- UPMC (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The ... authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through… more
- MyFlorida (Fleming Island, FL)
- ENVIRONMENTAL SPECIALIST III - 64067067 Date: Oct 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 863418 Agency: Department of Health Working Title: ENVIRONMENTAL SPECIALIST III - 64067067 Pay Plan: Career Service Position Number: 64067067… more
- AmeriHealth Caritas (Philadelphia, PA)
- …us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home ... under the Community Health Choices (CHC) Program. The Home Modification Specialist evaluates Participant needs for home accessibility/modification and the existing… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals ... plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology,… more
- Dana-Farber Cancer Institute (Boston, MA)
- …verifying benefits, obtaining health plan authorizations for inpatient admissions, and denial management. In addition, the Inpatient Authorization Specialist is ... **Hybrid schedule: 2 weeks remote and 1 week onsite at Longwood Medical Center.** The...week onsite at Longwood Medical Center.** The Inpatient Authorization Specialist reports to and receives direction from the Access… more
- Guthrie (Sayre, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... a high volume and fast paced environment. Essential Functions: 1 . Works pre‐AR edits, paper claims, reports and work...payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist… more
- MyFlorida (Tallahassee, FL)
- Adoption & Post-Permanency Wellbeing Manager Operations Review Specialist Date: Oct 30, 2025 The State Personnel System is an E-Verify employer. For more information ... and Families Working Title: Adoption & Post-Permanency Wellbeing Manager Operations Review Specialist Pay Plan: SES Position Number: 60073871 Salary: 82, 000- 87,000… more
- UPMC (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you will ... authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through… more
- MyFlorida (Jacksonville, FL)
- ENVIRONMENTAL SPECIALIST III - 64001029 Date: Oct 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 863468 Agency: Department of Health Working Title: ENVIRONMENTAL SPECIALIST III - 64001029 Pay Plan: Career Service Position Number: 64001029… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... of appeals process to assist Appeals Nurse and Enter Denial information in Allscripts + Meets time frame for...high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and… more