- Whidbey General Hospital (Oak Harbor, WA)
- …and audits. + Inputs statistically numbers in online reports. + Prepares insurance appeals and follows up as required. + Processes technical denials. + Maintains the ... setting strongly preferred. Certificates, Licenses, Registrations Certified Revenue Cycle Specialist (CRCS) certification preferred; Certified Healthcare Access Associate (CHAA)… more
- The Cigna Group (Arlington, VA)
- …others achieve the best outcome? We are looking for a dedicated onsite specialist to provide exemplary customer and client service of our Cigna products, benefits, ... the employees. Including but not limited to complex claims, authorizations, denials, appeals , incentive issues, etc. + You will provide education and guidance around… more
- State of Colorado (Colorado Springs, CO)
- …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Please ... the selection process and will be reviewed by a qualified Human Resources Specialist to determine if applicants meet the minimum qualifications for this position.… more
- Cedars-Sinai (Beverly Hills, CA)
- …Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate policy. + Begins ... + Coordinates discharge planning and alternative treatment plans with PCP/hospitalist/ specialist as appropriate. + Coordinates the patient's care with other… more
- Children's Clinics (Tucson, AZ)
- …philanthropic support + Collaborate with the Development and Communications Specialist to produce compelling donor-facing communications, case statements, campaign ... reports + Direct the annual fund strategy and oversee execution, including appeals , donor segmentation, acknowledgments, and donor retention activities + Guide the… more
- MyFlorida (Largo, FL)
- …Tool (https://compcalculator.myflorida.com/) ACCOUNTANT III - HEALTH INSURANCE BILLING SPECIALIST FLORIDA DEPARTMENT OF VETERANS' AFFAIRS Agency Headquarters, Mary ... needed. + File all inquiries including but not limited to reconsiderations, appeals , patient liability amounts, eligibility, and clerical re-openings. + Monitor all… more
- BrightSpring Health Services (Englewood, CO)
- …goals for cash collections, credit balances, medical records, correspondence, appeals /disputes, accounts receivable over 90 days, and other departmental goals ... purposes + Serves as primary back up for the RCM Administrative Services Specialist in times of absence Qualifications + High School diploma/GED or equivalent… more
- Molina Healthcare (Los Angeles, CA)
- …thought process is important to be successful in this role. Experience with Appeals , Auditing, and Compliance /Quality will be a good fit for this position. ... of practice. * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management… more
- City of New York (New York, NY)
- …and wellness of students. - Complete Accommodation Reviews and appeals (Home Instruction, Transportation/Medical Exception, Diabetes Medication Administration Form ... Office of Equal Employment Opportunity, at ###@health.nyc.gov or ###. CITY MEDICAL SPECIALIST (PART- - 53040 Qualifications Possession of a valid license to practice… more
- Community Health Systems (Franklin, TN)
- …and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital staff, and clinical ... and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist . + Monitors and updates case management software with documentation of… more