Denials Specialist
5 hours ago
RemX is seeking a highly skilled Denials Analyst to join our team in Rancho Mirage, CA. This is a 13-week contract opportunity with potential for extension.
Key Responsibilities:
- Conduct thorough research and analysis to resolve claim denials, ADR requests, and certifications.
- Develop and implement strategies to reduce denial rates and improve revenue cycle efficiency.
- Collaborate with revenue cycle stakeholders to provide information and support related to denials and opportunities for improvement.
- Maintain a comprehensive library of payer reference materials and stay up-to-date on industry requirements and regulations.
Requirements:
- High School diploma or equivalent required.
- Preferred: Certified coder or currently enrolled in a coding program.
- Strong analytical skills, proficiency in Microsoft Windows, and emphasis on Excel.
- Ability to prioritize and coordinate workflow, with attention to detail.
- Knowledge of CPT, HCPC, and ICD-10 coding requirements, with emphasis on modifiers and diagnosis association.
- Working knowledge of LCDs, NCCI, and MUE edits, as well as a general understanding of commercial, HMO, and Medicare Advantage claims, authorization, and documentation requirements.
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Insurance Claims Specialist
9 hours ago
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Medical Assistant Authorization Specialist
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Rancho Cucamonga, California, United States Alura Workforce Solutions Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Assistant Authorization Coordinator to join our team at Alura Workforce Solutions. As a Medical Assistant Authorization Coordinator, you will play a critical role in ensuring timely processing of authorization requests, verifying eligibility, and obtaining additional information as...
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Medical Assistant Authorization Specialist
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Rancho Cucamonga, California, United States Alura Workforce Solutions Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Assistant Authorization Coordinator to join our team at Alura Workforce Solutions. As a Medical Assistant Authorization Coordinator, you will play a critical role in ensuring timely processing of authorization requests, verifying eligibility, and obtaining additional information as...
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Coder II Specialist
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Coder II Specialist
2 days ago
Rancho Cordova, California, United States Dignity Health Full timeJob Title: Coder IIAt Dignity Health Medical Foundation, we are seeking a highly skilled Coder II to join our team. As a Coder II, you will play a critical role in ensuring the accuracy and completeness of medical records, while also maximizing reimbursement for our organization.Responsibilities:Review and process complex specialty clinic professional...
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Medical Assistant- Authorization Coordinator
4 weeks ago
Rancho Cucamonga, California, United States Alura Workforce Solutions Full timeJob SummaryWe are seeking a highly organized and detail-oriented Medical Authorization Coordinator to join our team at Alura Workforce Solutions. As a key member of our Utilization Management Department, you will play a critical role in ensuring timely processing of authorization requests, verifying eligibility, and providing exceptional customer service to...
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Utilization Management Outpatient Coordinator
2 months ago
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Medical Billing Specialist
3 weeks ago
Rancho Cucamonga, United States AppleOne Full timeJob DescriptionJob DescriptionJoin a reputable and dynamic healthcare organization dedicated to providing exceptional service and care. Our client, a leader in managed care, is seeking a skilled and organized Medical Billing Specialist to join their team. This position offers a hybrid schedule, with a combination of working from home and in the office!...
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Temporary Coordinator
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Outpatient Utilization Management Coordinator
3 weeks ago
Rancho Cucamonga, California, United States Inland Empire Health Plan Full timeJob SummaryWe are seeking a highly organized and detail-oriented Outpatient Utilization Management Coordinator to join our team at Inland Empire Health Plan. As a key member of our Medical Management department, you will play a critical role in ensuring timely and accurate processing of authorization requests, verifying member eligibility, and collaborating...
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Temporary Coordinator
2 months ago
Rancho Cucamonga, United States Manpower Group Inc. Full timeJob Title: Utilization Management Outpatient Duration: 6 months Location: Rancho Cucamonga, CA (Hybrid, Twice in a month) Pay rate: $23.98/hr. We are looking for an Utilization Management Outpatient to join one of our Fortune 500 Healthcare clients. Key Responsibilities: Responsible for monitoring the Right Fax Server. Ensuring all referrals are processed...
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Temporary Coordinator
2 weeks ago
Rancho Cucamonga, United States Manpower Group Inc. Full timeJob Title: Utilization Management Outpatient Duration: 6 months Location: Rancho Cucamonga, CA (Hybrid, Twice in a month) Pay rate: $23.98/hr. We are looking for an Utilization Management Outpatient to join one of our Fortune 500 Healthcare clients. Key Responsibilities: Responsible for monitoring the Right Fax Server. Ensuring all referrals are processed...
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Medical Director
3 weeks ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat you can expect!Do you have the skills to fill this role Read the complete details below, and make your application today.Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!The Medical Director of Behavioral Health is...