- St. Bernard's Medical Center (Jonesboro, AR)
- …JOB REQUIREMENTS + Education + High school graduate is required. Completion of medical terminology and coding classes in ICD-9-CM. + Experience + Requires minimum of ... reports every morning. Calling insurances to follow up on payment status or appeals due to denials or incorrect payments. Calling patients for insurance information… more
- BrightSpring Health Services (Centennial, CO)
- …Payer Audit Specialist also performs quality assurance checks for all medical and PBM billing documentation before submission and notifies the RCM Ancillary ... Providing service to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and classifies existing documentation and identifies… more
- Carle Health (Champaign, IL)
- Overview The Carle Link Access Specialist is responsible for the coordination, processing, and scheduling of medical referrals and prior authorizations for a ... variety of medical or diagnostic procedures for patients. This role facilitates...portals and their expectations for authorization approval. Communicates all appeals to patient and referring provider and assists, as… more
- BriteLife Recovery (Englewood, NJ)
- …clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical providers, and ... What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for… more
- North Carolina State University (Raleigh, NC)
- …UHR UTS/UNC Partnership Location: Chapel Hill, NC Essential Job Duties: This Insurance Specialist position offers both dental and medical insurance services . ... clinics. It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical -dental cross-coding,… more
- State of Colorado (Denver, CO)
- Vehicle Emissions Repair Specialist - EPS II - HYBRID Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5140735) Apply Vehicle Emissions Repair ... Specialist - EPS II - HYBRID Salary $76,104.00 -...Contribution Plan, plus optional 401K and 457 plans + Medical and dental health plans (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits) + Paid life… more
- Alabama Oncology (Birmingham, AL)
- …Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving ... receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action,… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... on company policies and procedures regarding access to care, the grievance and appeals process, the eligibility process, etc. + Remains updated on all member and… more
- City and County of San Francisco (San Francisco, CA)
- …or San Francisco City College, working within the 9774 Senior Community Development Specialist I classification. This is a Citywide Exam posting. Your application to ... 17, and/or 18) in the 9774 Senior Community Development Specialist I class, along with any additional qualifying points...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- + GENERAL SUMMARY The Credentialing Specialist I reports to the Director of Professional Staff and is responsible for supporting departmental activities to ensure ... This individual may also be mentored by any Credentialing Specialist II within the department. Actively seeks to promote...process that complies with an organization's fair hearing and appeals policy as well as applicable legal and regulatory… more