Starting pay is $29.07/hour + $0.90 shift differential Shift 6PM 6AM (2 2 3 shift) What we offer you Starting pay is $29.07/hour $0.90 shift differential for night shift Overtime available Quarterly incentive bonuses based on safety training completion + plant incidents Comprehensive benefits package, including medical & prescription, dental, vision, life & AD&D insurance

This position requires the ability to work independently researching and reviewing inquiries from members and providers. Also requires knowledge of benefit interpretation, claims reviews, CPT and ICD coding. Responsible for analyzing, researching, and managing appeal/grievance inventories from members and providers. Respond to inquiries using verbal and written forms of c

Responsible for review of the clinical information received from physicians, department queues and other clinical providers, ensuring clinical data is substantial enough to authorize services for both 1 time visit account types and recurring accounts. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. R

Reporting to the Manager of PFS works with patients and their representatives and insurance carriers and employer's to determine patient benefits eligibility, pre certify services and performs verification of benefits to ensure revenue reimbursement. Screens registration data for compliance with payer and pre certification requirements, corrects and updates accounts and b

Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai

We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its

Under general supervision of the Follow up Supervisor performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician specialty practice. Responsibilities Review all denied claims correct them in the system and send corrected/appealed claims as written correspondence fax or via electronic submission. Identify and analyz

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

TMC Bonham Hospital is a 25 bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outpatient services along with 24 hour emergency services. The Critical Access Hospital (CAH) Program was established to assure access to healthcare services for rural residents. The program provides r

Requisition # 635111 Location Johns Hopkins Health Plans, Hanover, MD 21076 Category Clerical and Administrative Support Schedule Day Shift is a leader in provider sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you Work

Associate Director Project Delivery Real Estate Full Time 74301BR Job Summary UCSF Campus Design and Construction is seeking a dynamic Associate Director to lead a professional team including project managers and assistant project managers in the delivery of Campus Design and Construction Projects with a value of up to $70M. Under the general direction of the Campus Desig

Work Schedule This is a part time, 0.70 FTE. Scheduled shifts are during daytime hours, Monday Friday. Hours may vary based on the operational needs of the department. This position is remote. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Clinical Denial Specialist to Research payer denials related to referral, pre authorization, medi

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD 10 CM/PCS coding and/or CPT 4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following st

The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide