Denials Specialist - Providence, RI

The Denials Specialist maximizes reimbursement from contracted payers through analysis of denials. They support strategic initiatives and process re-design for denials management. Receives, assesses and resolves appeals with third-party payers. · Evaluates denied accounts sent to ...

Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. · ...

SUMMARY: Under the supervision of the Administrative Coordinator is responsible for the day-to-day administrative functions of the Clerkship in Medicine and the Case Management Utilization Review. The Clerkship/UR Specialist provides administrative support to the Department Admin ...

Location: · Fully Remote · Schedule: · Flexible · Compensation: · Up to $85 per hour · Job Type: · Full-time, Part-time · About The Role · We're looking for entrepreneurial, empathetic Registered Dietitians (RDs) and Certified Nutrition Specialists (CNSs) licensed in any state to ...

The Clinical Appeals Specialist reports to the Manager Appeals and works collaboratively with The Miriam Hospital and Rhode Island Hospital. · The job involves reviewing medical records, analyzing clinical denials, and providing education to staff and physicians. · Clinical deni ...

We're building a world of health around every individual shaping a more connected convenient and compassionate healthcare experience. At Oak Street Health you'll be surrounded by passionate colleagues who care deeply innovate with purpose hold ourselves accountable prioritize saf ...

Reports to Director Brown University Health Pharmacy. Under the supervision of the Pharmacist-In-Charge is responsible for the interpretation, evaluation, preparation and dispensing of medications pursuant to a legitimate order or prescriptionApplies pharmacotherapeutic and pharm ...

The Clinical Pharmacist Ambulatory is responsible for the interpretation, evaluation, preparation, and dispensing of medications pursuant to a legitimate order or prescription in keeping with established policies and procedures. · ...

SUMMARY: Reports to Director Brown University Health Pharmacy, Director Specialty Pharmacy, or Ambulatory Manager as applicable. Under the supervision of the Pharmacist-In-Charge, Pharmacy Supervisor, Senior Clinical Pharmacist Specialist, or Clinical Coordinator is responsible f ...

The Clinical Pharmacist Ambulatory is responsible for interpreting medication orders from practitioners in the outpatient setting. · Reviews each order to determine therapeutic appropriateness of the patient's drug regimen, · Contacts prescriber for initiation of appropriate inte ...

Reports to Director Brown University Health Pharmacy, Director Specialty Pharmacy, or Ambulatory Manager as applicable. Under the supervision of the Pharmacist-In-Charge, Pharmacy Supervisor, Senior Clinical Pharmacist Specialist, or Clinical Coordinator is responsible for the in ...

SUMMARY: · Under the supervision of the Administrative Coordinator is responsible for the day-to-day administrative functions of the Clerkship in Medicine and the Case Management Utilization Review. · The Clerkship/UR Specialist provides administrative support to the Department A ...

SUMMARY: · Reports to Director Brown University Health Pharmacy, Director Specialty Pharmacy, or Ambulatory Manager as applicable. Under the supervision of the Pharmacist-In-Charge, Pharmacy Supervisor, Senior Clinical Pharmacist Specialist, or Clinical Coordinator is responsible ...

East Bay Community Action Program is hiring for a full-time Referral Coordinator to manage the patient referral process, including coordination between providers, insurance verification, authorization processing, and scheduling. This position requires experience in EHR systems, s ...

Job Summary · Under the direction of the A/R Supervisor, the Third Party Specialist facilitates all phases of the billing process. Responsible for submitting paper and electronic claims to all payers. Following up on current, past due accounts and secondary balances with third pa ...

The Third Party Specialist facilitates all phases of the billing process under the direction of the A/R Supervisor. · Following up on current, past due accounts and secondary balances with third party payers, · Review bill for accuracy of charges, · Responsible for submitting pap ...

We are a multi-speciality billing company seeking a medical billing specialist for busy medical billing. · ...

Facilitates all phases of the billing process under the direction of the A/R Supervisor. Submits paper and electronic claims to all payers. Follows up on current and past due accounts with third-party payers. · ...

The Financial Clearance Specialist plays a crucial role in ensuring the financial stability of the organization by managing the authorization processes for surgical procedures and patient admissions. This position is responsible for submitting Notices of Admissions (NOA) to payer ...

The Financial Clearance Specialist plays a crucial role in ensuring the financial stability of the organization by managing authorization processes for surgical procedures and patient admissions. · The position is responsible for submitting Notices of Admissions (NOA) to payers, ...