- State of Colorado (Denver, CO)
- ECMC Senior Oil & Gas Location Assessment Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4801372) Apply ECMC Senior Oil & ... the time of submitting your application. Position Summary: The Senior LA Specialist will continue to identify...the OGDP application should be recommended for approval or denial , and communicate that suggested decision to the Director… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a difference in people's lives.** Under oversight of the Department Manager, the Senior Specialist Patient Financial Services - Hospital Billing will be ... of senior level Accounts Receivable tasks. The Senior Specialist will be responsible for the...System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues . Investigate and resolve… 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
- 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
- Community Health Systems (Franklin, TN)
- …in the department. + Works with clinics to resolve denials from the clinic denial logs. + Requests additional medical records as needed to clarify missing or ... detected through auditing and monitoring to the department supervisor and the Senior Director of Physician Coding and Documentation. + Ensures assigned projects are… 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
- Ascension Health (Baltimore, MD)
- …to: Access Authorization and pre-certification, utilization review and denial management, CareCoordination, Collaborative treatment planning and core measures, ... planning, and length of stay. + Serve as content specialist for staff in the areas of utilization criteria,... for staff in the areas of utilization criteria, appeal and review process, and case management system documentation.… more