- 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
- J&J Family of Companies (Jacksonville, FL)
- …We are searching for the best talent for Neuroscience Area Business Specialist to be in Jacksonville, FL. **About Neuroscience** Our expertise in Innovative ... 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
- Transdev (Chicago, IL)
- The ADA Eligibility Specialist is responsible for reviewing ADA paratransit application materials, supplemental intake and professional verification forms, ... to determine eligibility for ADA paratransit service. The ADA Eligibility Specialist is also responsible for maintaining accurate documentation and providing final… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- + GENERAL SUMMARY The Credentialing Specialist I reports to the Director of Professional Staff and is responsible for supporting departmental activities to ensure ... This individual may also be mentored by any Credentialing Specialist II within the department. Actively seeks to promote...process that complies with an organization's fair hearing and appeals policy as well as applicable legal and regulatory… more
- Alabama Oncology (Birmingham, AL)
- …Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving ... receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action,… more
- Kelly Services (Horsham, PA)
- **Patient Support Specialist ** We are seeking a compassionate and detail-oriented **Patient Support Specialist ** to join the MyCARVYKTI Call Center team. This ... Salesforce and Box. + Prioritize cases based on urgency and escalate appeals /exceptions to Gold/Navy Supervisors. + Collaborate with third-party vendors (Atlas and… more
- UTMB Health (Galveston, TX)
- Database Specialist (Administrative/Fund Raising) - Development Services **Galveston, Texas, United States** Clerical & Administrative Support UTMB Health ... direction of the Associate Director, Development Operations, the Database Specialist serves as a database expert and is r_**...bulk data processing and changes to Raiser's Edge for appeals , events, and gifts. + Provides staff and department… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for ... information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical providers, and third-party… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
- Fair Haven Community Health Care (New Haven, CT)
- …prides itself on efficient billing services including the filing of claims, appeals processing, authorizations, and, above all, a great passion for helping ... individuals obtain treatment. The Billing Specialist /Dental Authorization Coordinator works with the Billing and Dental department verifying benefits for patients… more