- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Integrated Case Management Specialist ** performs selected services and functions related to insurance management with ... communications and support of the Care Coordinators. Prepares required Appeals and Denial information for processing and follows up...systems, ie: EPIC, INDICIA. + Educated in the unique clinical and discharge needs of the patients. + Strong… more
- Seattle Children's (Seattle, WA)
- …materials and standard procedures. Communicate coding and billing updates to clinical leaders and providers. Build and maintain strong relationships with stakeholder ... ensure coding and documentation compliance. **Required Credentials** Certified Coding Specialist -Physician Based (CCS-P) certification by the American Health Information… more
- Robert Half Accountemps (Rochester, NY)
- Description Ensure full reimbursement is received for clinical services rendered including detail oriented, long-term/home care and hospital care, by effectively and ... phone calls to the payer. Submit corrected claims and appeals . Process account adjustments and refunds as needed according...keep policies and procedures up to date with new clinical programs and payer policy changes. Acquire and maintain… more
- Geisinger (Danville, PA)
- …resource working collaboratively with a diverse group, including management, physicians, clinical and non- clinical personnel utilizing the national correct ... of prospective claim edits and partnerships. + Determines payment compliance with clinical and reimbursement policies. + Researches CPT codes to clarify coding… more
- City and County of San Francisco (San Francisco, CA)
- …limited to experience: + Working with vulnerable patient populations + Supervising clinical and administrative professionals + Improving clinical quality + ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- University of Rochester (Rochester, NY)
- …and administrative duties in a fast-paced environment in support of clinical , educational, and academic programs. Responsible for all clinic preparations, including ... preferences. Chooses and recommends among competing demands. - Examines the clinical schedule(s) on a continuous basis to identify opportunities for optimizing… more
- Logan Health (Kalispell, MT)
- …Specific Duties: + Audits patient account documentation and provider related clinical documentation for insurance billing per department protocol. + Assists billing ... office with appeals , re-determinations and other billing issues related to patient accounts. + Monitors reimbursements and allowables related to insurance claims to… more
- MetLife (Aurora, IL)
- …with both external and internal resources, such as physicians, attorneys, clinical /vocational consultants as needed to gather data such as medical/occupational ... and thorough manner. Identifies and refers appropriate matters to our appeals , complaint, or litigation support areas. Essential Business Experience and Technical… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …with IP denials. Analyzes information, assigns follow-up responsibility. Works with clinical areas to decrease denials by coordinating monthly meetings with ... discuss trends, opportunities, etc. Assists Revenue Integrity Coordinator with denials appeals . Close out each tracked denial (overturned or recouped). Overall works… more
- State of Colorado (Denver, CO)
- Social Work III - Clinical Services Fort Logan Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167030) Apply Social Work III - Clinical ... interventions and comprehensive aftercare plans with placement. Services include clinical assessment, treatment planning, individual therapy, group therapy, family… more