- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …to provide high level administrative support to the veterans, upper management, clinical services, and other stakeholders. Will also provide leadership and direction ... travel regulations. Provides policy and guidance to veterans, family members, VSO's, and appeals officers when the veteran wishes to appeal a decision of their… more
- St. Luke's Health System (Boise, ID)
- …is truly a great place to work. **Overview:** The Pharmacy Benefits Specialist assists our members in identifying and navigating complex pharmacy benefits management ... of all new pharmacy benefits team members. + Review the supporting clinical documentation provided by a patient's prescriber and validate that information against… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental rules. + Resolves… more
- Mindful Support Services (Goodyear, AZ)
- …both personally and professionally. About the role: The Insurance Follow-Up Specialist is responsible for reviewing rejected claims, posting insurance payments, and ... calls and portal navigation + Claims reprocessing requests, corrected claims, and appeals + Navigating many commercial insurances such as Blue Cross/Blue Shield,… more
- University of Utah Health (Salt Lake City, UT)
- …+ Resolves clinical and/or authorization denials through CARC analysis and appeals - including clinical documentation review and coordination with UR and/or ... **Employment Type** _Full-Time_ **Shift** _Day_ **Work Schedule** _Monday-Friday, 8am-4:30pm_ ** Clinical /Non- Clinical Status** _Non-Clinical_ **Location Name** _Business Services… more
- Intermountain Health (Montgomery, AL)
- …provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ... of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more
- Option Care Health (Little Rock, AR)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Assists with Billing and Collection Training and completes "second level" appeals to payers. **Job Description:** **Job Responsibilities:** + Submits timely,… more
- Trinity Health (Hartford, CT)
- …of occupational medicine clinic patient charges. Communicates effectively with clinical operations and administrative personnel concerning the transmission of ... medical chart documentation for the purposes of bill resubmissions and appeals . Analyzes EOB's (Explanation of Benefits) from payers to determine the accuracy of… 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
- 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