- Baptist Memorial (Memphis, TN)
- Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational ... processing including federal and state regulations and guidelines. The Quality Assurance Specialist will be...+ Employee referral program Job Summary: Position: 19873 - Supervisor- Quality Assurance Denial Escalation Facility:… more
- New York State Civil Service (Albany, NY)
- …or corporate officials, or individuals; policy analysis and research; surveillance; quality assurance that included evaluating whether projects met/are meeting ... NY HELP Yes Agency Office of Cannabis Management Title Program Specialist 1 Cannabis (NY HELPS) - VID 172994 Occupational Category Other Professional Careers Salary… more
- Integra Partners (Troy, MI)
- …compliance knowledge training. + Oversees all lesson plans for each application by ensuring quality assurance checks are in place and that training captures both ... Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal...key processes to use feedback from training assessments, the quality assurance team and leaders to design… more
- Zantech (MD)
- …impact. + Resolve complex problems using technical knowledge. + Complete software assurance evaluations and make approval/ denial decisions based on residual ... join our team! Zantech is looking for a talented Classified Senior Cybersecurity Specialist to provide the Cyber Security Office with support and technical guidance… more
- Health First (Rockledge, FL)
- …understanding insurance payments, denials and correspondences. * Maintain established quality assurance and productivity benchmarks while utilizing best ... *POSITION SUMMARY* The Revenue Cycle Specialist will be responsible for the review, analyzation,...correspondences to include explanation of benefits, remittance advices and denial letters. * Advanced understanding and ability to navigate… more
- LA Care Health Plan (Los Angeles, CA)
- …verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …processes; identify retraining opportunities, and participate in clinic and quality assurance meetings. Minimum Qualifications: Associate's degree and ... Job Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for… more
- Scripps Health (San Diego, CA)
- …coding and CDI performance indicators and metrics. . Develops and oversees a comprehensive quality assurance and productivity program for coding and CDI staff. . ... responsible for hospital and professional fee coding and CDI, ensuring quality documentation and clinical consistency. This individual position is responsible for… more
- Ascension Health (Baltimore, MD)
- …Formulation, Stakeholder Engagement and Community Outreach, Data Management and Reporting, Quality Assurance and Compliance** **Benefits** Paid time off (PTO) ... limited to: Access Authorization and pre-certification, utilization review and denial management, CareCoordination, Collaborative treatment planning and core measures,… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …continuing education programs, and conducts annual continuing education audits. Assists in quality assurance review activities. Assists in the preparation and ... For further information about this vacancy contact: YaVonya Kelley, Human Resources Specialist PO Box 94095 Baton Rouge, LA 70804-9095 ###@OFI.LA.GOV ### Minimum… more