Clinical Appeals Specialist
5 days ago
Ensemble Health Partners is a pioneering provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Our comprehensive suite of point solutions empowers clients across the country to optimize their revenue cycles.
We prioritize healthcare by keeping hospitals healthy. Our approach emphasizes a human touch in every interaction, recognizing that meaningful connections drive exceptional outcomes. By empowering our people to challenge the status quo, we foster a culture of innovation and collaboration.
The RN Clinical Appeals role offers a unique opportunity to make a tangible impact on patient care and financial outcomes. As a key member of our team, you will analyze and resolve clinically related claim denials, collaborate with stakeholders to prevent future denials, and prepare appeals materials. Your expertise will be instrumental in ensuring timely and effective communication with payers and healthcare providers.
This position requires a skilled professional with 1-3 years of experience in denials, utilization review, or case management. A Bachelor's degree and strong analytical skills are essential. Type 35 wpm proficiency and experience in hospital operations, chart audit/review, and provider relations are highly valued.
We offer a competitive salary range of $63,100.00 - $78,875.00 per year, commensurate with experience. Our benefits package includes comprehensive insurance, time off, retirement plans, and well-being programs. Professional growth opportunities, tuition reimbursement, and certification support ensure your continued development.
In addition to a dynamic work environment, Ensemble Health Partners prioritizes work-life balance and recognizes individual contributions through quarterly and annual incentive programs. Join us in shaping the future of healthcare revenue cycle management.
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RN Clinical Appeals Specialist
7 days ago
Reading, Pennsylvania, United States Ensemble Health Partners Full timeAt Ensemble Health Partners, we're dedicated to keeping communities healthy by keeping hospitals healthy. As a RN Clinical Appeals Specialist, you'll play a crucial role in ensuring that our patients receive the care they need. Compensation: $63,100 - $78,875 per year, depending on experience.We're seeking an experienced Registered Nurse to join our team as...
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Healthcare Accounts Resolution Specialist
6 days ago
Reading, Pennsylvania, United States Annuity Health Full timeJob Type: Full-timeDescription:The Healthcare Accounts Resolution Specialist will be responsible for all collection functions for hospital and physician services. This primary responsibility of this position is account resolution which includes the following duties: reviewing accounts, following up with insurance companies on claim status, gathering and...
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Clinical Care Specialist
4 days ago
Reading, Pennsylvania, United States PennState Health Full timeJoin a leading healthcare organization and take on the role of Clinical Care Specialist at Penn State Health St. Joseph Medical Center, a renowned medical facility with a rich history dating back to 1873. Our team is dedicated to providing exceptional patient care and strives for excellence in all aspects of our work.About UsPenn State Health is a...
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Clinical Nurse Specialist
4 days ago
Reading, Pennsylvania, United States Maxim Healthcare Services Full timeAt Maxim Healthcare Services, we offer a challenging and rewarding opportunity for an experienced Clinical Nurse Specialist to join our team.About the Role:We are seeking a skilled and compassionate Clinical Nurse Specialist to assume responsibility for the application of the nursing process and the delivery of patient care. The successful candidate will...
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Clinical Laboratory Specialist
1 week ago
Reading, Pennsylvania, United States KA Recruiting Inc. Full timeAbout This OpportunityKA Recruiting Inc. is seeking a highly skilled Clinical Laboratory Specialist to join our team in Reading, PA.This is a challenging and rewarding role that requires expertise in laboratory testing and procedures. If you have a passion for medical technology and excellent communication skills, we encourage you to apply.
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Clinical Care Specialist
3 days ago
Reading, Pennsylvania, United States vTech Solution, Inc. Full timeJob Title: Clinical Care SpecialistThe vTech Solution, Inc. team is seeking a skilled Licensed Practical Nurse to join our healthcare team in Sinking Spring, PA. As a Clinical Care Specialist, you will play a vital role in delivering high-quality patient care and ensuring the well-being of our residents.Key Responsibilities:- Provide direct patient care and...
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Clinical Nurse Specialist
1 week ago
Reading, Pennsylvania, United States PennState Health Full timePennState Health is seeking a dedicated Clinical Nurse Specialist to join our team in Reading, Pennsylvania.About the RoleThe ideal candidate will possess excellent clinical skills, strong communication abilities, and a passion for delivering exceptional patient care. As a Clinical Nurse Specialist, you will work closely with our nursing staff to develop and...
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Clinical Nurse Specialist
3 days ago
Reading, Pennsylvania, United States Tower Health Full timeAbout the Job:Tower Health is a leading regional healthcare system serving communities across multiple counties in Pennsylvania. As a Clinical Nurse Specialist at Tower Health, you will play a vital role in delivering high-quality patient care in an ambulatory setting.What You'll Do:You will provide expert clinical nursing practice, facilitating transitions...
