Top 77 Clinical specialist Jobs in Bridgeport Ct

Outpatient Clinical Denial Specialist (Remote)
Yale New Haven Health —New Haven, CT
- Anatomy knowledge
- Writing skills
- Research
Clinical Trials Patient Recruitment Specialist
Clinical Research Consulting —Milford, CT
- $50,000 - $58,000 a year
- Full-time
- Medical office experience
- Public speaking
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Clinical Education Specialist - HSS Stamford - Operating Room
Hospital for Special Surgery —Stamford, CT
- $128,500 - $196,375 a year
- Full-time
- Nursing
- Surgery
- RN License
Clinical Denials Prevention & Appeals Specialist RN Per Diem
Northwell Health —Danbury, CT
- $45.93 - $85.29 an hour
- 8 hour shift
- Nursing
- RN License
- Mid-level
Quick Apply
Clinical Activation Specialist
Yale New Haven Health —New Haven, CT
- Full-time
- Microsoft Word
- Nursing
- Microsoft Outlook
Clinical Research Recruitment Specialist
Ki Health Partners —Stamford, CT
- $18 - $22 an hour
- Full-time
- Sales
- HIPAA
- Databases
- Profit sharing
- Health insurance
Quick Apply
4d
Clinical Pharmacy Specialist (Oncology) - VIVO Health (Onsite - Norwalk, CT)
Northwell Health —Norwalk, CT
- $112,800 - $197,200 a year
- Full-time
- Hospital
- Mid-level
- Outpatient experience
Senior Consultant - Clinical Documentation Specialist
Deloitte —Stamford, CT
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Licensed Clinical Social Worker (LCSW)
Connecticut Mental Health Specialists —Fairfield, CT
- Part-time
- Hybrid work
- Skilled nursing facility
- Psychiatry
- Licensed Clinical Social Worker
- 401(k)
- Flexible schedule
Quick Apply
Physician Assistant/Nurse Practitioner (APP), Clinical Instructor, Neurosurgery, General Neurosurgery Service
Stony Brook University —Stony Brook, NY
- $143,000 - $175,000 a year
- Online Application
- Nursing
- Surgery
- RN License
11d
Director of Clinical Education, Clinical Assistant Professor, School of Health Professions, Physical Therapy
Stony Brook University —Stony Brook, NY
- $85,000 - $97,000 a year
- Online Application
- Physical & Rehabilitation Medicine
- 3 years
- Master's degree
Research Clinical Assistant
Vitreo Retinal Consultants —Hauppauge, NY
- $20 - $23 an hour
- Full-time
- Patient monitoring
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Project Manager, Clinical Trials
Cogstate —New Haven, CT
- $105,000 - $120,000 a year
- Full-time
- Remote
- Computer Science
- Master's degree
- Psychology
- Paid holidays
- Disability insurance
Quick Apply
Clinical Support Specialist
Groth Pain and Spine —Smithtown, NY
- $25 - $28 an hour
- Full-time
- 1 year
- Entry level
Quick Apply
Clinical Pharmacy Specialist in Oncology
Northwell Health —Danbury, CT
- $59.01 - $127.79 an hour
- Full-time
- Hospital
- Bachelor of Science
- 3 years
Quick Apply
Clinical Practice Lead/Coach - LCSW
Liberation Programs Inc. —Bridgeport, CT
- Part-time
- Addiction Medicine
- Writing skills
- Licensed Clinical Social Worker
- Health savings account
- 401(k)
Quick Apply
Clinical Specialist, Physical Therapy (CT)
Aware Health —New Haven, CT
- $90,000 - $95,000 a year
- Weekends as needed
- Hybrid work
- Spanish
- Mid-level
- Travel
- Disability insurance
- Dental insurance
Quick Apply
Clinical Specialist (Contract Position) - Farmingville
Suffolk County —Farmingville, NY
- $25 - $69 per session
- Contract
- Licensed Clinical Social Worker
- Adults
- Mid-level
Clinical Specialist for Wound Care Supplies RN LPN
aSure Wound Solutions —Lloyd Harbor, NY
- $80,000 - $90,000 a year
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
- Travel reimbursement
- Paid holidays
Quick Apply
12d
Clinical Medical Assistant
Connecticut Orthopaedic Specialists Pc —Shelton, CT
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- Free parking
- Paid holidays
2d

