: As a Clinical (RN) QA - Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure...Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist...
, clinical reviewers, pharmacy, claims, etc.) to resolve any member or provider questions/concerns. Work Experience... QUALIFICATIONS REQUIRED: Meets all minimum qualifications for Clinical Support Specialist Advanced knowledge of insurance benefits...
JOB SUMMARY Under the supervision of , the Lead HIM Denial Management & Clinical Documentation Integrity Specialist... Specialist) is required. EXPERIENCE * 5+ years of clinical experience in Hospital inpatient and outpatient departments. 3...
of Job Duties: Under limited supervision, the Intermediate Clinical Billing Specialist is responsible for timely and accurate... and systems functionality to calculate expected reimbursement from payers. The Intermediate Clinical Billing Specialist...
of Job Duties: **Position is on site** The Senior Clinical Billing Specialist is an area expert, works under general direction... procedures and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status...
of Job Duties: Under limited supervision, the Intermediate Clinical Billing Specialist is responsible for timely and accurate... and systems functionality to calculate expected reimbursement from payers. The Intermediate Clinical Billing Specialist...
information about this position. This position is responsible for managing accounts receivable related to denied claims..., follow-up with insurance companies, billing, auditors and clinics/hospital departments, non-clinical appeal writing, accurate...
to customers regarding authorizations, benefits, eligibility, and claims. Maintains confidentiality and adheres to HIPAA... processing and clinical decisions. Utilizes Health First Health Plan resources efficiently, recommending care alternatives...
range as permitted by law. Requisition ID 2025-429091 Employment Type Full Time Department Claims Processing Hours/Pay... Period 80 Shift Day Weekly Schedule Monday - Friday Remote Yes Category Risk and Compliance Responsibilities The Claims...
quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers.... Other benefits include Paid Time Off and Sick Leave. Responsibilities: The Claims Examiner III is an advanced-level role...
from home post training? Then you may be the perfect fit for our Radiology Scheduling Specialist, Associate role! This role..., and modifications. . The Scheduling Specialist, Associate acts as an advocate for patients by providing guidance, interpretation...
. If this is your profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals... Oncology Sales Specialist represents and promotes assigned brand(s) in the IV and oral markets with approved indications...
Job Functions: Sr Specialist Denial RN primary responsibility is the review of complex claims and escalating clinical or technical... between $62,500.00 - $79,800.00/ based on experience The Sr Specialist Denial RN prepares appeals for clinical and technical claim denials...
within the Revenue Cycle Department team for a Technical Denials Management Specialist III. The successful candidate's experience... to determine how the claims were managed. Contacting insurance carriers to check on the status of claims, appeals, and insurance...
claims efficiently. Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM...Job Description: MCR Billing Specialist Tutera Senior Living & Health Care Are you a Medicare Billing...
and physician services. The Denials Specialist reviews denied claims and post payment government audit and writes and submits...Job Description The Denial Specialist performs advanced level work related to post payment government denials...
better lives through exceptional care, service, and teamwork. We are seeking a Billing Specialist to join our growing Practice.... Responsibilities Review and process patient claims and invoices accurately and in a timely manner. Verify insurance eligibility...
to have: Pharmacy Support Specialist Level: Associate’s degree. Certified Pharmacy Technician. Sr Level: Bachelor's degree... in growing your career in the Pharmacy space? Use your strengths at Wellmark! About the role: As a Pharmacy Support Specialist...
to live better lives through exceptional care, service, and teamwork. We are seeking a Billing Specialist... environment. Responsibilities Review and process patient claims and invoices accurately and in a timely manner. Verify...
, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims...Description : The Medical Billing Specialist is responsible for the timely and accurate submission of insurance...