- 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
- 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
- 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
- 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
- J&J Family of Companies (Cherry Hill, NJ)
- …**Job Description:** We are searching for the best talent for Senior Area Business Specialist to be in South New Jersey. Territory includes: Cherry Hill, Toms River, ... of the way. Learn more at https://www.jnj.com/innovative-medicine As the Area Business Specialist (ABS), you will: + Ensure appropriate identified new and existing… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Benefits and Prescription Access Specialist (Human Service Worker II) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5178232) Apply ... Benefits and Prescription Access Specialist (Human Service Worker II) Salary $54,330.43 - $90,550.51...given for qualified bi-lingual employees. + The CSB provides clinical supervision for employees who are registered as licensed… more
- Tidelands Health (WV)
- …and help people live better lives through better health!** **Medical Coder/Coding Specialist II** Are you passionate about quality and committed to excellence? ... as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as...industry standard clean claim rate. May assistant with writing appeals letters. Assist with training to include team members… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates...programs + Provides administrative support to the grievance and appeals process within the + Medical Services department Level… more
- Dignity Health (Phoenix, AZ)
- …healthcare claim environment. (Includes health plan physician claims/ reimbursement/ appeals experience). + AHCCCS/ Medicare/government Commercial payer experience. ... medical healthcare claim environment. (Includes health plan physician claims/reimbursement/ appeals experience.) + College level business courses helpful. + Two… more