• Patient Access Specialist Sr, Adult…

    UCHealth (Colorado Springs, CO)
    Description Patient Access Specialist Sr, Adult Outpatient Location: UCHealth Printers Park Med Plaza, US:CO: Colorado Springs Department: MHS Adult OP Patient ... physician. Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor… more
    UCHealth (10/14/25)
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  • Patient Access Specialist - Allen Hospital…

    Bon Secours Mercy Health (Oberlin, OH)
    …sites and clinicians are recognized for clinical and operational excellence. **_Patient Access Specialist - Mercy Allen Hospital (Oberlin, OH)_** **This is a PRN "As ... and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms,… more
    Bon Secours Mercy Health (09/05/25)
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  • Health Information Specialist (HIM…

    Saratoga Hospital (Saratoga Springs, NY)
    Health Information Specialist (HIM Specialist ) Location: Saratoga Hospital, Health Information Services, Wilton Mall, Wilton, NY 12831 Employment Type: Full Time ... About the Role We're looking for a dedicated HIM Specialist to join our team and help us continue...hospital setting will be considered. + RHIA or RHIT certification preferred. + Familiarity with EHR systems (ideally EPIC… more
    Saratoga Hospital (09/12/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification (s): Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), ... or Certified Coding Specialist (CCS) FLSA Status:...on-site. * Performs other duties as assigned. LICENSES/CERTIFICATIONS: A certification in one of the following is required: *… more
    Apex Health Solutions (09/26/25)
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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 ... contracts. When physicians and clinicians make care decisions, the Financial Clearance Specialist is aware of how a patient's benefits fit into the care… more
    Stony Brook University (09/12/25)
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  • Clinical Denials Coding Review Specialist

    HCA Healthcare (Brentwood, TN)
    …over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that is devoted ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
    HCA Healthcare (09/05/25)
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  • Coding Specialist II - #Staff

    Johns Hopkins University (Baltimore, MD)
    We are seeking a **_Coding Specialist II_** who will be responsible for all aspects of coding, quality assurance, compliance with Federal payer documentation ... capture encounters before submitting to insurance companies. + Works closely with Coding Specialist III at Green Spring's Medical Oncology for coverage. + Pro Fee… more
    Johns Hopkins University (08/19/25)
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  • Clinical Pharmacy Specialist

    Marshfield Clinic (Weston, WI)
    …exciting missions in the world!** **Job Title:** Clinical Pharmacy Specialist **Cost Center:** 301691245 WesHos-Pharmacy-Inpatient **Scheduled Weekly Hours:** 40 ... (United States of America) **Job Description:** **JOB SUMMARY** The Clinical Pharmacy Specialist works with physicians, staff, and committees to optimize the care of… more
    Marshfield Clinic (10/11/25)
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  • Regional Utilization Review Documentation…

    Trinity Health (Maywood, IL)
    …hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary team including physicians, staff ... not meeting medical necessary services for acute care. + Knowledgeable of Medicare , Medicaid and non-governmental payer regulations for patient care requirements. +… more
    Trinity Health (10/01/25)
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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 ... detailed summary of care and sends appeals to MCO, Medicare , or RAC for reversal of original determination. May...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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