- HCA Healthcare (Manchester, NH)
- …Do you want to join an organization that invests in you as a Medical Insurance Claims Appeals Representative ? At Parallon, you come first. HCA Healthcare has ... the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Appeals Representative like you to be a part of our team. **Job… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the centralized intake, logging and triage… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding ... determination made by the government or commercial payors, or their auditor representative . + Facilitate clinical chart reviews to assist with supporting assigned… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding ... AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend… more
- Penske (Reading, PA)
- …audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims . -The position will require the ability ... are required. **Physical Requirements:** -The physical and mental demands described here are representative of those that must be met by an associate to successfully… more
- Robert Half Accountemps (Olathe, KS)
- Description We are offering a contract to hire employment opportunity for a Medical Claims Representative in Olathe, Kansas. This role is within the industry of ... the Representative to handle various responsibilities related to medical claims , insurance, and billing functions. Responsibilities: * Handle medical claims … more
- Texas Veterans Commission (Midland, TX)
- …rulings, and state law in the adjudication process. . Prepares and files claims and appeals with supporting evidence for successful adjudication. . Advises ... Financial Operations* **Organization:** **TEXAS VETERANS COMMISSION* **Title:** *TVC - Claims Benefit Advisor (Veterans Services Representative I)* **Location:**… more
- Guidehouse (Lewisville, TX)
- …San Antonio office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 1+ year's medical provider experience working with UB04, appeals & denials. + Hospital or EOB claims… more
- MyFlorida (Orlando, FL)
- 855772 - EMPLOYMENT SECURITY REPRESENTATIVE II - 40034030 Date: Jul 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... 855772 Agency: Commerce Working Title: 855772 - EMPLOYMENT SECURITY REPRESENTATIVE II - 40034030 Pay Plan: Career Service Position...to apply the law in making initial determinations on claims . The individual in this position must be able… more
- US Tech Solutions (Myrtle Beach, SC)
- …equivalent. + Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's Degree in lieu of work ... Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals . Determines whether to return, deny or pay claims … more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . The Customer Service ... + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address customer needs and concerns… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly processing healthcare claims to obtain reimbursement to various third party payers and patients, ensuring proper account documentation in ... corrects both internal errors and denials from insurance companies and re-files claims . Reviews, evaluates, and forwards manual patient account statements to payers… more
- UNC Health Care (Chapel Hill, NC)
- …**Job Responsibilities:** + Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and ... a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works… more
- Robert Half Accountemps (Monrovia, CA)
- Description A reputable healthcare organization is hiring a Patient Account Representative to provide exceptional support to patients with their Explanation of ... billing, the complete revenue cycle management process, and possesses extensive knowledge of appeals and denials management. This role is Hybrid with 2 day in office… more
- Insight Global (Houston, TX)
- …A healthcare employer in Houston, TX is seeking an Insurance Follow Up and Denials Representative to join their team. This position is hybrid and will be onsite 1 ... once the initial training period has been completed. In this position the representative will be responsible for reviewing denied or rejected insurance claims ,… more
- Virtua Health (Mount Laurel, NJ)
- …insurances on a monthly basis and maintains records of declined claims requiring appeals .Position Qualifications Required / Experience Required:1-3 years ... codes, insurance information) and enters into database.Identifies and resolves denied claims , escalating accounts as necessary to ensure timely payment of … more
- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** The Servicing Representative is a customer service professional who displays confidence, a ... listening towards all Pharmacy Benefit Dimensions (PBD) customers. The Servicing Representative functions as an advocate for all customers and resolves all… more
- AdventHealth (Tampa, FL)
- …claim processed and paid Review and assist Physician office and Central Billing Office with appeals of unpaid and denied claims Work tasks related to RTE and ... position certifications **The role youll contribute** **:** The Patient Account Representative is responsible for maintaining patient accounts by assisting Physician… more
- Robert Half Accountemps (Edina, MN)
- Description We are looking for a dedicated Patient Account Representative to join our healthcare team in Edina, Minnesota. This long-term contract position offers an ... medical billing systems, including Epic Software and Cerner Technologies, to process claims and manage account records. * Ensure accurate documentation of patient… more
- Cardinal Health (Atlanta, GA)
- …as assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and accurate ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
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