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Outpatient Clinical Denial Specialist (Remote)

Yale New Haven Health -
New Haven, CT

Apply Now

Job Details

Qualifications

Research

Full Job Description

Overview:

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The OP Clinical Denial Specialist supports the organization by reducing financial liability and recovering lost revenue for coding and medical necessity denials. This individual is responsible for, but not limited to: managing medical denials by conducting a comprehensive review of clinical documentation, writing compelling arguments based on the clinical documentation and the medical policies of the payor, submitting appeals in a timely manner, and identifying/resolving denial trends to mitigate potential loss. The OP Clinical Denial Specialist will also handle audit-related / compliance responsibilities and other administrative duties as required. This individual works closely with colleagues within the organization and with managed care payers to resolve issues and expedite reimbursement on overturned appeals.

EEO/AA/Disability/Veteran

Responsibilities:

Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment.
Evaluates Outpatient Clinical denials against medical record documentation, the coding of the encounter, payer policies and contracts, and coverage determinations to determine the viability of an appeal
Compiles the supporting documentation by working in partnership with internal departments and uses technology, drafts detailed, customized appeal letters to payers in accordance with Medicare, Medicaid, Commercial, and YNHHS policies and procedures.
Ensures and tracks receipt of appeals and timely follow-up with all submissions until determination is made.
Identifies payer denial trends, triage discrepancies, ongoing medical necessity, coding, or service issues, and collaborate or escalate appropriately for resolution.
Collaborate internally to provide educational opportunities derived from common themes discovered through the appeal process in an effort to prevent future denials.
Track key denial data as they relate to departmental metrics and performance. Develop and maintain key metrics report including the identification of trends, action plans, etc. Attend organizational committees to present data, as required.
Communicate directly with payer and coordinate meetings with contracting and payers as needed to support appeals process.
Perform other duties as assigned.

Qualifications:

EDUCATION

Two (2) years of college or equivalent with familiarity with medical terminology and anatomy. Knowledge of coding, billing and the revenue cycle. Working knowledge of human anatomy and physiology, Disease process, demonstrated knowledge of medical terminology and the medical record.

EXPERIENCE

Three to five years of coding and/or billing experience required.
Previous experience with governmental and managed care denial/appeal process including familiarity with RAC.
Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500).
Epic HB billing knowledge preferred.

LICENSURE

Certified Coding Specialist (CCS), Certified Coding Specialist Physician based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) through American Academy of Professional Coders (AAPC) or similar certification is required, or must be obtained within a year of hire.

SPECIAL SKILLS

In-depth knowledge of documentation elements within the medical record
Expertise in governmental payment policies and regulations including medical necessity, NCCI, OCE, and MUE policies and procedures
Ability to analyze and resolve coding and medical necessity payer denials through in depth knowledge of payer policies and appeal procedures
Previous experience with clinical denials and appeals for all payers is preferred

Apply Now

Refine Your Search

clinical specialist jobs in bridgeport ct

Outpatient Clinical Denial Specialist (Remote)

Clinical Trials Patient Recruitment Specialist

Clinical Education Specialist - HSS Stamford - Operating Room

Clinical Denials Prevention & Appeals Specialist RN Per Diem

Clinical Activation Specialist

Clinical Research Recruitment Specialist

Clinical Pharmacy Specialist (Oncology) - VIVO Health (Onsite - Norwalk, CT)

Senior Consultant - Clinical Documentation Specialist

Licensed Clinical Social Worker (LCSW)

Physician Assistant/Nurse Practitioner (APP), Clinical Instructor, Neurosurgery, General Neurosurgery Service

Director of Clinical Education, Clinical Assistant Professor, School of Health Professions, Physical Therapy

Research Clinical Assistant

Project Manager, Clinical Trials

Clinical Support Specialist

Clinical Pharmacy Specialist in Oncology

Clinical Practice Lead/Coach - LCSW

Clinical Specialist, Physical Therapy (CT)

Clinical Specialist (Contract Position) - Farmingville

Clinical Specialist for Wound Care Supplies RN LPN

Clinical Medical Assistant

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