• Authorization Specialist Ortho/Spine Office

    Trinity Health (Syracuse, NY)
    …**EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified Coding Specialist , Accredited Record Technician (or eligible), Registered Record ... in an appropriate health care setting. Ideally, has a background in referrals, denials , and/or authorization processes. Working knowledge of ICD-9-CM, CPT & E & M… more
    Trinity Health (10/21/25)
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  • Access Control/Security Specialist

    Koniag Government Services (Quantico, VA)
    …and self-motivated individuals to perform the duties of an Access Control/Security Specialist with intimate knowledge of visitor procedures. The Specialist will ... process FBI Limited Access Request (LAR) paperwork, including coordinating approvals/ denials with the FBI Security Division, notifying the OTD point-of-contact,… more
    Koniag Government Services (10/17/25)
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  • Insurance Follow-Up Specialist , Medicare

    University of Washington (Seattle, WA)
    …Plan Services (FPPS)** has an outstanding opportunity for an **Insurance Follow-Up Specialist ** to join our **Medicare** team **.** **WORK SCHEDULE** + 100% FTE ... Mondays - Fridays + 100% Remote **POSITION HIGHLIGHTS** The **Insurance Follow-Up Specialist , Medicare** is responsible for the optimal payment of claims from… more
    University of Washington (10/15/25)
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  • Utilization Review Specialist

    CaroMont Health (Gastonia, NC)
    …physicians regarding utilization issues. Collaborates with discharge planning specialist and other disciplines. Retrospectively reviews discharged medical record ... management as necessary. Retrospectively reviews medical record for clinical denials . Composes a detailed summary of care and sends...clinical reviews/appeals as part of denial process. The UR Specialist will be cross trained to work for the… more
    CaroMont Health (10/11/25)
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  • Senior Accounts Receivable Specialist

    SERV Behavioral Health System (Hamilton, NJ)
    …JOB SUMMARY: Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting claims and handling escalated ... billing and collection issues. The Senior Accounts receivable specialist serves as a subject matter expert in complex accounts receivable processes including denied… more
    SERV Behavioral Health System (10/07/25)
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  • Billing Specialist

    Hunterdon Health Care System (Flemington, NJ)
    …+ Complete payment review, working Compass Exception Reports. + Process denials timely. + Exhibit strong professional customer service in daily interactions. ... and/or Advanced Specialized or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist more
    Hunterdon Health Care System (09/19/25)
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  • Medicare Billing Specialist - Onsite

    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, ... accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state billing regulations and… more
    Community Health Systems (09/09/25)
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  • Clinical Documentation Integrity & Utilization…

    Avera (Sioux Falls, SD)
    …teams with non-clinical tasks. By handling essential administrative responsibilities, the Specialist enables clinical staff to concentrate on work requiring clinical ... support: tracks, monitors, coordinates and assists with routing of clinical denials to internal stakeholders as well as external payers/auditors. + Communication… more
    Avera (11/27/25)
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  • Medical Billing Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    **43131BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... timely submission of claims, monitoring claim status, investigating claim denials /rejections, and documenting related account activities. **Requisition ID:** 43131BR… more
    Texas Tech University Health Sciences Center - El Paso (11/27/25)
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  • FHA Claims Recovery & Loss Analysis…

    Carrington (Augusta, ME)
    …and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on all liquidated loans. Identify ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… more
    Carrington (11/26/25)
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