- HCA Healthcare (San Antonio, TX)
- …local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all ... to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million… more
- US Tech Solutions (May, OK)
- …with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). + Identify and elevate clinical inquiries to the ... **Job Description:** The Rep I, Clinical Services takes in-bound calls from providers, pharmacies,...resolve coverage requests. Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. Must… more
- BriteLife Recovery (Englewood, NJ)
- …clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical providers, and ... 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… more
- Trinity Health (Syracuse, NY)
- …denial coordination with Patient Business Service (PBS) centers; including analysis of clinical documentation, assist in appeals as needed, root cause analysis ... brothers. **VISION:** To be world-renowned for passionate patient care and outstanding clinical outcomes. **CORE VALUES:** In the spirit of good _Stewardship,_ we… more
- Tufts Medicine (Tyngsboro, MA)
- …or a role that focuses on support of daily business activities (eg, technical, clinical , non- clinical ) operating in a "hands on" environment. The majority of ... the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Junior Medical Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... up on unpaid claims + Prepare and submit out appeals on claims that require additional review or reconsideration...services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and ... to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit...services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by… more
- Trinity Health (Syracuse, NY)
- …denial coordination with Patient Business Service (PBS) centers; including analysis of clinical documentation, assist in appeals as needed, root cause analysis ... including but not limited to, appending modifiers and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including… more
- Montrose Memorial Hospital (Montrose, CO)
- … clinical documentation for medical necessity requirements, utilizing available clinical resources for documentation improvement, and facilitating appeals for ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health… more
- Omaha Children's Hospital (Omaha, NE)
- …coverage, obtaining prior authorizations, and managing denials by collaborating with clinical , administrative, and financial teams. The Authorization Specialist ... make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely and appropriate… more