palo Alto, CA)
- …results, conducting root cause analyses, and assisting with the reduction of denials . **Locations** Stanford Health Care **What you will do** + Conducts Prospective ... CPC-H preferred . or + CCS - Certified Coding Specialist preferred . or + CPC and/or CCSP -...patients and families to focus on health, healing and recovery ._ _You will do this by executing against our… more