- Johns Hopkins University (Middle River, MD)
- …edits reports, file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production ... for the basic collection of unpaid third-party claims and standard appeals , using various JHM applications and JHU/ PBS billing applications. Communicates… more
- The County of Los Angeles (Los Angeles, CA)
- …Accountant I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services ... Financial Specialist I Human Resources Trainee Intermediate Board Specialist Management Assistant Operation Assistant Personnel Assistant Senior Board … more
- Molina Healthcare (Salt Lake City, UT)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests ... strategy to provide quality and cost-effective member care. Candidates with UM and Appeals experience are highly preferred Work hours: Monday- Friday 8:00am - 5:00pm… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related ... Key responsibilities include timely investigation of DRG downgrades, submitting appeals , coordinating follow-up actions, and ensuring compliance with regulatory… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Globus Medical, Inc. (Collegeville, PA)
- …Summary** **:** Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the ... initial processing of received documentation through prior authorization, appeals support, detailed claims review, and hotline support. The Patient Access … more
- Clark County, NV (Las Vegas, NV)
- YOUTH & ADULT INTERVENTION SPECIALIST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5146174) Apply YOUTH & ADULT INTERVENTION ... SPECIALIST I/II Salary $32.77 - $52.32 Hourly Location Clark...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Thrive Proactive Health (Virginia Beach, VA)
- …Part time or Full-Time The Opportunity We are looking for a Medical Billing Specialist (ON SITE) in our office who is detail-oriented, motivated, and eager to grow. ... learning the ins and outs of insurance billing, denials, appeals , and patient financial support. This position is ideal...Admin RCM department: + Level 1 - Medical Billing Specialist (Entry): Learn systems, submit claims, post payments, follow… more
- University of Southern California (Alhambra, CA)
- …compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials' ... appeal. Performs all 1st and 2nd level coding-related denial appeals . All tasks & duties to be perform in...guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties:… more