- Cambia Health Solutions, Inc (Tacoma, WA)
- Appeals Specialist IRemote within WA, ID, OR, and UTPrimary Job Purpose:Responsible for all activities associated with requests for Provider Billing Disputes and ... reviews for appeals .Normally to be proficient in the competencies listed below: Appeals Specialist I would have a high school diploma or GED and a minimum… more
- Accounting Now (Tampa, FL)
- Medicare Appeals Specialist Do you like challenging payers? Enjoy that feeling of satisfaction when your appeal is overturned? Then, this position may is right ... you! The ideal candidate will be well versed in the Medicare managed care appeals and grievance process. Must have strong knowledge of Medicare payer guidelines and… more
- Option Care Health (Columbus, OH)
- …with Billing and Collection Training and completes "second level" appeals to payers.Job Description: Job Responsibilities:Submits timely, accurate invoices to ... payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all...to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... Denials Specialists to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely manner. This position applies prior… more
- Toyota Boshoku America, Inc (Erlanger, KY)
- …retirement programs plan administrator.1Provide support for eligibility, claims, appeals , plan transactions, etc.2Understand and explain general information about ... Senior Professional in Human Resources (SPHR), or Certified Employee Benefits Specialist (CEBS) preferred. Experience:* Greater than four (4) years of relevant… more
- Creative Financial Staffing (Chicago, IL)
- Revenue Cycle Specialist Our client seeks a Revenue Cycle Specialist with experience in healthcare claims and collections. This role offers an exciting ... overlooking a beautiful park " Job Responsibilities of the Revenue Cycle Specialist : Process clean claim submissions and aggressively follow up with payers for… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …providers for the past 13 years in a row. The AR Specialist will provide continual and accurate documentation regarding eligibility, authorization, and other ... for accuracy as well as sending out initial claims, corrected claims and appeals . This position is for the California / NM region. Responsibilities Review patient's… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …notes and/or minutes as deemed necessaryConduct research and analysis to support filing appeals with the payers working in partnership with other members of the HP2 ... teamCompiles, maintains and reviews value-based contracts and risk contracts portfolio for the purpose of identifying opportunities to improve contract terms and structures Physical DemandsWeight Lifted: Up to 20 lbs, Occasionally 0-30% of timeWeight Carried:… more
- Compass Health Network (Raymore, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. An Outpatient Nurse will… more
- Compass Health Network (Sullivan, IL)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a PRN… more
- Compass Health Network (Sullivan, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a PRN… more
- Universal Health Services (Reno, NV)
- …Job Summary: Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring the appropriate review, research, ... processing and responding to written member and provider complaints, appeals , and grievances. This position is required to apply analytical and critical thinking… more
- Universal Health Services (Richmond, VA)
- …Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist . The Appeals Specialist is responsible for the ... identified during the billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: + Responsible for … more
- Robert Half Accountemps (Long Beach, CA)
- Description We are seeking an experienced Medical Grievances and Appeals Specialist to join our dynamic team. The successful candidate will be responsible for ... managing all grievances, appeals and complaint processes related to medical services. You...and legal standards. Responsibilities: + Process all medical grievances, appeals , and complaints in a timely, accurate and efficient… more
- Universal Health Services (Bonham, TX)
- …day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare ... in compliance with Managed Care contracts and government fee schedules. The Appeals Specialist will obtain, manipulate, and analyze data from a variety of… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... Coordinates and executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE: The… more
- Generac Power Systems (Waukesha, WI)
- ** Appeals & Grievances Specialist I** **Company** Generac Power Systems **Name** Appeals & Grievances Specialist I **Req #** 64663 **Employment Type** ... and enjoy a fast-paced, high-performance culture. **Job Summary:** The Appeals and Grievances Specialist is a critical team player who is responsible for… more
- Randstad US (Dallas, TX)
- medical appeals and denials specialist . + dallas , texas + posted 3 days ago **job details** summary + $20 - $20.93 per hour + temp to perm + high school + ... your life style, then look no further. Must have at least 2 years of backend appeals and denials experience. salary: $20 - $20.93 per hour shift: First work hours: 8… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Appeals and Recovery Support Specialist position investigates, examines and reviews claims' appeals , recoveries, and escalations in ... regularly with various levels of the organization to resolve appeals and escalations, serving as a valuable resource to...Assesses written and verbal complaints via email or the appeals portal, identifying all areas of dissatisfaction and works… more
