- TEKsystems (Dallas, TX)
- …CST/ 1-10pm Tuesday-Saturday CST/ 8-5pm Tuesday-Saturday CST + Generate Approval and Denial Letters + Create letters based on authorization outcomes (approved or ... + Coordinates all data collection analysis and reporting activities that impact the denial process + Assists with the compliance and turn-around time TAT log for… more
- Guthrie (Sayre, PA)
- …and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, ... or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on various payers and tasks… more
- MyFlorida (Fort Pierce, FL)
- OPS ENVIRONMENTAL SPECIALIST II - 64956543 Date: Dec 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 866382 Agency: Department of Health Working Title: OPS ENVIRONMENTAL SPECIALIST II - 64956543 Pay Plan: Temp...evaluations, inspections, plan reviews, and approve the issuance or denial of new construction and repair permits in a… more
- MyFlorida (Tallahassee, FL)
- PROGRAM SPECIALIST II -DOE - 48003670 Date: Dec 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 857079 Agency: Department of Education Working Title: PROGRAM SPECIALIST II -DOE - 48003670 Pay Plan: Career Service Position Number:… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OB-GYN Billing Office **Location:** Hospital of the ... hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor of...matter expert escalated issues and provide insight on identified denial trends or root cause of denials to mitigate… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …social, and educational services. We are recruiting for the following position(s): Billing Specialist I, II or III - Posting #26048 Hourly Rate: $20.00 ... - $21.75 Position Summary: Full-time Billing Specialist available immediately for our Federal Way Billing Department. Main responsibilities include: ensuring… more
- Modivcare (Charleston, WV)
- …opportunity may be the right fit for you! Modivcare is looking for an Exception Specialist II to join our team! This position is responsible for the accurate ... & lodging, and level of service. + Manages and suggests improvements in the denial and appeal process. + Assists other specialists in faxes, mail, email, and web… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...and patterns that need to be addressed. Serves on Denial Task Force(s) and assists in developing action plans… more
- AnMed Health (Anderson, SC)
- …status management, resource utilization management, regulatory compliance, and related denial management issues. Duties & Responsibilities + Performs assigned ... utilization management functions daily: initial, concurrent and retrospective review of the medical record with speed and accuracy for all required patient types within defined review standards, including daily review for discharges and transfers. + Uses… more