- Lincoln Financial (Lincoln, NE)
- …for this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and...lieu of Bachelor's) + 1 - 3+ Years of Short -Term and/or Long-Term Disability. (Required) + Ability to communicate… more
- Elevance Health (Irving, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals , Insurance) - ... weeks/30 days at the Plano, TX office. The **Referral Specialist II** is responsible for providing support to a...necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer policy. + Ability… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist ** to join… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in a key role of...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Stryker (Flower Mound, TX)
- **What You'll Do:** As our **Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... processes-ensuring successful navigation of the billing, prior authorization, and appeals process. **Key Responsibilities:** + Respond to day-to-day reimbursement… more
- HCA Healthcare (Richmond, VA)
- …your application for the opportunity below: Clinical Denials Coding Review Specialist Parallon. **Benefits** Parallon, offers a total rewards package that supports ... Program (paid time off, paid family leave, long- and short -term disability coverage and leaves of absence) + Employee...location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue… more
- TEKsystems (St. Louis, MO)
- …goal to improve metrics such as DSO (Days Sales Outstanding). + Process appeals by gathering required documentation, resubmitting claims , and following up ... *Teksystems is currently seeking an experienced Medical Collections Specialist for a Hybrid Opportunity in St. Louis, MO.* As a Medical Collections Specialist ,… more
- ClearChoiceMD (Concord, NH)
- …understand the need for excellent, expedient care. The Accounts Receivable Denials Specialist is a member of the ClearChoiceMD/CareWell Urgent Care billing team. ... all rejection and payer denials. The Accounts Receivable Denialist Specialist will also review monthly denials and provide denial...for: + Medical, Dental, Vision Insurance + Company Paid Short Term disability and Basic Life Insurance + 401(K)… more
- AssistRx (Orlando, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding… more
- AssistRx (Orlando, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding… more
- CVS Health (Augusta, ME)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Maxim Healthcare (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Maxim Healthcare is hiring for a Reimbursement Specialist who will serve as liaisons between office...reviewing office sales for appropriate documentation, generating and billing claims and invoices, and follow up on unpaid accounts.… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill… more
- Cedars-Sinai (Los Angeles, CA)
- …daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, performing account follow-up activities, updating information ... and resolve complex cases and problem accounts with minimal assistance. Submits appeals and collect monies relative to physician reimbursement. Services as a… more
- TEKsystems (Michigan City, IN)
- …Hours: M-F Onsite, 8AM-5PM CST Skills Customer Service Insurance Verification/Follow-Up Claims and Appeals Experience Medical Billing Medical Collections ... * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits *… more
- TEKsystems (Reston, VA)
- Description PURPOSE: The Appeals Specialist II will be responsible for the initial intake analysis of appeals /grievances correspondence and determination of ... collecting organizing and tracking information to facilitate and expedite processing of appeals and grievances received from a variety of sources. Responsible for… more
- Cardinal Health (Washington, DC)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure...day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long-term disability coverage + Work-Life resources +… more
- Cardinal Health (Fresno, CA)
- …in accordance with payer guidelines and national coding standards + Submit corrected claims , appeals , or reconsiderations as needed + Collaborate with providers ... the patient's account balance is zero. **_Job Summary_** The Coding Denial Specialist is responsible for reviewing, analyzing, and resolving medical claim denials… more
- Adecco US, Inc. (Cincinnati, OH)
- …and Commercial payer structures + Experience with benefit verifications, prior authorizations, claims appeals , and HUB services + Bachelor's degree or equivalent ... offices, supporting patient access + Conduct benefit investigations, prior authorizations, appeals , and claim denials follow-up + Deliver reimbursement education and… more
- Adecco US, Inc. (St. Louis, MO)
- …liaison for healthcare providers; support access through Benefit Investigation, Prior Authorization, Claims , and Appeals + Deliver payer education and insights ... reimbursement experience (Buy & Bill, Specialty Pharmacy, prior authorizations, claims ) + Bachelor's degree or equivalent experience required + Previous… more