- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality control...for correct level of care, inquires on prior auth denials and works with the Provider's office to resolve,… more
- Guidehouse (St. Paul, MN)
- …to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials . **This position is 100% remote** .Daily duties for this position include: + ... edits + Other claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10,… more
- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... validation, and documentation review. This role collaborates with revenue cycle teams, clinical departments, and external payers to ensure claims are submitted in… more
- UCLA Health (Los Angeles, CA)
- …tracking cases and maintaining updated records in various systems + Review claim denials for clinical issues, prepare appeals, and manage each case's resolution ... to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you will: + Facilitate responses to regulatory audits related to billing, coding,… more
- UPMC (Pittsburgh, PA)
- …Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital of ... the highest level of care to patients and families through clinical expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior… more
- Northern Light Health (Presque Isle, ME)
- …timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to assure that every patient receives the definitive care ... that they need. A major role of the Referral Specialist is to communicate progress of referrals to patients, families, and referring providers. Key characteristics… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** As a member of the Business Office, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit… more
- US Physical Therapy (Bend, OR)
- **Company Description** **Job Description** The Insurance Verification & Authorization Specialist plays a vital role in ensuring that patient services are accurately ... basic insurance issues and escalate complex cases to the Senior Insurance Specialist or Manager. + Communicate authorization and insurance status clearly and… more
- Johns Hopkins University (Middle River, MD)
- We are seeking a _Coding Specialist III_ who will be responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation ... guidelines. Works closely with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of… more
- Bon Secours Mercy Health (Greenville, SC)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **_Intro paragraph_** As a faith-based and ... associates want to work and help communities thrive. **Referral & Insurance Specialist ** **_- Piedmont Orthopaedic_** **Job Summary:** The Referral and Insurance … more