- Lincoln Financial Group (Columbus, OH)
- …#:** 73054 **The Role at a Glance** We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a fully remote environment. ... appeal procedures to each claim. _Background Details_ As an Appeals Specialist you will be responsible for...multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. What We Need The Senior Audit Specialist role will review paid claims for coding accuracy in accordance to ... guidelines, BCBSMA Medical and Payment Policies, contract interpretations and established audit protocols. The role involves detailed claims analysis of… more
- Beth Israel Lahey Health (Burlington, MA)
- …reviews, and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay ... and serves on committees as requested. 14. Maintains appropriate audit results or achieves exemplary audit results....Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. 17.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …reviews, and interprets third party payments, adjustments and denials. Initiates corrected claims , appeals and analyzes unresolved third party and self-pay ... meetings and serves on committees as requested. 14)Maintains appropriate audit results or achieves exemplary audit results....Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. 17)… more
- Beth Israel Lahey Health (Burlington, MA)
- …provider documentation in order to determine appropriate coding and initiate corrected claims and appeals . Duties include hands on coding, documentation review ... and serves on committees as requested. 13. Maintains appropriate audit results or achieves exemplary audit results....Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals . 16. Completes… more
- Robert Half Accountemps (Westerville, OH)
- …patient and insurance balances related to assigned carriers and/or providers. * Submit corrected claims and appeals to insurance carriers in a timely manner. * ... States. The position is for a Medical Accounts Receivable Specialist who will primarily focus on expediting the collection...Skills required include but are not limited to Insurance Claims , Medical Claims , Audit Functions,… more
- University of Massachusetts Amherst (Amherst, MA)
- …independent judgement in performance of daily tasks. Proactively work with HRD audit & litigation representatives on claims administration, resolution strategies ... Clerk V (Workers' Compensation Specialist ) Apply now (https://secure.dc4.pageuppeople.com/apply/822/gateway/default.aspx?c=apply&lJobID=522659&lJobSourceTypeID=801&sLanguage=en-us) Job no: 522659 Work… more
- Beth Israel Lahey Health (Burlington, MA)
- …codes. 6. Identifies, reviews, and interprets third party denials 7. Initiates corrected claims and appeals according to payer guidelines. 8. Initiates denial ... **Work Shift:** Day (United States of America) The Denial Specialist role is vital to ensure that hospital denied...Office. 16. Assists the supervisor with the resolution of claims issues, denials, appeals and credits. 17.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims , aged claims and ... claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review...Office. 15. Independently works on the resolution of complex claims issues, denials and appeals . 16. Completes… more
- Beth Israel Lahey Health (Danvers, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) The Billing Specialist role specializes in high dollar claims , aged claims and ... claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review...Office. 15. Independently works on the resolution of complex claims issues, denials and appeals . 16. Completes… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- The New Jewish Home (Bronx, NY)
- …Care, Medicaid (NY) billing and reimbursement + Prior experience working with managed care claims and appeals processes for skilled nursing home is required + ... Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care ...is responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must be able to understand… more
- Banner Health (AZ)
- …responding to audit requests and serves to expedite the disposition of claims by reviewing charts and preparing appeals . In addition, this position ... your abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing concurrent inpatient denials from the insurance… more
- HCA Healthcare (Brentwood, TN)
- …to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has committed up to ... are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our...researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and… more
- HCA Healthcare (Brentwood, TN)
- …want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Denial Coding Review Specialist like you to be a part of our...researching, analyzing, and resolving outstanding clinical denials and insurance claims . What you will do in this role: +… more
- Beth Israel Lahey Health (Burlington, MA)
- …the Central Billing Office. 14. Independently works on the resolution of complex claims issues, denials and appeals . 15. Completes projects and research as ... **Work Shift:** Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team ... of corrective actions based on review findings. The Policy Specialist for Medical Claims Review position would...Program, as well as technical understanding of review or audit processes and information management. **_Hybrid or full-time remote… more
- Truecare Homecare Agency (Brooklyn, NY)
- …scanning all documentation to centralized location * Participate in data retrieval for claims appeals and requests for payment * Liaison between the insurance ... we offer hope, healing, and a brighter tomorrow. Position Title: Authorizations Specialist Reports to: Director of Finance Job summary: The Authorizations … more
- Shinda Management Corporation (Queens Village, NY)
- …required processing and reviewing EIV reports/corrections, repayment agreements, and process special claims + Pre- audit LIHTC/HUD and HOME tenant files for all ... Compliance Specialist About the Organization For over three decades,...and applications, including remarketing assessments, interviewing applicants, and processing appeals + Process tenant rental payments, Housing Assistance Payments… more
- Ascension Health (Allegan, MI)
- …additional specifics._ **Responsibilities** This position is responsible for submitting claims to insurance companies, working front-end payer edits, following up ... up, taking and documenting necessary actions (ie: calling insurance companies, writing appeals , etc.) to resolve open accounts. + Secure and submit needed medical… more