- HonorHealth (AZ)
- …Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the ... Performs medical record reviews, as required by payer. Interfaces with Care Management team to provide information regarding quality outcome measurements (such as… more
- LifePoint Health (Marquette, MI)
- …procedures, objectives, performance improvement program, safety, environment of care, management of information, and infection control standards.* *Review and ... and maintenance of department reports. Prepares periodic reports for senior management , as delegated by the director.* *Works closely with clinical staff,… more
- Novant Health (NC)
- Job Summary Why This Role Matters As a Coding Audit Response Specialist , you will have the ability to be an educational resource to a dynamic team of coders, while ... including barriers and successes, accurate and timely processing of account details, denials , and be able to capture and communicate information. + Collaborate with… more
- Fairview Health Services (Minneapolis, MN)
- …flexibility to help clients across different timezones. The Intake Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... to pharmacy services. This role will provide services for management of Fairview Homes Infusion as well as external...follows up on pending unresolved coverage issues and claim denials and documents and communicates to appropriate providers and… more
- LogixHealth (Dania Beach, FL)
- …NH, OH, OK, TN, TX, WI, WV This Role: As a Provider Enrollment Specialist at LogixHealth, you will perform all provider enrollment related procedures for physicians ... email as needed + Collaborate with Account Managers to resolve provider denials + Update/Maintain Provider Enrollment Credentialing System + Attends conference calls… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and ... communication, and experience in third-party billing. Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement + Analyze A/R… more
- Dartmouth Health (Lebanon, NH)
- Overview Clinical Documentation Specialist 40 hours per week, remote Facilitates improvement in the overall quality, completeness and accuracy of medical record ... Utilizes nursing and clinical knowledge to respond to payors concerning clinical denials , as assigned * Provides clinical documentation expertise to assist in… more
- Insight Global (Camden, NJ)
- Job Description Insight Global is looking for a Credit/Balance Specialist to join one of our healthcare clients teams in Camden, NJ. The ideal candidate will have ... will also upload patient medical records using revenue cycle management tools (NaviNet, Pear, and Availity.) They must feel...to detail (Working within 2-3 work ques, completing 50 claims/ denials per day). We are a company committed to… more
- TEKsystems (West Des Moines, IA)
- …in Iowa, Quad Cities, and Wisconsin The Insurance Billing and Follow Up Specialist II will be responsible for performing all billing and follow-up functions, ... required Verify eligibility and claims status on unpaid claims Review payment denials and discrepancies and take appropriate action to correct the accounts/claims… more
- Helio Health Inc. (Gloversville, NY)
- …health disorders, and other behavioral healthcare issues. The Patient Access Specialist (PAS)meets with patients entering our programs to collect necessary data ... follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid...of Medicaid billing for the Manager of Revenue Cycle Management and Medical Records. + Maintain an orderly flow… more