- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- BronxCare Health System (Bronx, NY)
- …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... and Information Services to improve systems communication, tracking and reporting ie denial , hold and activity reports. - Maintains a Clinic Insurance Eligibility… more
- UPMC (Pittsburgh, PA)
- …Physicians Department of Physical Medicine and Rehabilitation is hiring a full-time Authorization Specialist to join their team at the Kaufmann Building ... required to the Mercy Hospital clinic as needed. The Authorization Specialist position is primarily responsible for...payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize … more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- Omaha Children's Hospital (Omaha, NE)
- …purpose and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely ... denials by collaborating with clinical, administrative, and financial teams. The Authorization Specialist supports efficient operations by ensuring compliance… more
- UPMC (Pittsburgh, PA)
- …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources along with any… more
- Trinity Health (Syracuse, NY)
- …order type to ensure proper authorization obtained pre-procedure. * Review authorization denial trends in partnership with supervisor to identify and address ... 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include… more
- Scotland Health Care System (Laurinburg, NC)
- Job Title: Pre- Authorization Specialist Location: Scotland Health Care System Job Description: Scotland Memorial is seeking a dedicated and detail-oriented Pre- ... Authorization Specialist to join our team. The...Authorization Specialist to join our team. The Pre-...of productivity suitable for the department. + Maintains the Denial Goals for the Division. + Provides backup coverage… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to substantiate… more
- Genesis Healthcare (NM)
- …with the Central Business Office (CBO) collectors and CBO supervisor to address denial issues related to Medicaid authorization . *Provide support to the nursing ... savvy to our team in this remote position as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical Eligibility… more