- Beth Israel Lahey Health (Burlington, MA)
- …not just taking a job, you're making a difference in people's lives.** The PFS Denial Specialist I role is vital to ensure that hospital denied accounts are ... **Job Description:** **Essential Duties & Responsibilities including but not limited to:** 1 . Reviews and completes continuous daily work queue volume of PFS related… more
- Emanate Health (Covina, CA)
- …care system in the United States, and the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by ... Denial Manager. The Denial Specialist will possess and apply thorough knowledge of collections and the ability to apply the knowledge to all aspects of a… more
- McLaren Health Care (Grand Blanc, MI)
- …quality outcomes and revenue integrity. **Essential Functions and Responsibilities:** 1 . Provides regional management of operations, including assisting with ... practice standards. 5. Assists with managing the revenue cycle by reducing clinical denial write offs 6. Assists in running reports and utilizes tools for reporting… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... cycle industry practices. *_Position Responsibilities:_* *Key Areas of Responsibility* 1 . Analyze provider documentation for appropriate assignment of Evaluation and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing ... Hospital Billing System to review and monitor accounts through the Billing, Denial , & Follow-Up work queues** **Work assigned accounts with higher complexity (high… more
- McLaren Health Care (Mount Clemens, MI)
- …for medical record documentation and the filing of responses and appeals. 1 . Appropriately documents denial /appeal activities; oversees and documents payer and ... Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . Provides support to both… more
- University of Michigan (Ann Arbor, MI)
- …regulations. The Specialist will utilize technology to track and monitor denial trends and coordinate documentation improvement efforts. As a key resource for ... Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials...involves performing high-level, complex primary and secondary clinical validation denial case reviews to obtain and scrutinize denials to… more
- MyFlorida (Bartow, FL)
- ENVIRONMENTAL SPECIALIST II - 42003132 1 Date: Oct 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 863299 Agency: Agriculture and Consumer Services Working Title: ENVIRONMENTAL SPECIALIST II - 42003132 1 Pay Plan:...required. Conducts initial site inspections and recommends issuance or denial of certificates. Serves as an ombudsman to the… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Education Department, State Title Investigative Specialist 1 Box OEP-12/21670 Occupational Category No Preference Salary Grade 18 Bargaining ... Education Department's (NYSED) Office of Higher Education is seeking candidates an Investigative Specialist 1 position in the Office of School Personnel Review… more
- Fairview Health Services (St. Paul, MN)
- … reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report… more
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