- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- Trinity Health (Fort Wayne, IN)
- …Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and ... completes necessary forms, and submits authorization requests. Collaborates with Clinical Staff to ensure appropriateness of the prior authorization documentation… 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
- University of Washington (Seattle, WA)
- …Center - Kidney Clinic has** an outstanding opportunity for a **Patient Services Specialist 3.** **WORK SCHEDULE** + Full-time (100% FTE) + Day Shift + Mondays- ... clinic staff to rapidly address any outstanding denials or appeals + Document the steps in the process +...to the defined workflow + Ensure referrals have had clinical triage with RNs and MDs/APPs, to identify urgency… more
- State of Colorado (Pueblo, CO)
- Social Work/Counselor I- Benefits Specialist - CMHHIP Social Work Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5041418) Apply Social ... Work/Counselor I- Benefits Specialist - CMHHIP Social Work Salary $32.68 - $45.75...environmental resources, and support systems. This assessment generates a clinical summary and treatment recommendations that predictably affects treatment… more
- Illumination Foundation (Santa Ana, CA)
- …County and the Inland Empire. Job Description The CalAIM Senior Claims Specialist is responsible for ensuring accurate and compliant claim submission, payment ... once cleared. + Create, modify, or adjust claims as needed based on clinical documentation and payer requirements. + Documentation, Coding & Data Review + Review… 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
- Logan Health (Kalispell, MT)
- …Day Shift - Variable Hours | PRN Status The Medical Billing & Collections Specialist plays a vital role in ensuring the accuracy, completeness, and timeliness of ... identified via aging reports. + Review and process claim appeals and refund requests as needed. + Identify and...2+ years of experience in a business, medical, or clinical environment. + Proficiency in Electronic Medical Record (EMR)… more
- Robert Half Accountemps (Indianapolis, IN)
- …directly with payers to follow up on outstanding claims, submit technical and clinical appeals , resolve payment variances, and secure timely and accurate ... Description Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is… more
- UPMC (Pittsburgh, PA)
- …Department of Physical Medicine and Rehabilitation is hiring a full-time Senior Authorization Specialist to join their team! This position will be based out of the ... work is to conform. The expertise of the Authorization Specialist Senior shall include an in depth working knowledge...laws and regulations to determine medical necessity for the clinical appropriateness for a broad scope of services and… more