- 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
- 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 ... in its Utilization Review (UR) Department as Senior Utilization Review Physician Specialist . Prior clinical experience and an understanding of general UR processes… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …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
- Select Medical (Peoria, AZ)
- …with Select Medical & Banner Health Phoenix, Arionza **Payor Relations Specialist ** **Remote position** **Schedule is Monday through Friday plus weekend rotation ... 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. 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
- Bon Secours Mercy Health (Toledo, OH)
- …billing questions, assisting patients with financial assistance and providing service recovery as needed. Process patients statements monthly per policy. ... are recognized for clinical and operational excellence. The Accounts Receivable Specialist is responsible for implementation and coordination of fiscal transactions… 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