- BronxCare Health System (Bronx, NY)
- …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... participates in the Performance/Quality Improvement activities of the assigned department . Contribution and participation includes data collection, analysis, implementation… more
- Baptist Memorial (Memphis, TN)
- …and training goals as determined by the Manager/Director of the Denial Mitigation Department . The Denial Mitigation- Appeal Specialist II RN role reports ... Overview Specialist - Denial Mitigation II RN Job Code:...authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management… more
- Omaha Children's Hospital (Omaha, NE)
- …work queues according to the prescribed priority and/or per the direction of management and in accordance with department expectations. Recognize when additional ... and people with disabilities. **A Brief Overview** The Insurance Follow-up Specialist is responsible for corresponding with commercial or government insurance payers… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing ... follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role in preventing future...Medical Staff teams to ensure a unified approach to denial management and appeals. . Serve as… more
- Beth Israel Lahey Health (Charlestown, MA)
- …of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing and ... to have claims reprocessed/adjudicated . Informs and/or transfers to management of any problem accounts and or denial... management of any problem accounts and or denial trends that require escalation within 2 days of… 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 ... and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** +… more
- Houston Methodist (Houston, TX)
- …is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment with ... feasibility of submitting appeals. + Works with revenue cycle management and staff to ensure claim edit/ denial ...of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... Location Los Angeles County, CA Job Type Full time Job Number W7200K Department INTERNAL SERVICES Opening Date 01/03/2024 + Description + Benefits + Questions… more
- Commonwealth of Pennsylvania (PA)
- Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5009526) ... Apply Drug & Alcohol Case Management Specialist (Local Government) - Delaware County...Job Type Civil Service Permanent Full-Time Job Number CS-2025-30000-L0686 Department Local Government Division DA Delaware Co Drg Alchl… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 852781 Agency: Department of Education Working Title: PROGRAM ... PROGRAM SPECIALIST IV-DOE - 48002950 Date: Jul 19, 2025...Closing Date: 08/03/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Florida Department of Education Division of Public Schools Office of… more