- Sanford Health (Sioux Falls, SD)
- …Full time **Weekly Hours:** 40.00 **Salary Range:** $21.50 - $34.50 **Department Details** Senior Appeals specialist focus is pharmacy pre service denials and ... Falls, SD or Remote option . **Job Summary** Facilitates Pharmacy pre service Denial / Appeal process through exercising clinical expertise and clinical by… more
- Intermountain Health (Salt Lake City, UT)
- **Job Description:** The goal of the Clinical Documentation Specialist - Senior is to act as a leader, applying specialized depth and breadth of expertise and ... group between physician and coding staff. This position will include denial work and appeal writing. **Minimum Qualifications** Bachelor's degree… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position will collaborate with physicians,… more
- Department of State - Agency Wide (Washington, DC)
- …of State records that are either the subject of litigation or administrative appeal of denial of information. Responsibilities Coordinates complex and difficult ... cases that are the subject of litigation against the Department or administrative appeal for denial of information. Analyzes and evaluates requests, performs… 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 ... protocols, policies and strategies within the department I. Partners with Senior Leadership and other stakeholders to achieve strategic objectives through successful… more
- General Dynamics Information Technology (Washington, DC)
- …and initiating staffing for approval. + Coordinating access approval or denial process with appropriate access approval authority. + Preparing documentation to ... notify appropriate personnel of access approval or denial . + Conducting program debriefings and processing of relevant documentation (eg, SAP nondisclosure… more
- General Dynamics Information Technology (Washington, DC)
- …and initiating staffing for approval. . Coordinating access approval or denial process with appropriate access approval authority. . Preparing documentation to ... notify appropriate personnel of access approval or denial . . Providing advice to the Program Security relating...issues, including the procedures to be followed in the appeal processes. . Providing proper protection for privacy information.… more