• Futrend Technology Inc (Washington, DC)
    Job Description Futrend Technology is in search of a FOIA Appeals Specialist with a legal administrative background. The ideal candidate will support tasks ... and responds to the client’s Freedom of Information Act (FOIA) requests, cases and appeals · Reviews the client’s memorandum for support of its FOIA response ·… more
    ZipRecruiter (09/04/18)
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  • Medical Professionals (Salt Lake County, UT)
    Job Description Medical Billing Appeals Specialist $16 - 18/hour Job Summary: PreAR responsibilities are to ensure that the patient claim is reviewed for ... possible reimbursement issues and billed out appropriately. The AR responsibilities are to analyze and research claims to identify appropriate resolution Responsibilities Essential Functions : PREAR/AR Essential Functions: Resolve various billing edits within… more
    ZipRecruiter (09/04/18)
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  • Quadax (Middleburg Heights, OH)
    …Purpose: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within the appeal filing time ... limits. Submit external review requests and required documentation to the state within the filing time limits. Act as a patient advocate by identifying the path needed to obtain the maximum reimbursement under the insurance plan and work with the patient to… more
    ZipRecruiter (09/12/18)
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  • Highmark Health (Los Angeles, CA)
    …Description General Overview: The Care Manager will work part-time Thursday, Friday and Saturday standard business hours and is responsible for the implementation of ... effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and… more
    ZipRecruiter (09/06/18)
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  • 42 Services, LLC - Tower Surgical Partners (Rockville, MD)
    …long-term growth. TSP is seeking the services of an experienced Medical Billing Specialist to support all existing and acquired facilities. TSP is a comprehensive ... procedures to be performed in an outpatient ASC setting. The Medical Billing Specialist will manage payment posting, charge entry for surgical procedures, follow up… more
    ZipRecruiter (09/16/18)
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  • Army National Guard (Washington, DC)
    27D Paralegal Specialist Job ID: 986244 Job Views: 19 Location: WASHINGTON DC, District of Columbia, United States ZIP Code: 20003 Job Category: Administrative ... and 35 Job DescriptionAs an Army National Guard Paralegal Specialist , you will play a key role in the...court decisions and Army regulations, process legal claims and appeals , and prepare records of hearings, investigations, court-martials and… more
    Joblift (09/07/18)
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  • DaVita (Irvine, CA)
    …a subject matter expert for close Review and approve adjustments and claims appeals submitted by Specialist of Patient Accounts Conduct quality assurance reviews ... regulations. This position also provides ongoing training and guidance for Specialist Patient Account teammates, and performs data trending analysis, quality… more
    Dialysis Jobs Weekly (09/07/18)
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  • CODICE (Washington, DC)
    …(MMIS). Assist with preparing and collecting all case information needed for appeals . Perform other duties as assigned by management. Education and Experience ... Requirements Bachelor’s Degree from an accredited college or university or equivalent combination of education and experience. Strong written and verbal communications skills, including the ability to prepare written reports and present findings to team… more
    ZipRecruiter (09/02/18)
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  • Advance Employee Intelligence (Washington, DC)
    …and managers in response to requests for position review and classification appeals . Prepares findings of internal audits and program reviews. Participates as ... position classification subject matter expert in broader human resource program projects. Required Qualifications: 3 to 5 year period in a senior HR position doing position classification. Expert knowledge of federal general schedule position classification… more
    ZipRecruiter (08/31/18)
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  • Decton Staffing Services (Orange, CA)
    Job Description Job Summary The Grievance and Appeals Nurse Specialist will manage the department work activities to ensure that service standards are met, and ... of health care experience, preferably in a managed care environment LVN Nurse specialist , grievance and appeals nurse, LVN, RN Must have LVN or RN license and at… more
    ZipRecruiter (09/12/18)
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  • State of West Virginia (Charleston, WV)
    DESCRIPTION Administrative Office of the WV Supreme Court of Appeals , Technology Services Division - Data Exchange Specialist /Programmer Analyst: The ... Administrative Office of the Supreme Court of Appeals of West Virginia has an immediate professional opportunity within its Technology Services Divis more
    ITJobCafe (09/14/18)
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  • CACI International Inc (Arlington, VA)
    …compiling data for use by DASD personnel in drafting testimony, appeals , responses to congressional inquiries and General Accountability Office investigation ... documentation; Evaluate short- and long-term plans, policies and objectives to assist in the development and modification of systems level policy and process documents; Assess interoperability, integration, design, systems engineering and performance… more
    Neuvoo (09/14/18)
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  • AMITA Health (Lisle, IL)
    …to coding, medical records/documentation, precertification, reimbursement and claim denials/ appeals . Assesses and coordinates discharge planning needs with ... healthcare team members. Prepares statistical analysis and utilization review reports as necessary. Qualifications Licenses/Certifications/Registration: Required Credential(s): Licensed Registered Nurse credentialed from the Illinois Board of Nursing obtained… more
    Neuvoo (09/05/18)
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  • HealthCare Support (Fort Myers, FL)
    Are you an experienced Collections Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by ... questions – this is the position for you! Daily Responsibilities: The Collections Specialist will be responsible for: Researching why claims have been denied or why… more
    Neuvoo (09/14/18)
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  • DaVita (Tacoma, WA)
    …a subject matter expert for closeReview and approve adjustments and claims appeals submitted by Specialist of Patient AccountsConduct quality assurance reviews ... regulations. This position also provides ongoing training and guidance for Specialist Patient Account teammates, and performs data trending analysis, quality… more
    Dialysis Jobs Weekly (08/21/18)
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  • AMITA Health (Lisle, IL)
    …to coding, medical records/documentation, precertification, reimbursement and claim denials/ appeals .Assesses and coordinates discharge planning needs with healthcare ... team members.Prepares statistical analysis and utilization review reports as necessary.QualificationsLicenses/Certifications/Registration:Required Credential(s):Licensed Registered Nurse credentialed from the Illinois Board of Nursing obtained prior to hire… more
    AMITA Health (09/01/18)
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  • Wilson Elser Moskowitz Edelman & Dicker LLP (White Plains, NY)
    Wilson Elser's White Plains office is seeking an Insurance Litigation Management Specialist . The FirmWilson Elser is a full-service and leading defense litigation ... to attorneys and staff with regard to compliance issues and resolution of invoice appeals . Assist with the preparation of and response to client audits on behalf of… more
    Law Jobs (09/13/18)
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  • Sentara Healthcare (Norfolk, VA)
    Job Description: The Accounts Receivable Specialist is accountable for daily operational tasks associated with revenue cycle accounts receivable. The Accounts ... Receivable Specialist is responsible for follow-up and timely and effectively...insurance primary, secondary, and tertiary payers, and prepares all appeals . Routinely monitors and processes monthly write-offs for assigned… more
    Washington Post (08/31/18)
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  • Sentara Healthcare (Norfolk, VA)
    …operational tasks associated with revenue cycle accounts receivable. The AR Specialist is accountable for follow-up and timely and effectively managing requests ... insurance payers, secondary, and tertiary payers, and prepares all non-clinical appeals . Routinely monitors and processes monthly write-offs for assigned area of… more
    Washington Post (08/19/18)
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  • Conduent (Baton Rouge, LA)
    …Make appropriate referrals for non-OAAS community services Participate in appeals hearings Participate in continuous quality improvement (CQI) process Provide ... consultation and assistance with application processes Participate in on-going departmental and Conduent training activities Handle TTD/TTY (telecommunications for the hearing impaired) assistance calls Provide prompt, professional customer service to ensure… more
    Neuvoo (09/18/18)
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