Clinical Denials Specialist

Performs advanced level work related to clinical denial management. The individual isresponsible for managing claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, andothers as assigned.

The AR Specialist II is responsible for billing, re-billing, post-payment/account follow-up, and grievance preparation of assigned. Client Hospital Accounts Receivable. Working at a Client site or in a Centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs,...

The AR Specialist II is responsible for billing, re-billing, post-payment/account follow-up, and grievance preparation of assigned. Client Hospital Accounts Receivable. Working at a Client site or in a Centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs,...

Description:The Clinical Applications Specialist (CAS) is responsible for providing professionalsupport to our medical device sales team. The support takes on many forms and shapes, rangingfrom technical support with our devices/equipment to clinical application questions across awide range of indications, to product training and application support online...

The AR Specialist III is responsible for post-payment and account follow-up and/or grievance preparation of assigned client accounts receivable. Working at a client site or in a centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and...

PAR Specialist/PAR Writer position description: Under the direct supervision of the Clinical Director, and in collaboration with the Clinical Team, this position is the key to the financial success of the organization. Working with the Case Managers, Clinicians and Nurses, this position will assist in connecting the patient to the continuum of care for the...

The AR Specialist III is responsible for post-payment and account follow-up and/or grievance preparation of assigned client accounts receivable. Working at a client site or in a centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and...

Clinical Application Specialist Role Description To provide clinical support to existing and new hospitals primarily within Philippines. (Occasional travel required within SEA region) To communicate accurate information to physicians regarding all products and their indications To provide the highest standard of service and seamless supply to...

The AR Specialist III is responsible for post-payment and account follow-up and/or grievance preparation of assigned client accounts receivable. Working at a client site or in a centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and...

The Support Staff will assist and provide administrative support to the users of our web-based solutions and operations. You will be tasked with supporting healthcare professionals to our clients utilizing the very best compliance monitoring solution available.Responsibilities . Conduct outbound calls to clinics and laboratories to expedite and obtain...

The AR Specialist III is responsible for post-payment and account follow-up and/or grievance preparation of assigned client accounts receivable. Working at a client site or in a centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and...

Qualifications:Graduate of Nursing, Radiologic Technology, or equivalent1-2 years of relevant experience.Provide pre-and post sales clinical training/demo and support to clientsEquipped with effective presentation and demonstration skills. Above-average communication skillsStrong interpersonal and customer-relations skills.Ability to build and maintain a...

Qualifications: Graduate of Nursing, Radiologic Technology, or equivalent 1-2 years of relevant experience. Provide pre-and post sales clinical training/demo and support to clients Equipped with effective presentation and demonstration skills. Above-average communication skills Strong interpersonal and customer-relations skills. Ability to build and...

Qualifications: Graduate of Nursing, Radiologic Technology, or equivalent 1-2 years of relevant experience. Provide pre-and post sales clinical training/demo and support to clients Equipped with effective presentation and demonstration skills. Above-average communication skills Strong interpersonal and customer-relations skills. Ability to build and maintain...

Summary: The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client’s mission, vision, and values. Upholds the standards of the...

Primary Duties and Responsibilities: • Ensure that training and assessments happen as per statutory requirements. • Give feedback and coach trainees on key job capabilities. • Update and develop content as per client and business requirements. • Ensure that all relevant information is updated on to the MIS trackers regularly. • Conduct regular TNA...

Summary: The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client’s mission, vision, and values. Upholds the standards of the...

Job Purpose: Ensure that project related quality processes are followed by associates, client specific metrics and internal metrics are achieved, provide coaching to employees, track and trend data for improvement. Primary Duties and Responsibilities: We are currently looking for a keen individual who is responsible for conducting audits for healthcare...

Job Purpose: Ensure that project related quality processes are followed by associates, client specific metrics and internal metrics are achieved, provide coaching to employees, track and trend data for improvement. Primary Duties and Responsibilities: We are currently looking for a keen individual who is responsible for conducting audits for healthcare...

Primary Duties and Responsibilities: • Ensure that training and assessments happen as per statutory requirements. • Give feedback and coach trainees on key job capabilities. • Update and develop content as per client and business requirements. • Ensure that all relevant information is updated on to the MIS trackers regularly. • Conduct regular TNA...