- Monster (Allentown, PA)
- …as necessary to ensure that documentation is entered and transmitted to insurance carriers within acceptable timeframes to comply with appeal deadlines. Provides ... as deemed clinically appropriate. Investigates managed care and commercial insurance rejections, denials for possible experimental services and coding issues,… more
- Monster (Findlay, OH)
- …the initial denial notifications for claims that have been received by the insurance but have been partially or fully denied for reimbursement from the provider. ... out appropriate research and analysis to help with the appeals process and stay informed of best practices and...research denials, submits information electronically, and follow up on appeals to expedite the payment process. Duty 8: Posts… more
- Genmab (Berkeley Heights, NJ)
- …has experience in case management, phone-based support work and the health insurance landscape. Patient Service Specialists are critical in the success and quality ... and the healthcare provider (including their office staff) to navigate through insurance coverage and access of the medicationNavigate patients and offices through… more
- Monster (Albany, NY)
- Surety Insurance Underwriter - Colonie Town, NY Surety Underwriter Underwriting Surety Insurance Contract Surety Bonds Construction Surety Commercial ... Prepare and analyze information on adverse underwriting decisions, rate appeals , underwriting requirements, status, and declinations to drive results. Conduct… more
- Monster (Bettendorf, IA)
- Insurance Underwriter - Contract Surety & Fidelity - Bettendorf, IA Insurance Underwriter Construction Surety Bid Bonds Performance Bonds Payment Bonds Surety ... relationships. Manage renewal process. Report adverse underwriting decisions, rate appeals , underwriting requirements, status, and declinations. High growth visible… more
- Monster (Allentown, PA)
- …based on the productivity standards set by management. Analyze daily aging of insurance accounts via the billing system to determine appropriate follow up for non- ... payment accounts, as well as to ensure compliance with all Federal, state, insurance payer and St. Luke's Network policies. Analyzes denied claims and investigates… more
- HireMaster (Lincoln, NE)
- …and family to ensure the patients hospital stay meets medical necessity and insurance authorizations are obtained in order to facilitate the patients and hospitals ... appropriate algorithm. 6. *Participates in concurrent and retrospective denials and appeals process by researching issues surrounding the denial, participating in… more
- Monster (Allentown, PA)
- …network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review ... documentation, CCI/LCD, carrier policy and utilization of coding software applications.The appeals process may include collaboration with the Claim Editing Manager,… more
- Monster (Tampa, FL)
- Legal Assistant Seeking an Insurance Defense Legal Assistant with 3+ years' of experience for the Tampa FL- First Party Property and/or Third Party Coverage ... for trial in state and federal court and handline appeals in state and federal court is also a...days of employment) Key Skills Legal Paralegal Secretary Law Firm Insurance Defense Property Construction subrogation Bachelor's Degree Requirement:… more
- Monster (New York, NY)
- About Jones Jones LLC Jones Jones LLC is a leading insurance defense law firm with over 100 years of proven success. We specialize in workers' compensation defense, ... Associate Attorney to join our Workers' Compensation team. You'll represent insurance carriers, third-party administrators, and self-insured employers before the New… more
- Monster (Baltimore, MD)
- …but also to address inquiries made to the office by lawyers and insurance company representatives. The incumbent must have management talent to coordinate the flow ... with the public, as well as public officials, employers, insurance carriers and lawyers on a daily basis. The...is responsible for activities relating to the processing of appeals for the Workers' Compensation Commission in accordance with… more
- Monster (New Paltz, NY)
- …to senior representatives such as mailing paper claims, preparing spreadsheets for appeals , or maintaining data spreadsheets as directed by the manager (s). ... queues and reports. Verifies eligibility and performs data entry of patients' personal/ insurance information as needed to assist in payment of debt for designated… more
- BJC HealthCare (St. Louis, MO)
- … appeals team! In this role, you will be analyzing trends for insurance appeals and denials as well as participating in provider huddles. **Overview** ... Qualifications** **Role Purpose** The Patient Accounts Analyst ensures that all insurance , accounts receivable and billing processes are completed accurately and… more
- Healthfirst (FL)
- …+ Minimum of two (2) years of work experience in Managed Care Health Insurance Plan + Experience with appeals for Medicare, Medicaid, Dual enrollment and ... certain types of claim denials, member complaints, and member and provider appeals . The end-to-end process requires the Specialist to independently: + Research… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …will be placed on the eligible list. The Iowa Department of Inspections, Appeals , and Licensing, Unemployment Insurance Appeals Bureau, seeks ... a positive and professional attitude The Iowa Department of Inspections, Appeals , and Licensing, Unemployment Insurance Appeals Bureau, as a State of Iowa… more
- Mount Sinai Health System (New York, NY)
- …in the department as per protocol + Requests or provides Medical Records as required for appeals , On / Off-site Insurance reviews + Implements first step of ... information in Allscripts + Meets time frame for reviews / appeals as specified by Insurance / State & Federal regulation. + Enters concurrent review information… more
- Whidbey General Hospital (Coupeville, WA)
- …refunds, and audits. + Inputs statistically numbers in online reports. + Prepares insurance appeals and follows up as required. + Processes technical denials. ... responsible for coordinating patient referrals and subsequent follow up, verifying insurance and providing financial counseling to assist with self-pay accounts, as… more
- University of Virginia (Charlottesville, VA)
- …has assigned AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities… more
- CommonSpirit Health at Home (Loveland, OH)
- …certifications. Proficiency in billing and collections processes, with a focus on insurance appeals and account resolution.. At CommonSpirit Health at Home, ... Level II is a mid-level role responsible for resolving insurance and self-pay accounts, including managing claim appeals... insurance and self-pay accounts, including managing claim appeals . This role requires a high level of attention… more
- Beth Israel Lahey Health (Cambridge, MA)
- …writing skills to prepare various reports to state and federal regulators, insurance appeals , internal correspondence, and clinical summaries for medical peer ... of care. Applies knowledge of disease and nursing processes to write effective appeals and clinical abstracts, identifies quality of care and risk management issues.… more
