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- ...Job Description Job Description About The Role BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially denied authorizations and preparing denial correspondence...SuggestedWork at officeFlexible hours
Brighton Health Plan Solutions, LLC
Chapel Hill, NC1 day ago - ...Authorization Specialist (Remote) Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is a leading outpatient treatment... ..., and partnerships teams to resolve prior authorization denials Enter all documents, client data, new payer data, or responses...SuggestedWork at officeRemote work
Kolmac Clinic
Burtonsville, MD4 days ago $19 - $22 per hour
...Qualifications: High School graduate or equivalent Must have Iowa and/or Illinois Medicaid payer experience Physician Billing and Denial/Follow Up experience - 2+ years EPIC experience Payer portal claim corrections and reconsiderations knowledge - ex. Availity...SuggestedContract workTemporary workRemote workWork from homeIowa Staffing
West Des Moines, IA2 days ago- ...Senior Patient Access Specialist Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions... ...of Revenue Cycle including admission, billing, payments, and denials. Comprehensive knowledge of patient insurance process for...SuggestedWork at officeLocal areaRemote work
Ensemble Health Partners
Jupiter, FL17 hours ago $68k - $85k
...and over), ancestry, color, religious creed (including religious dress and grooming practices), family and medical care leave or the denial of family and medical care leave, mental or physical disability (including HIV and AIDS), marital status, domestic partner status,...SuggestedLocal areaFlexible hoursNight shiftWeekend workLive Nation Entertainment
San Diego, CA12 hours ago$16.59 per hour
...or the clinics * CASH - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials * REPORTS - Obtain police reports when appropriate for billing information for Patient Financial Services. Do the Census reports for...SuggestedFull timeWork at officeShift workRotating shiftWeekend workUniversity of New Mexico - Hospitals
Albuquerque, NM12 minutes agonew- ...care continuum. For more information, visit Job Title: RCM Specialist Must reside in/near Southgate, MI Onsite Work! Hybrid... ...cycle timeframe • Timely review/handling of insurance claim denials, exceptions, or exclusions • Forwards requests for medical records...SuggestedWork at officeRemote workHome officeFlexible hoursAfternoon shiftEarly shift
Eye Care Partners Career Opportunities
Southgate, MI14 days ago - ...Insurance Verification Specialist Responsibilities: Verifies patient insurance coverage timely utilizing phone or online resources... ...the authorization approval. Communicates any authorization denials to the appropriate staff. Handles any discrepancies, errors...Suggested
Myriad Genetics
Corona, NY4 days ago - ...and over), ancestry, color, religious creed (including religious dress and grooming practices), family and medical care leave or the denial of family and medical care leave, mental or physical disability (including HIV and AIDS), marital status, domestic partner status,...SuggestedLocal area
Live Nation Entertainment
New Orleans, LA1 day ago - ...Prior Authorization Specialist (Full-Time Days) Onamia, MN, USA 20.61-30.92 per hour Hourly Full Time The Prior Authorization Specialist... ...codes, and authorization numbers. Review insurance denials and proactively submit appeals. Track and renew expiring authorizations...SuggestedHourly payFull timeMonday to FridayWeekend workAfternoon shift
Mille Lacs Health System
Onamia, MN4 days ago - ...Verifies the patient's insurance through the on-line eligibility system and determines which payer to enter in the account to minimize denials. For outpatient exams, completes an estimate of charges to determine patient's liability. For all other patients, determines...SuggestedWork at officeRelocation
St. Elizabeth Healthcare
Crescent Springs, KY17 hours ago $19 - $24 per hour
...Pre Authorization Specialist Radiology Imaging Associates (RIA) is comprised of over 100 radiologists. All with exceptional skill and... ...and medical necessity requirements. Resolve authorization denials by appealing or obtaining additional documentation. Ensure...SuggestedHourly payFull timePart timeReliefWork at officeRIA/Invision Sally Jobe
Englewood, CO3 days ago- ...divh2Office Specialist (Open)/h2pJoin Our Team! Looking for a workplace where your attention to detail, passion for helping others, and... ...processed accurately, resulting in timely payments or appropriate denials. This detail-oriented role involves analyzing claims for...SuggestedWork at officeImmediate start
Nebraska Government
Lincoln, NE4 days ago - ..., Texas, and Virginia./ph2Day in the Life of an Authorization Specialist/h2olliReview patient accounts flagged for prior authorization... ...charts./liliResponsible for all missing authorization related denials to identify trends to improve reimbursement rates./liliResponsible...SuggestedWork at office
Crossroads Treatment Center
Greenville, SC12 hours ago $22.55 - $32.63 per hour
...brightest talent in healthcare. Job Description Summary: The Specialist, Patient Registration is responsible for facilitating new... ...the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). Assist Patient...SuggestedFlexible hoursOption Care Health
Sun Valley, CA3 days ago$22.55 - $32.63 per hour
...brightest talent in healthcare. Job Description Summary: The Specialist, Patient Registration is responsible for facilitating new... ...the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). Assist...Flexible hoursOption Care Enterprises, Inc.
