Denial Prevention Specialist
Aya Healthcare
Clinical Denial Management Team Lead
Performs work related to clinical denial management. Oversees and manages multiple members of the central clinical denials team. Assists in writing compelling arguments based on the clinical documentation and the medical policies of the payer and submits the appeal in a timely manner. Reviews third-party payer reimbursement denials.
Education: Essential: Associate in a Nursing Program from an Accredited School of Nursing
Experience: Essential: Three Years
Credentials: Essential: Registered Nurse
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.
- ...Technical Denial Management Specialist Performs work related to technical denial management. Conducts a comprehensive review of the denied account, and then will write compelling arguments based on the documentation and the policies of the payor and submit the appeal...Suggested
- ...the source. About the Role You'll spend most of your day in our denial queue — reading EOBs, working CARCs and payer rejections,... ...LCDs, and payer nuance Support appeals and escalations with a prevention mindset Help build the SOPs and best practices our growing RCM...Suggested
$60k - $75k
...are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $60,... ...authorization issues and minimize denials. Facility Collaboration & Clinical... ...-hours utilization reviews as needed to prevent service disruptions and maintain compliance...SuggestedFull timeWork at officeRemote work- ...promises something for everyone. We are looking to hire a Lead Specialist, Rooms Division - Housekeeping. Lead Specialist, Rooms... ...findings, supporting development of remediations plans and long term prevention strategies. Knowledge & Skills: Scope: ~ The Senior...SuggestedWork at officeWork from homeMonday to ThursdayWeekend work
- 3 months ago Be among the first 25 applicants Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud, and supporting safety and environmental program compliance in their assigned store(s). They...SuggestedFull time
- ...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize tools...Local area
- ...clients across both pubalic and private sectors Title: MS&T Specialist I Location: Davie, FL Job Description: All areas... ...actively seek remediation approaches and implement Corrective and Preventive Actions (CAPAs). Provide Technical assessments/ product...
- ...As a Banking Specialist III, you help create the energy and excitement around Amerant Bank products, providing the right solutions and... ...internal policies and procedures or ethical standards. Ensure preventive measures are carried out to fully comply with current rules, regulations...Work experience placementWork at officeNight shift
- ...Asset Protection Specialist POMPANO BEACH, FL Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their...
- Job DescriptionPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They
$45k - $47k
...Behavior Specialist - Join Our Team and Make a Difference! Shifts available: ~40 hours - M-F 10:30am - 6:30pm (9:00am - 5:00pm... ...coaching positive behavioral strategies and interactions and prevention, de-escalation, and intervention strategies. What makes Arc...Full timeTemporary workSummer workImmediate startShift work- ...currently seeking a motivated, customer-focused Pest Control Specialist to join our Residential Services team. If you enjoy working... ...conditions. Educate homeowners on treatment plans, prevention methods, and service recommendations. Apply pest control products...
$27.13 per hour
...Agency: Department of Health Working Title: OPS BUDGET SPECIALIST - 64648585 1 Pay Plan: Temp Position Number: 64648585... ...A, Ryan White Part B, Ryan White Part C, General Revenue, HIV Prevention, and various other funding sources. Incumbent will conduct...Hourly payFull timeTemporary workWork at office- ...Reimbursement Specialist Advanced Rx Management, a rapidly growing pharmaceutical services company headquartered in Sunrise, Florida,... ...resolving claims efficiently, minimizing AR aging, identifying denial trends, and improving overall cash flow performance. The ideal...Flexible hours
$39.42k - $62.92k
...to $2,000 a year General Description The Mental Health Specialist provides direct support to clients by maintaining a safe... ...assigned medication observation responsibilities. • Supports AMA-prevention efforts through early risk identification, engagement, supportive...Full timePart timeWork at officeRemote workWorldwideFlexible hoursShift workNight shift- ...Outreach Housing Specialist/ Family Street Outreach- Bilingual SPN-ENG Position Overview: High school Diploma required Some travel... ...case management to provide on-going support and assistance to prevent homelessness in the future. The Outreach Housing Specialist assists...Permanent employmentWork experience placementWork at office
