• Utilization Management Specialist

    FLACRA (Clifton Springs, NY)
    Utilization Management Specialist FLACRA Clifton Springs, NY (Onsite) Full-Time $16.50 - $17.50/Hour Apply Now ... (https://flacra.jobs.net/apply/jqn6gn6t2h294xv9ngh?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title:Utilization Management Specialist Location:Finger Lakes Region, NY Employment Type:Full-Time Job Summary:… more
    FLACRA (12/19/25)
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  • UTS- Temporary Insurance Specialist at UNC…

    North Carolina State University (Raleigh, NC)
    …UTS/UNC Partnership Location: Chapel Hill, NC Essential Job Duties: This Insurance Specialist position offers both dental and medical insurance services . The ... Insurance Specialist works in all areas of billing and reimbursement,...estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, such as x-rays,… more
    North Carolina State University (11/22/25)
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  • Patient Therapy Access Specialist

    Abbott (Plano, TX)
    …location in **Plano, TX** currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days a week position. Preferred ... hours 8am to 5pm. As a PTA Specialist you are responsible for facilitating and assisting Abbott...for requested authorizations. + For each procedure, audit required clinical documents for completeness and accuracy. + Obtain authorization… more
    Abbott (11/18/25)
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  • AR Billing Specialist

    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
    Dignity Health (01/07/26)
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  • Insurance Verification Specialist - EMS

    Hartford HealthCare (Meriden, CT)
    …Flexible Scheduling * Rewarding Compensation * 401K with company match * Clinical specialty opportunities *_About our EMS Network:_* Hunter's Ambulance Service is a ... medical services in Connecticut. *_Your Role:_* In person, the EMS Billing Specialist will perform administrative work by ensuring accurate billing of ambulance… more
    Hartford HealthCare (01/06/26)
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  • Prior Authorization Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    **43332BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... residents and staff. + Assist in the preparation and submission of appeals for denied authorizations, including but not limited to providing additional information… more
    Texas Tech University Health Sciences Center - El Paso (12/20/25)
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  • Credentialing Specialist I - Professional…

    Childrens Hospital of The King's Daughters (Norfolk, VA)
    + GENERAL SUMMARY The Credentialing Specialist I reports to the Director of Professional Staff and is responsible for supporting departmental activities to ensure ... of the facility. This individual may also be mentored by any Credentialing Specialist II within the department. Actively seeks to promote and maintain, through… more
    Childrens Hospital of The King's Daughters (11/08/25)
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  • Coding Integrity Specialist - Professional…

    Huron Consulting Group (Chicago, IL)
    …Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new ... partnerships, clinical services and technology is not enough to create...create your future. Job Description Summary The Coding Integrity Specialist will be responsible for executing a variety of… more
    Huron Consulting Group (12/09/25)
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  • Medical Appeal & Coding Specialist

    University of Utah (Salt Lake City, UT)
    …PRN43924B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA ... candidate will exemplify. **Job Summary:** Analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.… more
    University of Utah (01/07/26)
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  • Fund Control Specialist

    Wellpath (Franklin, TN)
    …month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and ... unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care...support. **How you make a difference** The Fund Control Specialist performs pre- and post-payment audits of external claims;… more
    Wellpath (01/07/26)
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