- Penn Medicine (Philadelphia, PA)
- …Are you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** RAD-O-BRO Data Acct Receivable **Location:** Fully Remote **Hours:** ... Mon-Fri office hours per department needs **Summary:** + The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to… more
- McLaren Health Care (Mount Pleasant, MI)
- …resolution, process improvement initiatives, and response to inquiries to payer denials . **Essential Functions and Responsibilities as Assigned:** 1. Supports ... activities consistent with Integrated Care Management Denials across all MHC subsidiaries. 2. Accountable for achieving care management outcomes and fulfills the… more
- UPMC (Pittsburgh, PA)
- UPMC is seeking to hire a Certified Coding Specialist I to join our Coding Department. This is a work-from-home position, working Monday through Friday during ... five years of coding experience. As a Certified Coding Specialist I, you will have the same responsibilities as...and existing staff. Specifically, you will be working on denials , special projects in targeted specialties to assist in… more
- Robert Half Accountemps (Murray, UT)
- Description We are looking for a skilled Medical Billing Specialist with expertise in medical billing to join our clients' team. In this role, you will play a ... part in assisting patients with resolving insurance billing issues and claim denials . This is a long-term contract position offering an excellent opportunity to… more
- 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... and develops corrective action plans for resolution of denials working directly with the payers. + Training &… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively or concurrently determines the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information ... and collaborates with Appeals Management Department in managing retrospective denials . **Qualifications** + Associates degree or equivalent combination of experience… 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
- Henry Ford Health System (Detroit, MI)
- …Campus, Centralized Pharmacy Services Center - Detroit Schedule: Full Time The Pharmacy Specialist is a pharmacist who, by virtue of knowledge gained through special ... expert in a major area of pharmacy practice. The Pharmacy Specialist assumes overall leadership responsibility in directing the pharmacy-related activities in… more
- WestCare Foundation (Fresno, CA)
- …Plans (MCPs) in accordance with all DHCS, payer, and organizational guidelines. The specialist works closely with fiscal, clinical, and data teams to ensure service ... documentation meets billing standards, resolve denials , and maintain the integrity of client and program...in line with CalAIM billing. + Reconcile payments and denials ; research and correct claim errors or rejections in… more