- 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
- 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
- Select Medical (West Orange, NJ)
- …Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** ... **Responsibilities** **Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior… more
- HCA Healthcare (Brentwood, TN)
- …over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that is devoted ... are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your...will be responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and… more
- Veterans Inc. (Shrewsbury, MA)
- …life and in our community? Do you have a passion for helping those in substance abuse recovery ? If you answered yes, then you may have what it takes to be part of ... Independence Hall! At Independence Hall, we provide client-centered care and recovery -oriented treatment within a therapeutic environment. We are seeking passionate… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the ... drafting and submitting technical appeals. In addition, the AR specialist is the subject matter expert for all billing...and annual tasks to resolve all accounts within defined payor guidelines and meeting or exceeding productivity and quality… more
- Sharp HealthCare (San Diego, CA)
- …underpayments, recognizing trends and clearly and persuasively articulating issues to payor . + 2 Years experience working with patient accounts receivable systems. ... pay reasons, and successfully collect additional monies due.Structure audit by payor timeframes, denial/underpay categories, and contract rates with a high… 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
- BrightSpring Health Services (Lansing, MI)
- …on a regular basis to the physicians, external case manager/ payor and/or patient/family members. + Schedules/facilitates interdisciplinary case conferences with ... in the state of practice. + Current certification as Certified Brain Injury Specialist (CBIS) preferred. + Current BLS (Basic Life Support) First Aid and CPR… more
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