- University of Utah (Salt Lake City, UT)
- …PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA ... + Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of...Systems at ### or ### or University Human Resource Management at ### if you have questions regarding the… more
- Aveanna Healthcare (Chandler, AZ)
- Medical Insurance Collections Specialist (REMOTE) ApplyRefer a FriendBack Job Details Requisition #: 209124 Location: Chandler, AZ 85286 Category: Medical ... Accountability, Trust, Innovation, Compliance, and Fun. Position Overview The Collections Specialist is responsible for following up with invoices that have been… more
- WellSpan Health (Chambersburg, PA)
- …identification and investigation of issues related to precertification, reimbursement, denials , insurance availability, etc., and promptly notifies physician. + ... and accurately documents actions/communication surrounding discharge planning and/or utilization management in the medical record. + (BHU Only) Incorporates recovery… more
- WestCare Foundation (Fresno, CA)
- …data for services provided under CalAIM, including DMC-ODS, Enhanced Care Management (ECM), and Community Supports. This position ensures claims are submitted ... Plans (MCPs) in accordance with all DHCS, payer, and organizational guidelines. The specialist works closely with fiscal, clinical, and data teams to ensure service… more
- Queen's Health System (Honolulu, HI)
- …, audits, payment trends, and AR status. * Meets with department staff and/or management to resolve issues resulting in denials and instruct on preventative ... reports and implementing process changes, to minimize and/or prevent denials . * Follows up on insurance claims with outstanding...measures to prevent/reduce future denials . II. TYPICAL PHYSICAL DEMANDS: * Essential: standing, sitting,… more
- Superior Ambulance Service (Elmhurst, IL)
- …accounts receivable resolution. This team works through open accounts receivables ( denials and delinquent accounts) by actively calling payer organizations or ... collections for our clients. Specific tasks include resolving insurance carrier denials , appealing claims, contacting carriers on open accounts and responding to… more
- Trinity Health (Syracuse, NY)
- …outcomes and report findings * Upon identification of possible concurrent denials , forwards information to the appropriate Utilization Management /Concurrent ... **Employment Type:** Full time **Shift:** Day Shift **Description:** + **Insurance Specialist - St. Josephs Health Syracuse NY** **Position Summary:** The Insurance … more
- Spectrum Billing Solutions (Skokie, IL)
- …software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR ... Specialist | Revenue Cycle Utilization Review Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR … more
- Ventura County (Ventura, CA)
- Alcohol and Drug Treatment Specialist I/II/III Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5063248) Apply Alcohol and Drug Treatment ... Specialist I/II/III Salary $43,680.00 - $81,071.60 Annually Location various...as participates in community outreach events. + Provides case management and data/record management . + Participates in… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... ensure compliance with utilization management policies. This role conducts admission and continued stay...This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers… more