- GAP Solutions Inc (Herndon, VA)
- …+ Prepare vouchers for payment and submit to the Program Director for approval/ denial . + Gather and prepare incoming applications for participants and submit to the ... Program Director for approval or denial . + Return all incoming call and emails that are received after hours within one working day of receipt. + Perform other… more
- Insight Global (Nottingham, MD)
- Job Description Day to Day: Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will be ... overseeing and managing the insurance denial and appeals process to minimize financial risk and improve reimbursement outcomes. Primary Responsibilities: *… more
- Evolent (Washington, DC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for reviewing and processing ... prior authorization experience. This role is distinct from other coordinator positions in that it is dedicated to case...BCBS TN Rad Onc IROs, Out of Network Benefit Denial packets, Overturns, and other special requests received via… more
- Cardinal Health (Washington, DC)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... experience, preferred. + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, Medicaid, commercial insurance… more
- Amentum (Fort Belvoir, VA)
- Amentum is hiring a part-time **Freedom of Information Act** ( **FOIA) Coordinator ** at our **Ft Belvoir, VA** location to provide contract support to the Government ... to accurately invoke appropriate exemptions provided under the FOIA/PA, including the denial of information or records sought by the public. + Preparing/submitting… more
- Highmark Health (Washington, DC)
- …to prescribing physician and impacted member. + Populate all authorization and denial information fields within the OnBase information system. + Enter all ... authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy… more
- Intermountain Health (Washington, DC)
- …usage. + Understand the Medicare Physician Fee Schedule + Communicate coding/ denial trends and provider education opportunities to coding leadership. + Communicate ... effectively with providers via Epic in-basket message and email. + Functionally work within Microsoft Office Suite products & Optum Encoder Pro. + Provides education/training for medical providers and coders within the department. + Performs quality assurance… more
- Carrington (Washington, DC)
- …procedures. + Acts as liaison with outside broker, and internal broker coordinator , processor, processing, underwriting, and closing to ensure timely loan closings. ... Ensures compliance deadlines are met with regards to pre-disclosures, approval letters and denial notices. + Work, maintain and update contacts in the CRM system. +… more
