- Baptist Memorial (Memphis, TN)
- Summary The Denial Mitigation Specialist - Denial Escalation Quality Assurance evaluates the adequacy and effectiveness of internal and operational ... processing including federal and state regulations and guidelines. The Quality Assurance Specialist will be...+ Employee referral program Job Summary: Position: 19873 - Supervisor- Quality Assurance Denial Escalation Facility:… more
- UT Health (Houston, TX)
- Coding Quality Specialist - Revenue Cycle **Location:** Houston, Texas **Hot** **Category:** Professional/Managerial McGovern Medical School at UTHealth Houston ... Summary:** **RESTRICTED TO MMS/REVENUE CYCLE/CHARGE CAPTURE & CODING** The Coding Quality Specialist is responsible for utilizing official coding guidelines,… more
- Health First (Rockledge, FL)
- …understanding insurance payments, denials and correspondences. * Maintain established quality assurance and productivity benchmarks while utilizing best ... *POSITION SUMMARY* The Revenue Cycle Specialist will be responsible for the review, analyzation,...correspondences to include explanation of benefits, remittance advices and denial letters. * Advanced understanding and ability to navigate… more
- Health First (Rockledge, FL)
- …understanding insurance payments, denials and correspondences. 5. Maintain established quality assurance and productivity benchmarks while utilizing best ... *POSITION SUMMARY* The Revenue Cycle Specialist will be responsible for the review, analyzation,...correspondences to include explanation of benefits, remittance advices and denial letters. 4. Advanced understanding and ability to navigate… more
- Health First (Rockledge, FL)
- …understanding insurance payments, denials and correspondences. 5. Maintain established quality assurance and productivity benchmarks while utilizing best ... *POSITION SUMMARY* The Revenue Cycle Specialist will be responsible for the review, analyzation,...correspondences to include explanation of benefits, remittance advices and denial letters. 4. Advanced understanding and ability to navigate… more
- LA Care Health Plan (Los Angeles, CA)
- …verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …processes; identify retraining opportunities, and participate in clinic and quality assurance meetings. Minimum Qualifications: Associate's degree and ... Job Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for… more
- Banc of California (San Diego, CA)
- …regulations, wherein the Company operates. **HOW YOU'LL MAKE A DIFFERENCE** + Perform Quality Assurance reviews of alert/case processes to evaluate the work ... + Maintain oversight of the Alerts Monitoring, Investigations, Enhanced Due Diligence, Quality Assurance , and CTR processes. + Correspond with branches and… more
- City of New York (New York, NY)
- …and mitigate procedural and operational weaknesses. - Perform operational audits to ensure quality assurance and fraud controls within the program and across the ... YOU MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST TITLE FOR AT LEAST ONE YEAR OR PERMANENT...Unit (LMU). The Deputy Director of (LMU) will: Data Quality and Record Management: - Review and approve incoming… more
- Scripps Health (San Diego, CA)
- …coding and CDI performance indicators and metrics. . Develops and oversees a comprehensive quality assurance and productivity program for coding and CDI staff. . ... responsible for hospital and professional fee coding and CDI, ensuring quality documentation and clinical consistency. This individual position is responsible for… more