- Aston Carter (Lexington, KY)
- Job Title: Compliance Specialist - HYBRID OPPORTUNITY Job Description We are seeking a dedicated Compliance Specialist to join our team, supporting our client in ... Lexington, KY. This role involves meticulous handling of contract and billing details to ensure accuracy and compliance with established standards. Responsibilities… more
- Houston Methodist (Sugar Land, TX)
- …as needed. + Maintains knowledge of contracts, payor plans and benefits, billing / follow up procedures + Strong organizational and problem-solving skill as ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review...staff and customers, information on, and the need to follow , payor criteria for the use of medical resources… more
- Cedars-Sinai (Los Angeles, CA)
- …business, or health insurance preferred. + A minimum of 1 year of hospital or professional billing and/or collections experience required. + Medicare/managed ... environment that fuels innovation. **Req ID** : 8627 **Working Title** : Revenue Cycle Specialist I **Department** : CSRC HB Follow Up **Business Entity** :… more
- Queen's Health System (Honolulu, HI)
- …Experience with Windows applications, such as Word, Excel, etc. * Experience with hospital accounts receivable and hospital billing systems. Equal ... * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and denial issues. * Writes and submits appeals to payors on denied accounts. * Audits payments to ensure QMC has received contracted payment in… more
- Rush University Medical Center (Chicago, IL)
- …Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital : Rush University Medical Center Department: Patient Access-Pre-Visit **Work ... on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist , Clinical Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as a liaison between the physicians and... serves as a liaison between the physicians and hospital departments to promote consistency and efficiency in documentation… more
- Southeast Health (Dothan, AL)
- …coverages and billing requirements; + Reviews correspondence daily for appropriate follow up; + Able to read and understand explanation of benefit files; + ... Performs daily activities involved in the reimbursement process, ie claims filing/ follow -up, entry of payments/adjustments, and follow -up on non-payment or… more
- UNC Health Care (Goldsboro, NC)
- …in Hospital or Physician Insurance related activities (Authorization, Billing , Follow -Up, Call-Center, or Collections). Knowledge, Skills and Abilities ... **Description** Summary: The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance accounts to an… more
- Rush University Medical Center (Oak Park, IL)
- **Job Description** Location: Oak Park, Illinois Business Unit: Rush Oak Park Hospital : Rush Oak Park Hospital Department: Patient Registration **Work Type:** ... depending on the circumstances of each case. **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of… more
- Trinity Health (Livonia, MI)
- …career progression)** Performs activities that relate to charge monitoring & follow -up. Conducts set-up & maintenance of the Charge Description Master (CDM) ... and compliance with state and federal guidelines reating to charge capture and billing of services. Works with Information Systems & other departments to ensure that… more