- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42204BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... residents and staff. + Assist in the preparation and submission of appeals for denied authorizations, including but not limited to providing additional information… 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
- 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
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The Senior ... Billing Specialist is responsible for multiple components of the billing...and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a timely basis.… more
- Robert Half Office Team (Palm Springs, CA)
- Description We are looking for a meticulous Credentialing Specialist to join our team in Palm Springs, California, for a long-term contract position. In this role, ... and regulatory agencies to facilitate clear communication. * Handle renewals and appeals related to credentialing errors or provider denials in accordance with state… more
- Axis (Alpharetta, GA)
- …request for candidates taking part in the selection process. **Senior Claims Specialist - Management Liability (Hybrid)** **About AXIS** This is your opportunity to ... and environmental causes **Job Description** AXIS is seeking a **_Senior Claims Specialist - Management Liability_** to join our North America Claims team. The… more
- Methodist Health System (Dallas, TX)
- …**Your Job:** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in ... claims, denied claims, and correspondence. As an AR II Specialist , you will play a crucial role in optimizing...actions based on correspondence received, such as claim corrections, appeals , or adjustments. - Conduct thorough follow-up on aging… 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
- 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
- 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