• Healthcare Authorization

    Rady Children's Hospital San Diego (San Diego, CA)
    JOB SUMMARY: Under general supervision the Healthcare Authorization Specialist II is responsible for ensuring that insurance benefits are verified, ... service types. The incumbent is responsible for being a specialist in their area for internal and external customer...School Diploma, GED, or Equivalent - 2 years of Healthcare Authorization experience or 4 years of… more
    Rady Children's Hospital San Diego (04/12/25)
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  • Central Authorization Specialist

    BayCare Health System (Clearwater, FL)
    …of two 8 hour shifts weekly) + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a PRN ( **non-benefit eligible** ... the team member will work PRN).** **Responsibilities:** The Central Authorization Specialist II is responsible...Insurance Website experience + Preferred - 1 year of Healthcare Business Office and /or Managed Care experience Equal… more
    BayCare Health System (03/19/25)
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  • Specialist -Denial II RN

    Baptist Memorial (Memphis, TN)
    … RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received...pertinent clinical and financial information to send along to healthcare insurance providers in response to post-claim denials received… more
    Baptist Memorial (04/12/25)
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  • Specialist -Denial II RN

    Baptist Memorial (Memphis, TN)
    … RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received...pertinent clinical and financial information to send along to healthcare insurance providers in response to post-claim denials received… more
    Baptist Memorial (04/11/25)
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  • Clinical Quality Management Specialist

    Sedgwick Government Solutions (Atlanta, GA)
    Job Details Clinical Quality Management Specialist II (Remote) 2025-1419 Atlanta, GA, USA Medical Services Full Time Description **Clinical Quality Management ... Specialist II ** **Remote Clinical Quality Management ... Qualifications** + Bachelor's or Master's Degree preferred in Healthcare , Nursing, Health Administration, or a related field +… more
    Sedgwick Government Solutions (03/20/25)
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  • Authorization Specialist - Albany,…

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Authorization Specialist II - FULL TIME- HYBRID REMOTE** **Summary** We are looking ... remote schedule.) This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include… more
    Trinity Health (04/10/25)
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  • Nurse Practitioner - Clinical Specialist

    Cambridge Health Alliance (Cambridge, MA)
    …recognized and award-winning public healthcare system is seeking a per diem Clinical Specialist II (APRN) to join our team. CHA is comprised of three ... Nurse Practitioner - Clinical Specialist II (APRN), Psychiatry **Requisition Number:**...in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In… more
    Cambridge Health Alliance (03/05/25)
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  • Nurse Practitioner - Clinical Specialist

    Cambridge Health Alliance (Cambridge, MA)
    …recognized and award-winning public healthcare system is seeking a Clinical Specialist II (APRN) to join our Adult Outpatient Psychiatry service. CHA ... Nurse Practitioner - Clinical Specialist II (APRN), Adult Outpatient Psychiatry...in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In… more
    Cambridge Health Alliance (03/05/25)
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  • Patient Services Specialist II - CLC…

    UTMB Health (Texas City, TX)
    Patient Services Specialist II - CLC Pedi Specialties **Texas City, Texas, United States** **New** Clerical & Administrative Support UTMB Health Requisition # ... years clerical or customer service experience. **Job Summary/Description:** The Patient Services Specialist II has advanced Patient Services Specialist more
    UTMB Health (04/18/25)
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  • Appeals & Grievances Regulatory Audit Readiness…

    LA Care Health Plan (Los Angeles, CA)
    Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of… more
    LA Care Health Plan (02/02/25)
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