- Robert Half (Minnetonka, MN)
- Description We are looking for a detail-oriented Denials Specialist to join our team in Minnetonka, Minnesota on a contract basis. In this role, you will be ... with regulations, and contributing to process improvements that minimize future denials . This position requires strong analytical skills and a thorough understanding… more
- UPMC (Pittsburgh, PA)
- …the area of authorization related activities including pre-authorizations, notifications, edits, denials , etc. The Authorization Specialist shall demonstrate the ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building,...claim filing and elimination of payor rejections and or denials . High School diploma or equivalent with 2 years… more
- Oracle (Salem, OR)
- …arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim Denial ... for appeals packets, identify trends/improvement opportunities to prevent future denials , and ensure maximum appropriate reimbursement. This role is critical… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: RAD-O-BRO Data Acct Recble Location: Centre Square West Tower- ... 1500 Market Street Hours: Full Time Summary The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to facilitate… more
- Penn Medicine (Philadelphia, PA)
- …day. Are you living your life's work? Job Title: Accounts Resolution Specialist II Department: Medicine Revenue Cycle Location: Penn Presbyterian Medical Center - ... office hours per department needs Summary: The Accounts Resolution Specialist II reports to the Supervisor of Billing; this...investigate and follow up on claim edits and work denials and underpayments by insurance carriers regarding open balance… more
- Trinity Health (Livonia, MI)
- …knowledge to ensure continuous quality improvement. Conducts facility analysis of denials . Prepares and submits review findings, makes recommendations, and works ... understanding of regulatory and payer changes. Special note for Physician Billing Denials Prevention - Additional nice to have qualification: 3 years revenue cycle,… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor. The Lost Time… more
- Community Health Systems (Kingston, PA)
- Benefits As a Billing Specialist I, you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time ... and student loan assistance for eligible roles. Job Summary The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up… more
- Molina Healthcare (Grand Rapids, MI)
- …subrogation, and eligibility criteria. Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... appeals and denials . Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please… more
- Molina Healthcare (Akron, OH)
- …subrogation and eligibility criteria. Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . Customer service experience. Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal… more
