• Prior Authorization Specialist - Inpatient…

    Select Medical (West Orange, NJ)
    …- West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** **Full-Time** **Onsite ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more
    Select Medical (08/23/25)
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  • HIM Audit Specialist / PB Coding

    Hartford HealthCare (Farmington, CT)
    …of documentation of Evaluation and Management o Experience with interpreting Medicare , Medicaid and third-party billing and compliance regulations necessary. ... other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate… more
    Hartford HealthCare (08/25/25)
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  • Habilitation Specialist 1 - Hudson Valley

    New York State Civil Service (Millbrook, NY)
    …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 - Hudson Valley Occupational Category Health Care, Human/Social ... State NY Zip Code 12564 Duties Description The Habilitation Specialist 1 (HS1) has unique responsibilities to provide for...data collection, and continuing notes to substantiate Day Hab billing . * Rectify Day -hab billing issues… more
    New York State Civil Service (09/24/25)
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  • Coding Specialist , Credentialed

    UNC Health Care (Hendersonville, NC)
    …well-being of the unique communities we serve. Summary: The Credentialed Coding Specialist codes all patient charts, in adherence to guidelines provided by ... optimal and proper reimbursement. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software… more
    UNC Health Care (09/24/25)
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  • Area Business Specialist , Neuroscience…

    J&J Family of Companies (Omaha, NE)
    …and processes (ie, eligibility and benefit verification, pre-authorization, billing , coding, claims, and appeals/grievances); REMs certification; Medicare ... are searching for the best talent for Area Business Specialist to cover the territory of Iowa, Kansas, and...and monitoring. + Educate staff on payer requirements, coding, billing , claim submission, and acquisition. + Share TC insights… more
    J&J Family of Companies (09/17/25)
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  • Clinical Documentation Specialist

    Intermountain Health (Concord, NH)
    …CMS Medicare , Medicaid, Managed Care and Commercial health plan billing , reimbursement and regulations. 2. Knowledge of quality measures, patient safety ... **Job Description:** The Clinical Documentation Specialist ensures clinical documentation is accurate, consistent, compliant, and specific through the performance of… more
    Intermountain Health (09/27/25)
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  • Clinical Trial Application Specialist I

    AdventHealth (Orlando, FL)
    …STREET, Orlando, 32803 **The role you'll contribute:** The Clinical Trials Application Specialist I is knowledgeable in the areas of clinical trial budgets and ... protocols, Medicare coverage analysis, clinical trial financial processes including invoicing...One system by AdventHealth IT. The Clinical Trials Applications Specialist I supports CTMS builds and usage for regions… more
    AdventHealth (09/27/25)
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  • Admission Registration Specialist 1

    Rush University Medical Center (Chicago, IL)
    …service. * Knowledge of insurance and governmental programs, regulations, and billing processes eg, Medicare , Medicaid, Social Security Disability, Champus, ... depending on the circumstances of each case. **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of… more
    Rush University Medical Center (09/19/25)
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  • Financial Clearance Specialist - Cancer…

    Stony Brook University (Stony Brook, NY)
    Financial Clearance Specialist - Cancer Center **Position Summary** The **Financial Clearance Specialist ** is responsible for ensuring that payers are prepared ... physicians and clinicians make care decisions, the Financial Clearance Specialist is aware of how a patient's benefits fit...insurance information is on file for clinical submission and billing . **_Training for this role will be FULLY ON… more
    Stony Brook University (09/12/25)
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  • Denial Management Specialist , Department…

    BronxCare Health System (Bronx, NY)
    …holds. Bill Hold Tracker to be kept up to date (Pre & Post Billing ). - Develops with Clinic Operations corrective action plans to improve insurance identification ... to improve communication and feedback to ensure timely, complete and accurate billing . - Informs clinics of policy, system and operational changes regarding… more
    BronxCare Health System (09/19/25)
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