Denial Resolution Specialist

Job SummaryWe are seeking a highly skilled and detail-oriented Denial Representative to join our team at Jefferson Health. As a key member of our Seamless Access Work Queue team, you will be responsible for resolving, trending, and escalating issues to ensure seamless access to healthcare services.Key ResponsibilitiesResolve accounts in assigned Seamless...

Job SummaryGenesis Healthcare LLC is seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in assisting the denial management team by conducting comprehensive analytical reviews of patient medical records.Key ResponsibilitiesConduct thorough reviews of patient...

Job Summary:Genesis Healthcare LLC is seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in assisting the denial management team by conducting comprehensive analytical reviews of patient medical records.Key Responsibilities:Conduct thorough reviews of patient...

Job Title: Clinical Reimbursement SpecialistGenesis Healthcare LLC is seeking a skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in ensuring that our patients receive the reimbursement they deserve.Key Responsibilities:Conduct comprehensive analytical reviews of patient medical...

Job SummaryWe are seeking a highly skilled Billing and Collections Specialist to join our team at Acadia Healthcare. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and collections processes.Key ResponsibilitiesVerify and interpret insurance benefits to establish financial arrangements with...

About the RoleWe are seeking a highly motivated and results-driven Sales Representative to join our Debt Resolution team at The J.G. Wentworth Company. As a Sales Representative, you will play a critical role in helping our customers achieve financial freedom by providing them with debt consolidation solutions.ResponsibilitiesDevelop and execute sales...

**Debit Card Dispute Resolution**We are seeking a highly skilled Risk Management Analyst to join our team at Police and Fire Federal Credit Union. As a key member of our operations team, you will be responsible for:Managing debit card disputes and denials, including working with World Pay Case Sheets and unblocking cards.Performing debit card maintenance...

**Debit Card Dispute Resolution**We are seeking a highly skilled Risk Management Analyst to join our team at Police and Fire Federal Credit Union. As a key member of our operations team, you will be responsible for:Managing debit card disputes and denials, including working with World Pay Case Sheets and unblocking cards.Performing debit card maintenance...

Job Title: Complaints & Grievances SpecialistJob Summary:The Complaints & Grievances Specialist plays a critical role in ensuring the highest level of customer satisfaction by effectively resolving member complaints and grievances. This position requires a high degree of professionalism, excellent communication skills, and the ability to navigate complex...

Job SummaryGoHealth Urgent Care is seeking a skilled Coding Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing provider documentation, assigning accurate codes, and ensuring compliance with federal and state regulatory bodies.Key ResponsibilitiesReview provider documentation, including chart notes,...

Job SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare, Inc. This role requires a strong analytical mind and excellent communication skills to effectively review patient medical records and write compelling appeal arguments.Key ResponsibilitiesConduct comprehensive analytical reviews of patient medical...

Job SummaryWe are seeking a highly skilled Medical Coding Specialist to join our team at Thomas Jefferson University. As a key member of our healthcare team, you will be responsible for abstracting clinical information from electronic medical records and assigning accurate ICD-9 and CPT codes.Key ResponsibilitiesAbstract clinical information from electronic...

Job SummaryWe are seeking a highly skilled Medical Coding Specialist to join our team at Thomas Jefferson University. As a key member of our healthcare team, you will be responsible for abstracting clinical information from electronic medical records and assigning accurate ICD-9 and CPT codes.Key ResponsibilitiesAbstract clinical information from electronic...

Job SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare in Philadelphia, PA. As a key member of our denial management team, you will play a critical role in conducting comprehensive analytical reviews of patient medical records and writing compelling appeal arguments to secure payment for services...

Job SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare in Philadelphia, PA. As a key member of our denial management team, you will play a critical role in conducting comprehensive analytical reviews of patient medical records and writing compelling appeal arguments to secure payment for services...

Conflicts Analyst Job DescriptionCozen O'Connor is seeking a skilled Conflicts Analyst to join our Case Management Department. As a key member of our team, you will be responsible for conducting daily conflicts research, analyzing conflicts reports, and maintaining data in our conflicts database.Key Responsibilities:Conducting timely and accurate conflicts...

Job Title: Revenue Cycle SpecialistJob Summary:Pennsylvania Medicine is dedicated to delivering exceptional patient care, conducting innovative research, and educating future healthcare leaders. As a Revenue Cycle Specialist, you will play a critical role in ensuring the financial integrity of our healthcare services.Key Responsibilities:Support Revenue...

Job Title: Financial Crimes SpecialistInnova Solutions is seeking a highly skilled Financial Crimes Specialist to join our team. As a Financial Crimes Specialist, you will be responsible for reviewing and analyzing complex financial crimes challenges, contributing to the resolution of multi-faceted situations, and strategically collaborating with clients.Key...

Job SummaryThe Senior Appeals Specialist plays a critical role in investigating appeals and grievances in accordance with established policies and regulations. This position requires strong analytical and communication skills to prepare case files for clinical and administrative review.Key ResponsibilitiesInvestigate clinical appeal requests, reviewing...

Job SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare, Inc.Key ResponsibilitiesConduct comprehensive analytical reviews of patient medical records to identify potential reimbursement issues.Write clear and concise appeal arguments to support payment of services provided.Identify and report trends in...