• Patient Advocate

    Amaze Health (Denver, CO)
    …+ Make insurance understandable: Explain insurance coverage and costs in everyday language. + Denials and appeals : Support patients through denials and ... appeals , managing paperwork and updates. + Referrals: Coordinate referrals and prior authorizations for smooth access to care. + Collaborate as a team: Offer empathetic support by phone, chat, or email, collaborating with teams to resolve patient issues. +… more
    Amaze Health (11/28/25)
    - Related Jobs
  • Claims Adjustor

    Robert Half Accountemps (Des Moines, IA)
    …billing and insurance claim documentation with precision. * Monitor and manage medical denials and appeals to resolve issues. * Support hospital billing ... of medical collections and workers' compensation processes. * Familiarity with medical denials and appeals procedures. * Experience in hospital billing and… more
    Robert Half Accountemps (11/21/25)
    - Related Jobs
  • Director Payer Audit - Revenue Cycle

    Henry Ford Health System (Detroit, MI)
    …role is responsible for overseeing pre- and post-payment audit processes, managing denials and appeals , and driving payer behavior change through data-driven ... for pre- and post-payment audit processes. This is more than managing denials -it's about driving payer behavior change, leveraging data to influence outcomes, and… more
    Henry Ford Health System (12/09/25)
    - Related Jobs
  • System Manager Revenue Cycle (Medicare Hospital…

    Houston Methodist (Katy, TX)
    …to: medical coding, insurance billing, collections, patient account resolution, appeals / denials , customer service, cash applications, revenue integrity, etc. ... but not limited to the following: accounts receivable days, cash collections, denials , avoidable write-offs, staff productivity and work quality and credit balances.… more
    Houston Methodist (11/12/25)
    - Related Jobs
  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …needed for workflow or identification of trends. Assists in preparing reports regarding denials to include volumes, number of appeals , case resolution, and ... a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all… more
    St. Luke's University Health Network (10/28/25)
    - Related Jobs
  • HIM Hospital ER Coding Analyst

    Intermountain Health (Topeka, KS)
    …for internal and external data reporting. + Monitors and responds to coding denials , appeals , and audits. + Maintains current knowledge of coding updates, ... changes, and trends through continuing education and professional development. **Skills** + ICD-10-CM & PCS + Electronic Health Record + Anatomy, physiology & pathophysiology + Accuracy + Detail oriented + Coding software + Interpersonal skills + Computer… more
    Intermountain Health (12/23/25)
    - Related Jobs
  • Patient Services Representative Breast Clinic

    Corewell Health (Grand Rapids, MI)
    …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... faxing and uploading to EPIC. + Assists with training new team members utilizing standard work. + Ability to perform the role of Patient Services Representative, Associate when necessary. + Actively participates in safety initiatives and risk mitigating… more
    Corewell Health (12/23/25)
    - Related Jobs
  • Supervisor, Patient Financial Services - Patient…

    Rady Children's Hospital San Diego (San Diego, CA)
    …Degree 2 years of experience - hospital billing, processing claim edits, denials , appeals and managing accounts receivable. Experience with Epic Resolute ... Hospital Billing or similar hospital billing systems. In lieu of Bachelor's: 5 years of experience in a lead/supervisory role OR 7+ years of progressive experience in revenue cycle accounts receivable for a large hospital or health system PREFERRED… more
    Rady Children's Hospital San Diego (12/19/25)
    - Related Jobs
  • Utilization Management - Nurse Manager

    Sanford Health (Rapid City, SD)
    …improvement, and interaction with payers. Additional duties include management of medical denials , appeals , and grievances. Understand and provide insight into ... evaluating current process improvement strategies including quality, methods, and ability to maintain focus on the continuous improvement of processes, products and services. Manage processes to support attainment of goals within department and organization.… more
    Sanford Health (12/17/25)
    - Related Jobs
  • Manager, Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …review functions utilizing InterQual and/or MCG screening guidelines, and clinical denials / appeals oversight. Participates in department and hospital performance ... improvement activities; Responsible for outcomes reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome focused family centered care management and services.… more
    Children's Mercy Kansas City (12/15/25)
    - Related Jobs