• Senior Denials Mgmt Specialist

    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
    Houston Methodist (10/29/25)
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  • Revenue Cycle Specialist I

    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
    Cedars-Sinai (12/11/25)
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  • Payment Recovery Specialist - QHS Payment…

    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
    Queen's Health System (12/09/25)
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  • Pre-Authorization Specialist 1

    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
    Rush University Medical Center (10/22/25)
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  • CDI Specialist III

    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
    Covenant Health Inc. (10/13/25)
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  • Medicare Specialist I

    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
    Southeast Health (11/05/25)
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  • Government/Non-Government Specialist

    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
    UNC Health Care (12/10/25)
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  • Admission Registration Specialist 1

    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
    Rush University Medical Center (12/10/25)
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  • Revenue Integrity Charge Specialist

    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
    Trinity Health (11/19/25)
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  • Patient Services Specialist Supervisor…

    UTMB Health (Galveston, TX)
    Patient Services Specialist Supervisor - Webster Psychiatry **Galveston, Texas, United States** **New** Clerical & Administrative Support UTMB Health Requisition # ... independent decisions in fast-paced situations. ⦁ Knowledge of healthcare billing , insurance verification, and authorization requirements. ⦁ Strong interpersonal… more
    UTMB Health (12/10/25)
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