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.

Skillset Required OP Coding License/Certification Requirement Certified Coder: CPC/COC/CIC/CCA/CCS-P/CCS Shift Schedule AM Work Arrangement Temp WFH, hybrid or onsite Coding Skills Needed ICD 10 CM (Diagnosis Coding) & CPT Procedure Requirements 1. Bachelor of Science in Nursing graduate or Medical Allied Health Course 2. Preferrably with work experience...

Skillset Required Audit/Quality Analyst License/Certification Requirement PHRN Shift Schedule AM Work Arrangement Temp WFH, hybrid or onsite Experience: -Clinical Appeals QA: 1 year (Required) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post service denials, medical necessity review, and completing...

Skillset Required Audit/Quality Analyst License/Certification Requirement PHRN Shift Schedule AM Work Arrangement Temp WFH, hybrid or onsite Experience: -Clinical Appeals QA: 1 year (Required) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post service denials, medical necessity review, and completing...

Skillset RequiredOP CodingLicense/Certification RequirementCertified Coder: CPC/COC/CIC/CCA/CCS-P/CCSShift ScheduleAMWork ArrangementTemp WFH, hybrid or onsiteCoding Skills NeededICD 10 CM (Diagnosis Coding) & CPT ProcedureRequirements1. Bachelor of Science in Nursing graduate or Medical Allied Health Course2. Preferrably with work experience ina. Revenue...

Skillset Required Audit/Quality Analyst License/Certification Requirement USRN Shift Schedule AM Work Arrangement Temp WFH, hybrid or onsite Experience: - Clinical Appeals QA: 1 year (Required) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post service denials, medical necessity review, and completing...

Skillset Required Audit/Quality Analyst License/Certification Requirement USRN Shift Schedule AM Work Arrangement Temp WFH, hybrid or onsite Experience: - Clinical Appeals QA: 1 year (Required) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post service denials, medical necessity review, and completing...

Skillset RequiredAudit/Quality AnalystLicense/Certification RequirementPHRNShift ScheduleAMWork ArrangementTemp WFH, hybrid or onsiteExperience: -Clinical Appeals QA: 1 year (Required)- Knowledgeable in medical terminology, anatomy, and physiology- With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or...

Skillset RequiredAudit/Quality AnalystLicense/Certification RequirementUSRNShift ScheduleAMWork ArrangementTemp WFH, hybrid or onsiteExperience: - Clinical Appeals QA: 1 year (Required)- Knowledgeable in medical terminology, anatomy, and physiology- With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or...

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 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 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...

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...

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...

Skillset RequiredAudit/Quality AnalystLicense/Certification RequirementPHRNShift ScheduleAMWork ArrangementTemp WFH, hybrid or onsiteExperienceClinical Appeals QA: 1 year (Required) Knowledgeable in medical terminology, anatomy, and physiology With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or...

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...

Skillset RequiredAudit/Quality AnalystLicense/Certification RequirementPHRNShift ScheduleAMWork ArrangementTemp WFH, hybrid or onsiteExperienceClinical Appeals QA: 1 year (Required) Knowledgeable in medical terminology, anatomy, and physiology With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or...