• Home Care Quality Assurance Regulatory…

    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
    Catholic Health Services (02/13/25)
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  • Billing/Insurance Collections Specialist

    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
    CAIPA MSO LLC (01/10/25)
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  • Physician Utilization Review Specialist Per…

    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
    Hackensack Meridian Health (02/16/25)
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  • Insurance Authorization Specialist - Temp

    FlexStaff (Port Jefferson Station, NY)
    **Req Number** 153687 Insurance Authorization Specialist Port Jefferson Station, NY Schedule: Monday - Friday, 8am to 4pm Temp FlexStaff is seeking a full-time ... Insurance Authorization Specialist for our client, a neurology practice in Suffolk...authorization issues or discrepancies that arise. + Regularly update clinical staff on the status of pre-authorizations and document… more
    FlexStaff (03/19/25)
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