- ...POSITION SUMMARY Facilities Specialist repairs and maintains buildings/facilities. Uses expertise for diagnosis and for emergency repairs. JOB RESPONSIBLITIES Provides preventive and cost-efficient repairs. Conducts routine or periodic inspections to determine...Work at office
- ...Villages. JOB SUMMARY: The Debit Card / EFT Payments Specialist plays a crucial role in supporting the Debit Card / EFT Payments... ...fraud trends and work with the team to develop solutions to prevent fraudulent activities. Participate in the analysis of fraud...Temporary workWork at office
- ...systems. Process referrals for patient specialist visits including in house specialist and... ...providers, etc.). Assist in authorization denials and appeals on behalf of the patient and... ...to the Centers for Disease Control and Prevention guidelines. Understands and appropriately...Work at office
- ...Payment Posting Specialist Banyan Treatment Centers is seeking a detail-oriented and organized Payment Posting Specialist to join our... ...Responsibilities Accurately post payments, adjustments, denials, and refunds in the billing system (CollaborateMD)....Full time
$25 per hour
...Department of Health Working Title: OPS DISEASE INTERVENTION SPECIALIST /HEALTH SERVICES REPRESENTATIVE- 64906250 Pay Plan: Temp... ...DISEASE INTERVENTION SPECIALIST - 64906250 COMMUNICABLE DISEASE PREVENTION -STD PROGRAM OPEN COMPETITIVE OPPORTUNITY This position...Hourly payFull timeTemporary workWork at officeNight shiftWeekend work- ...dealership Perform basic repairs throughout the dealership Move heavy equipment and furniture Perform routine maintenance to prevent breakage Coordinate with external contractors and other staff to address exterior and interior needs Repair fixtures and...For contractors
- ...Ops Budget Specialist This is a professional position that requires independent application of a variety of skills in the Budget Office... ...A, Ryan White Part B, Ryan White Part C, General Revenue, HIV Prevention, and various other funding sources. Incumbent will conduct...Full timeWork at office
- ...-oriented company! The Gig… NCS is seeking a Delivery Specialist. In this role you will work with automatic and tunnel car wash... ...3 moving violations within the past 5 years; no more than 2 preventable, at-fault accidents within the past 5 years Experience...Local area
- ...are hiring an experienced DME Billing & AR Specialist. Position Summary This role focuses exclusively on claim submission, denial management, and accounts receivable follow... ...Manage AR aging and follow‑up cadence Prevent timely filing expirations Coordinate with...Remote workMonday to Friday
- ...promises something for everyone. We are looking to hire a Senior Specialist, Shipboard Administration. The Senior Specialist, Shipboard... ..., supporting development of remediations plans and long term prevention strategies. Knowledge & Skills: Scope: The Senior...Work at officeWork from homeRelocationMonday to ThursdayWeekend work
- ...oriented company! The Gig... NCS is seeking a Delivery Specialist. In this role you will work with automatic and tunnel car... ...3 moving violations within the past 5 years; no more than 2 preventable, at-fault accidents within the past 5 years Experience with...Local area
- ...reimbursement ~ Employee Assistance Programs (EAP) ~ Competitive compensation Coke Florida is looking for a Fleet Vehicle Preventative Maintenance Technician based out of our Hollywood location. Working 3:00PM to 11:30PM, Monday - Thursday and 12:00PM to 8:30PM...Full timeLocal areaWeekend work
- ...Project Specialist Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents... ...paid healthcare: medical, dental, and vision plans with free preventative care. Responsive pays 100% of the employee-only premium for full...Full timeWork at office
$10.9 - $80.79 per hour
...Safety And Health Specialist The Broward County Board of Commissioners is seeking to hire a Safety and Health Specialist for the Risk... ...and recommends appropriate corrective action to ensure prevention practices are in place. Identifies hazards, risks, and/or safety...Local areaShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Denial Prevention Specialist. Be the first to apply!
- bank reconciliation specialist Fort Lauderdale, FL
- remote outreach specialist Fort Lauderdale, FL
- deployment specialist Fort Lauderdale, FL
- member experience specialist Fort Lauderdale, FL
- invoice specialist Fort Lauderdale, FL
- privacy specialist Fort Lauderdale, FL
- member engagement specialist Fort Lauderdale, FL
- computer specialist Fort Lauderdale, FL
- grants management specialist Fort Lauderdale, FL
- registration specialist Fort Lauderdale, FL


