- Catholic Health Services (Farmingdale, NY)
- …of regulatory appeals related to home care services, including insurance denials , service coverage disputes, and reimbursement issues. Review denials and ... Overview The Quality Assurance Regulatory Specialist plays a pivotal role in overseeing the...with internal teams to gather necessary medical documentation and clinical data to support the appeals process.… more
- CAIPA MSO LLC (New York, NY)
- …and/or Leadership team MINIMUM QUALIFICATIONS + 2+ years of experience in claims denials , rejections and appeals . + Excellent communication and customer service ... Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an… more
- Hackensack Meridian Health (Hackensack, NJ)
- …j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the...and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC.… more