Los Angeles, CA1 day ago- ...Compassionate approach, The Financial Screening Enrollment Specialist will: Complete patient interviews for financial programs... ...system. Follow-up with presumptive eligibility, approvals and denials process and pending Medicaid by maintaining logs. Submit...Local areaFlexible hours
Sunrise Community Health
Evans, CO8 hours agonew - ...Authorization Specialist Lighthouse Behavioral Health Solutions (LBHS) provides individual, outpatient, intensive outpatient, partial... ...compliance and excellence Monitor authorization turnaround times and denial rates, providing actionable insights to improve efficiency and...Local areaMonday to Friday
Lighthouse Behavioral Health Solutions
Columbus, OH2 days ago - ...billing-related activities to ensure billing for laboratory services complies with regulatory standards. The Lab Denials and Coding Management-Specialist works with all areas of lab billing/denials functions to assure accounts Specialist, Billing, Medical Billing, Processing...
Spartanburg Regional Healthcare System
Spartanburg, SC3 days ago - ...Prior Authorization Specialist Reports to: Office Manager Supervises: n/a Department: Clinical Location: Grandville Employment... ...drug manufacturer recommendations, formulary changes, claim denials, and any other relevant information specific to biologic...Full timePart timeWork at office
West Michigan Dermatology
Grandville, MI17 hours ago - ...divh2Lab Billing Specialist/h2pAssists with laboratory billing-related activities to ensure billing for laboratory services complies with... ...Lab Billing Specialist works with all areas of lab billing/denials functions to assure accounts are managed accurately and timely...Work at office
Spartanburg Regional Healthcare System
Spartanburg, SC2 days ago $26 - $35 per hour
...accurate paper selection, and thorough validation of supporting documentation, contributing directly to clean claim rates, reduced denials, and optimized revenue capture. *This is a remote role. What you will do: Work within Electronic Medical Records...Hourly payWork at officeRemote workMonday to FridayIntegrated Pain Management Medical Group, Inc.
Walnut Creek, CA2 days ago- ...invite you to grow with us. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring... ...explanations to claimants regarding the adjudication process, claim denials, or settlement offers Additional Responsibilities:...Full timeTemporary workPart timeShift work
LTC PHARMA HLDG LLC
Covina, CA1 day ago $22.75 - $40.73 per hour
...in a positive manner with the public. Utility Maintenance Specialist I: Under immediate supervision, incumbents are not required... ...driving history, have you had any suspensions, cancellations, denials, revocations or any other loss of license in the last 3 years?...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startTrial periodFlexible hoursShift workCity of Thornton
Thornton, CO3 days ago- ...Enrollment Specialist, Medical Board Job No: 496984 Department: Medical Board Local Title: Enrollment Specialist,... ...reports submitted by the finance department. Reconciles billing denials with contracted billing vendors. Perform other job related...Full timeWork experience placementWork at officeLocal areaMonday to Friday
SUNY Downstate Health Sciences University
New York, NY2 days ago $21.65 - $38.37 per hour
..., including coordination of benefits (COB), subrogation and eligibility criteria. • Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. • Customer service experience. • Strong...Hourly payContract workWork experience placementWork at officeMolina Healthcare
Warren, MI4 days ago$20 - $21 per hour
...Immediate need for a talented Authorization Specialist I . This is a 09 Months Contract opportunity with long-term potential and is located... ...Key Responsibilities: This request is for support in the admin denial process. Will need to review documents received via fax and...Contract workWork at officeLocal areaImmediate startRemote workPyramid Consulting
New York, NY2 days ago$15 - $20 per hour
...Authorization Specialist II, RCM The Authorization Specialist II, RCM is a position that performs the authorization requests for all... ...payer knowledge if the company can service a patient Appeal denials as required by payer, including appeals through the health...Team Select Home Care
Phoenix, AZ12 hours ago- ...8:00 am to 5:00 pm MST Job Summary: Orthopedic Coding Specialist is responsible for maintaining current and high-quality ICD-10... ...physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as...Work at officeRemote workMonday to FridayFlexible hoursShift work
Premier Bone & Joint Centers
United States12 hours ago - ...The Opportunity: The Admissions Specialist , reporting to the Campus Director, is responsible for managing the student admissions... ...concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal....Work at officeLocal areaImmediate startWeekend workAfternoon shift
Phalen Leadership Academies
Arlington, TX3 days ago
