- North Carolina State University (Raleigh, NC)
- …UTS/UNC Partnership Location: Chapel Hill, NC Essential Job Duties: This Insurance Specialist position offers both dental and medical insurance services . The ... Insurance Specialist works in all areas of billing and reimbursement,...denied claims, following up on those investigations, and submitting appeals for those denied claims; + Verifying essential documentation… more
- J&J Family of Companies (Phoenix, AZ)
- …We are searching for the best talent for Neuroscience Area Business Specialist to cover the territory of Arizona. **About Neuroscience** Our expertise in ... of the way. Learn more at https://www.jnj.com/innovative-medicine **The** **Mood Area Business Specialist ** **will:** + Educate doctors and staff in new and existing… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH - Regional Administrative Campus Hours Per Week: 40 Schedule: ... 8am-4pm SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting...fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing: Submits and follows up on insurance claims;… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43088BR** **Extended Job Title:** Student Success Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** On behalf of Texas Tech ... related publications. + Serve as a member of the appeals committee and reviews cases for all TTUHSC El...Paso schools. + Serve as a senior file review specialist and processes quality assurance reviews. + Prepare and… more
- BrightSpring Health Services (Centennial, CO)
- …Providing service to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and classifies existing documentation and identifies ... documentation needed to respond effectively and efficiently. The PBM Payer Audit Specialist also performs quality assurance checks for all medical and PBM billing… more
- Office of Administration (Washington, DC)
- …Officer (OCAO), Employee Relations Branch. The incumbent serves as a journeyman specialist , performing the lead role for employee relations and the performance ... for assigned employee relation issues. Responsibilities As a Human Resources Specialist (Employee Relations), GS-0201-13, your typical work assignments may include… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …direction of the Manager of Contract Development, the Revenue Recovery Specialist provides analytical and operational support of the revenue recovery process. ... refund payment variances to and from appropriate payers. The Revenue Recovery Specialist is responsible for maintaining the integrity of the contract management… more
- Abbott (Plano, TX)
- …location in **Plano, TX** currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days a week position. Preferred ... hours 8am to 5pm. As a PTA Specialist you are responsible for facilitating and assisting Abbott...review department to obtain appropriate authorizations. + Assist with appeals processes as and when necessary. **Required** **Qualifications** +… more
- State of Colorado (Denver, CO)
- Vehicle Emissions Repair Specialist - EPS II - HYBRID Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5140735) Apply Vehicle Emissions Repair ... Specialist - EPS II - HYBRID Salary $76,104.00 -...and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information A… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate efficient… more