- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Under the general guidance of the Manager of A/R Follow Up the Payor Recovery Specialist is responsible to review large balance open accounts ... receivable and obtain correct reimbursement from multiple payor sources. The Payor Recovery Specialist is also responsible to review open accounts that… more
- St. Luke's Health System (Boise, ID)
- …Luke's is truly a great place to work. **What You Can Expect:** The Billing/ Recovery Specialist is responsible for providing support in the functional areas of ... * Understands insurance plan coverages, authorizations and limits. Insurance Recovery : The Insurance Recovery Specialist 1 is responsible for the collection… more
- Queen's Health System (Honolulu, HI)
- …facility, demonstrating good working knowledge of Medicare, Medicaid, Third Party payor requirements. SNF/ICF, ICD-9/ICD-10 and DRG. * Prior experience in report ... preparation and analysis. * Experience to demonstrate effective written and oral communication skills and interpersonal skills. * Experience to demonstrate ability to lead/conduct meetings with other departments and staff. * Experience with Windows… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and skills… more
- Penn Medicine (East Petersburg, PA)
- …future each day. Are you living your life's work? Job: Denials Management Specialist Hours: Day shift hours, start time between 07:00am-9:00am (8 hour shifts) ... + Analyzes and researches denials and follows-up with the appropriate payor , practice, and/or patient to resolve denial. Provides missing or additional… more
- Texas Health Resources (Plano, TX)
- Scheduling Specialist - Center for Diagnostics & Surgery _Bring your passion to Texas Health so we are Better + Together_ Work location: Texas Health Center for ... Friday, 9:30a-6p; 40 hrs/week THCDS Department highlights: * The Scheduling Specialist interacts in a professional, respectful manner with internal and external… more
- WellSpan Health (Chambersburg, PA)
- …level of care. + Uses advance knowledge of healthcare, community resources, and recovery principles of care to plan and implement new or revised services. + ... and/or utilization management in the medical record. + (BHU Only) Incorporates recovery principals into providing patient care. + (BHU Only) Effectively organizes… more
- Hospice of Michigan (Southfield, MI)
- …professional standards of care, compliance with regulatory requirements, third-party payor reimbursement models, and organization policies and procedures through use ... to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC) etc., requests and participates in appeal… more
- Sharp HealthCare (San Diego, CA)
- …methods that would improve existing service and opportunities for service recovery .Meets with transplant candidate, potential living donors and/or family to explain ... transplant candidates and their families and living donors regarding transplant payor benefits, billing issues, alternative funding options, and personal financial… more
- Mohawk Valley Health System (Utica, NY)
- …admission. + Monitor observation and the application of the 2nd Midnight across payor types (CMS regulation). + Perform concurrent review and escalation of cases not ... and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of… more
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