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Clinical Nurse Specialist Home Health
1 week ago
Reading, Pennsylvania, United States LHC Group Full timeWe are seeking a highly skilled Clinical Nurse Specialist to join our team in Wyomissing, PA. This is a rewarding opportunity to make a difference in the lives of patients and their families.Job SummaryThe Clinical Nurse Specialist will provide expert nursing care to patients in their homes, working closely with the interdisciplinary team to develop and...
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Clinical Laboratory Specialist
1 week ago
Reading, Pennsylvania, United States KA Recruiting Inc. Full timeJob Opportunity in Reading, PAWe are seeking a highly skilled Medical Technologist to join our team. As a Clinical Laboratory Specialist, you will play a vital role in ensuring the accuracy and reliability of laboratory test results.Compensation Package:The estimated salary for this position is between $65,000 - $85,000 per year, depending on experience....
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Clinical Outpatient Psychiatrist
1 week ago
Reading, Pennsylvania, United States Optum Full timeJob OverviewWe are seeking a highly skilled Clinical Outpatient Psychiatrist - MD or DO Specialist to join our team at Springfield Behavioral in Wyomissing, PA. As a clinician-led care organization, we are changing the way clinicians work and live.This is an exciting opportunity for a motivated professional to make a meaningful impact in the lives of...
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Clinical Care Specialist
7 days ago
Reading, Pennsylvania, United States First Connect Full timeWe are seeking a highly skilled Licensed Practical Nurse to join our team at First Connect in West Reading. As a Clinical Care Specialist, you will be responsible for providing exceptional patient care and support to residents in our nursing and rehab facility.About the RoleThis is a full-time position working 1 shift per day, starting at 07:00:00 and ending...
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Senior Clinical Nurse Specialist
1 week ago
Reading, Pennsylvania, United States Tower Health Full timeExplore a fulfilling career as a Senior Clinical Nurse Specialist at Tower Health, a leading regional healthcare system in Pennsylvania. This role offers a competitive salary of $85,000 - $110,000 per year.About the RoleWe are seeking an experienced Registered Nurse to join our team, providing expert clinical nursing practice across the life-span and...
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Senior Clinical Care Specialist
7 days ago
Reading, Pennsylvania, United States Sourcecode Inc Full timeWe are seeking a Senior Clinical Care Specialist to join our team at Sourcecode Inc. This is a challenging and rewarding role that requires strong clinical skills, attention to detail, and excellent communication abilities.About the RoleAs a Respiratory Therapist at Sourcecode Inc, you will work closely with patient populations in NICU, Peds, MICU, SICU, and...
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Clinical Nurse Specialist
7 days ago
Reading, Pennsylvania, United States Penn State Health Full timeAt Penn State Health, we offer a unique opportunity to join our team as a Clinical Nurse Specialist in Heart and Vascular Care.We are seeking an experienced and skilled Registered Nurse to fill this role, providing expert care to patients with complex cardiovascular conditions. As a Clinical Nurse Specialist, you will play a crucial part in developing and...
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Clinical Nurse Specialist
7 days ago
Reading, Pennsylvania, United States Fusion Medical Staffing Full timeFusion Medical Staffing is a leading provider of medical staffing solutions. We are committed to delivering exceptional patient care and improving the lives of our clients and healthcare professionals.As a Clinical Nurse Specialist - Telemetry Care, you will be responsible for providing high-quality patient care in a dynamic and fast-paced environment. You...
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Respiratory Care Clinical Specialist
3 days ago
Reading, Pennsylvania, United States VIR INFO SERVICES PRIVATE LIMITED Full time**Job Summary:**VIR INFO SERVICES PRIVATE LIMITED seeks a skilled Respiratory General Patient Care Clinical Specialist to join our team in West Reading, PA. As a key member of our respiratory care department, you will provide clinical supervision and direction, oversee competency and orientation programs, and educate staff members on neonatal and pediatric...
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Medical Billing Specialist
1 week ago
Reading, Pennsylvania, United States Annuity Health Full timeAbout Annuity HealthWe are a leading healthcare provider dedicated to delivering high-quality medical services. Our team is passionate about helping patients receive the care they need.Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team in Medi-Cal collections. As a key member of our revenue cycle department, you will be...
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Nurse Specialist for Clinical Decision Unit
1 week ago
Reading, Pennsylvania, United States PennState Health Full timePennState Health, a multi-hospital health system, is seeking a skilled Nurse Specialist to join its team in the Clinical Decision Unit. This exciting opportunity offers a chance to work in a dynamic environment, delivering exceptional patient care and making a meaningful impact on the community.About the RoleThis Registered Nurse (RN) position is responsible...
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Reading, Pennsylvania, United States Annuity Health Full timeAt Annuity Health, we are seeking a skilled Healthcare Insurance Account Resolution Specialist to join our team. This is a challenging role that requires strong communication and problem-solving skills.About the RoleThis position is responsible for resolving insurance claims and account issues for hospital and physician services. The successful candidate...