• Patient Services Representative

    Corewell Health (Kentwood, MI)
    …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital...incoming/outgoing referrals, in office procedures, surgeries and tests, including medical record review of incoming referrals; maintains and modifies… more
    Corewell Health (08/02/25)
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  • Patient Services Representative Hand Clinic

    Corewell Health (St. Joseph, MI)
    …verifies that prior authorization has been obtained; assists with retroactive insurance denials / appeals . + Responsible for complex EMR/EHR scanning and Right Fax ... Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital...incoming/outgoing referrals, in office procedures, surgeries and tests, including medical record review of incoming referrals; maintains and modifies… more
    Corewell Health (07/08/25)
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  • Patient Account Representative

    TEKsystems (Chicago, IL)
    …Skills & Qualifications + 3+ years of medical collections experience including working with denials and appeals + Must sit in either the CST or EST time ... About the Role We are seeking a highly skilled and detail-oriented Patient Account Representative to join our Revenue Cycle team. This role is critical to ensuring… more
    TEKsystems (08/02/25)
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  • Prior Authorization Representative I

    Intermountain Health (Provo, UT)
    …Coordinates first-level appeals and coordinates peer-to-peer reviews for prior authorization denials . **Schedule - Monday - Friday 7 am - 5 pm** Minimum ... **Job Description:** A Prior Authorization Representative is a critical link in the healthcare...cost-containment measures and improved patient outcomes by verifying ordered medical services are medically necessary, making certain insurance &… more
    Intermountain Health (07/29/25)
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  • Patient Account Representative I

    St. Peters Health (Helena, MT)
    …and manages the full claims lifecycle including charge entry, payment posting, appeals , and denials . The position works collaboratively with multiple departments ... Summary: The Patient Account Representative is responsible for ensuring accurate and timely...such as Coding, Medical Records, Registration, Authorization, and Finance to ensure clean… more
    St. Peters Health (07/15/25)
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  • Case Management Coordinator - Days

    Houston Methodist (The Woodlands, TX)
    …care benefits and post-acute care needs. + Streamlines concurrent insurance denials and/or appeals process, in collaboration with management and ... Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management support to the case… more
    Houston Methodist (07/19/25)
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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    …liaison with payors and external review agencies, to coordinate activities involved in medical record review, denials , appeals and reconsideration hearings. ... revenue and expense and provides mission critical access to Hospital & Signature Medical Group. Collaborates with all disciplines with a specific focus on tangible… more
    Brockton Hospital (06/13/25)
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  • Accounts Receivable Specialist

    Caris Life Sciences (Irving, TX)
    …following up on claims statuses, researching rejections and denials , handling medical records request and submitting appeals within the timely filing. **Job ... Responsibilities** + Review insurance denials and take appropriate action. + Check claims status...Check claims status via phone or poral. + Submit Medical Records upon request and follow up on submission.… more
    Caris Life Sciences (07/16/25)
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  • LVN Care Coordinator - SRS Inpatient Case…

    Sharp HealthCare (San Diego, CA)
    …are issued under the direction of the appropriate Medical Group Physician Representative .Collaborates with SCMG Medical Group Appeals when necessary. + ... and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under the… more
    Sharp HealthCare (08/02/25)
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  • CBO Insurance Resolution Specialist

    University of Virginia (Charlottesville, VA)
    …knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries. The representative must be able to respond ... assigned AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials , appeals claims as defined by payer and departmental rules.… more
    University of Virginia (05/15/25)
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