- Genesis Healthcare (Seven Fields, PA)
- …appeal letters supporting the claim and reimbursement. Performs all appeals and denials recovery procedures needed to appropriately and accurately resolve denied ... expertise with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up… 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
- 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. The Patient Access Specialist (PAS)meets with patients entering our programs to collect...a Full-Timebasis out of ourMeadowsProgram. Pay: $20.19 - $22.43 per hour. In addition to our comprehensive benefits package,… more
- Spokane County (Spokane, WA)
- …+ Benefits + Questions Job Summary This position works 37.5 hours per week. The position allocated to this classification performs professional and/or administrative ... determination. + Consults with the Medical Director for any service authorization denials . + Determines financial eligibility which involves utilizing the State of… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …to the accuracy of the facility database as well as all cost recovery programs. Expertly searches the patient health record to find documentation justifying code ... 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