- Healthfirst (NY)
- **Responsibilities:** + **_Managing day to day operational issues and concerns from hospital partners_** including but not limited to roster maintenance and claim ... health plan business objectives + **_Serving as an advocate for Hospital Providers within Healthfirst_** + **_Work closely with numerous departmental partners_**… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES ... reimbursement for all claims from government and third party payers. The Claims Specialist is responsible for preparing and submitting timely and accurate… more
- Children's Mercy Kansas City (Kansas City, MO)
- …so that we can improve the lives of children beyond the walls of our hospital . Overview The Legal and Risk Specialist provides professional support to the ... Hospital Accreditation. + Assist with the maintenance of Hospital contract templates. Provides specialist support for...policy books provided by insurance brokers. + Maintains a relationship with the Hospital 's insurance brokers and… more
- The County of Los Angeles (Los Angeles, CA)
- …documentation; verifies credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by ... CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 -… 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 ... - OR - is assigned to a geographic area of a major multi- hospital medical center which requires maintenance and operation of steam reducing stations, ventilation… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... and enters patient identification, demographic information, and insurance coverage into hospital information system(s), to ensure accurate and timely submission of … more
- TEKsystems (Denver, CO)
- Job Description + Denials Specialist is responsible for correction of all denied claims . + Does not bill on CPT Codes - they charge a flat rate per use, so most ... denials job! + Go to various portals (Athena - claims ) or Payer protals -- go to payer portal...denied + Go internal and find the revenue cycle specialist that works with THAT payer to get the… more
- TEKsystems (Denver, CO)
- Description We are seeking a highly analytical and relationship -driven Medical Billing Specialist with a focus on denials management. This is not your typical ... + Conduct internal research to resolve issues and resubmit claims . Soft Skills: + Strong relationship -building abilities,...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Risk Management, the role involves systematically managing potential and actual claims . Analyzing clinical data is crucial for identifying liability areas, with… more
- Medtronic (Mounds View, MN)
- …Day in the Life** **POSITION DESCRIPTION:** The Principal Health Economics and Outcomes Specialist will be a critical leader in Surgical OU Statistics and Health ... design and execute RWE (Real World Evidence) studies using administrative health care claims data, electronic health record data and other data sources to fulfill… more