RN Appeals Specialist

OverviewWe are seeking a detail-oriented and knowledgeable individual to join Integrated Resources as a Federal No Surprise Act Coordinator-Appeals. This role will involve functioning as a Subject Matter Expert in one or more process areas, analyzing data submitted for Independent Medical Review, and collecting and analyzing incoming data and reports from...

Job Title: Clinical Review SpecialistDane Street is seeking a skilled Clinical Review Specialist to conduct Group Health reviews. This role involves a clinical summary, potential calls to treating providers, and responses to questions posed.Key Responsibilities:Conduct thorough clinical reviews of patient casesCommunicate with treating providers to gather...

Job SummaryAscension Via Christi is seeking a skilled RN to join our team as a Healthcare Specialist. In this role, you will provide health care services regarding admissions, case management, discharge planning, and utilization review. Your expertise will be utilized to review admissions and service requests within assigned units for prospective,...

Job Summary:Dane Street is seeking a skilled Clinical Review Specialist to conduct Group Health reviews. This role involves a clinical summary, potential calls to treating providers, and responses to questions posed.Key Responsibilities:Conduct thorough clinical reviews of Group Health casesPrepare clinical summaries and potential calls to treating...

Revenue Cycle Specialist-Revenue Integrity Job DescriptionWe are seeking a highly skilled Revenue Cycle Specialist-Revenue Integrity to join our team at Weill Cornell Medicine. The successful candidate will be responsible for investigating and resolving coding-related insurance payment denials, working closely with our Clinical Departments to increase and...

Job Title: RN Case Manager - Oncology Patient Care CoordinatorJob Summary:We are seeking a skilled RN Case Manager to join our team at Memorial Sloan Kettering Cancer Center. As a RN Case Manager, you will be responsible for evaluating and responding to clinical and administrative denials referred to the Case Management Department for appeal. You will...

The Product Presentation Specialist role at Frito-Lay is responsible for ensuring the optimal display and presentation of our products in stores, including supermarkets and large grocery stores. As a key member of our team, you will drive product visibility, product availability, and product profitability.Key Responsibilities:Develop and implement effective...

Job OverviewWe are seeking a highly skilled Content Specialist to join our team at NewGen. As a Content Specialist, you will be responsible for creating engaging and visually stunning content for our social media channels.The ideal candidate will have a passion for creating content that resonates with our audience and a keen eye for detail. You will be...

Clinical Coding Specialist Job DescriptionHouston Methodist is seeking a skilled Clinical Coding Specialist to join our team. As a Clinical Coding Specialist, you will be responsible for applying correct coding conventions to patient charge encounters in a clinical environment.This role involves abstracting diagnosis and procedural services from the...

Job Title: Litigation Attorney - Civil Law SpecialistJob Summary: We are seeking a skilled Litigation Attorney to join our team at PrideStaff. As a Litigation Attorney, you will represent clients in civil litigation matters, including trials and appeals.Responsibilities:* Represent clients in civil litigation matters, including trials and appeals.* Conduct...

Hearst Magazines is a leading global media company that publishes over 260 magazine editions and 200 websites worldwide. Our portfolio includes more than 25 powerful brands in the U.S., such as Cosmopolitan, ELLE, Esquire, Good Housekeeping, Harper's BAZAAR, and Popular Mechanics.We are seeking a highly skilled Senior Digital Marketing Specialist to join our...

Job SummaryThe Field Reimbursement Specialist will be responsible for managing defined accounts in a specified geographic region in the ophthalmic therapeutic area, supporting our client's products. This role involves executing a collaborative territory strategic plan through partnership with internal and external stakeholders, including call center...

Travel RN - Oncology SpecialistAt White Glove Placement, we offer a unique opportunity for experienced RNs to work as Travel Oncology Specialists. As a Travel RN, you will have the chance to work in various healthcare settings, gaining valuable experience and skills. Our comprehensive benefits package includes premium insurance, housing benefits, paid sick...

Leah Yosef International seeks an Alternative Investments Specialist to build and lead the investment packaging and distribution arm within an endowment model approach to investing. This role will partner directly with the CIO and offer a clear track to equity and partnership.Key ResponsibilitiesParticipate in idea generation, research, and manager due...

About the RoleThe Skechers Product Specialist is a key member of our sales team, responsible for delivering an exceptional customer experience. As a product expert, you will serve as a brand ambassador, guiding customers to the right product selection and ensuring a premier shopping experience.Key ResponsibilitiesDrive sales through excellent customer...

Job SummaryWe are seeking a skilled Revenue Cycle Specialist - Revenue Integrity to join our team at Weill Cornell Medicine. As a key member of our Central Business Office, you will play a critical role in investigating and resolving coding-related insurance payment denials. Key Responsibilities• Perform retrospective coding and documentation review of...

Key Responsibilities:As a Revenue Cycle Specialist - Revenue Integrity at Weill Cornell Medicine, you will be responsible for investigating and resolving coding-related insurance payment denials. You will work with our Clinical Departments to increase and expedite service revenue, reduce aged accounts receivable, and trend denials for their root...

Job Summary:Memorial Sloan Kettering Cancer Center is seeking a skilled RN Case Manager to join our Inpatient Denial Management team. As a key member of our multidisciplinary team, you will be responsible for evaluating and responding to clinical and administrative denials referred to Case Management for appeal.Key Responsibilities:Evaluate and respond to...

Job Title: Travel Nurse RN Behavioral Health SpecialistJob Summary:LanceSoft is seeking a skilled Travel Nurse RN Behavioral Health Specialist to join our team. As a Travel Nurse RN Behavioral Health Specialist, you will provide high-quality patient care in a psychiatric setting. Responsibilities:- Provide direct patient care in a psychiatric setting-...

Investment Opportunities for Ultra High Net Worth IndividualsLeah Yosef International seeks an experienced Alternative Investments Specialist to join our team in NYC. This role involves building and leading the investment packaging and distribution arm within an endowment model approach to investing.Key Responsibilities:Participate in idea generation,...