- Christus Health (Tyler, TX)
- …needed Master INFOR modules appropriately (according to assignment) including Par Specialist , Purchasing Receiver, Inventory Management , Warehouse Clerk, and ... associates including training on ERP systems. Responsible for supporting and enhancing department processes by providing excellent service as well as support on… more
- San Diego Housing Commission (San Diego, CA)
- …units in service in the City today with SDHC's participation. About the Department : San Diego Housing Commission (SDHC) partners with nonprofit agencies and private ... created by government entities for the same purpose. SDHC's Compliance Monitoring Department ("CMD") monitors compliance with the affordability terms that apply to… more
- BronxCare Health System (Bronx, NY)
- …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... participates in the Performance/Quality Improvement activities of the assigned department . Contribution and participation includes data collection, analysis, implementation… more
- UHS (Vestal, NY)
- Position OverviewThe Professional Billing Coding Charge & Denial Outpatient Denial Specialist is responsible for coordinating and monitoring the coding ... specific clinical charges and denial management in a collaborative environment with...exposure caused by front end claim edits and retrospective denial of payment for services provided. Primary Department… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Denial Specialist is responsible for reviewing, analyzing and appealing denials ... follow-up actions and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future...Medical Staff teams to ensure a unified approach to denial management and appeals. . Serve as… more
- BronxCare Health System (Bronx, NY)
- …Position Type Regular Full-Time Division Bronxcare Hospital Center - Concourse Shift Day Shift Department : Name Patient Financial Services (BHCS) ... Job LocationsUS-NY-Bronx ID2025-5671 Category Administrative/Clerical… more
- Hartford HealthCare (Farmington, CT)
- …standards that are tracked and monitored. Support and perform high level AR & Denial Specialist tasks to improve operations and problem solve by developing ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing ... follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future...Medical Staff teams to ensure a unified approach to denial management and appeals. . Serve as… more
- Beth Israel Lahey Health (Charlestown, MA)
- …of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing and ... to have claims reprocessed/adjudicated * Informs and/or transfers to management of any problem accounts and or denial... management of any problem accounts and or denial trends that require escalation within 2 days of… more
- University of Southern California (Alhambra, CA)
- …state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related ... OP healthcare services provided to covered patients. Manages the denial management process for coding-related denials, triage...provide guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated… 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 ... and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** +… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital ... necessary documentation needed to have claims reprocessed/adjudicated * Informs and/or transfers to management of any problem accounts and or denial trends that… more
- Houston Methodist (Sugar Land, TX)
- …and/or as needed, report to management and, as appropriate, the finance department . Makes recommendations at denial management meetings on processes, ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...for performing utilization review activities, and monitoring the clinical denial management and appeals process, as applicable,… more
- Fairview Health Services (St. Paul, MN)
- … reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report… more
- Guthrie (Sayre, PA)
- The Guthrie Clinic's Corporate Patient Accounts Receivable Management department is seeking a detail-oriented and motivated Insurance Specialist I to join ... resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... Location Los Angeles County, CA Job Type Full time Job Number W7200K Department INTERNAL SERVICES Opening Date 01/03/2024 + Description + Benefits + Questions… more
- Penn Medicine (East Petersburg, PA)
- …shape our future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am (8 hour ... appropriate documentation. + Ensures that all activities related to denials management functions meet department requirements, maximize revenue collection, and… more
- Henry Ford Health System (Detroit, MI)
- …procedures, and guidelines related to pharmaceutical coding, billing, pricing, charging, denial management , and collections to ensure compliant and optimized ... Services Center - Detroit Schedule: Full Time The Pharmacy Specialist is a pharmacist who, by virtue of knowledge...Health's Clinical Delivery System as part of our Medication Management program. + Financial Stewardship & Compliance: Develop and… more
- Defense Logistics Agency (Hill AFB, UT)
- …the management of multi-functional teams of inventory and logistics management specialist often crossing organizational lines. Oversees studies and special ... of Employment Qualifications To qualify for a Supervisory Inventory Management Specialist , your resume and supporting documentation...Military retirees seeking to enter federal service in the Department of Defense now require a waiver if they… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Integrated Case Management Specialist ** performs selected services and functions related to insurance ... support of the Care Coordinators. Prepares required Appeals and Denial information for processing and follows up on receipt...Oversees the sorting and distribution of mail in the department . Answers case management and social work… more
