- Advanced Pain Care (Austin, TX)
- …will be fully remote after training. **Texas residents only Job purpose The Appeals Specialist is responsible for managing insurance denials by reviewing claims ... clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment amount and/or non-payment. Duties and… more
- Movn Health (Los Angeles, CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... is a self-starter with a proven track record in A/R recovery, claim appeals , and payer follow-ups. Experience in startup environments and cardiovascular care is… more
- Savista (Camden, NJ)
- … medical requirements for disability programs, including setting up medical appointments, completing disability applications, submitting appeals , and ... of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose The Eligibility Specialist II is a critical advocate for patients, helping uninsured and… more
- SportsCare Physical Therapy (East Hanover, NJ)
- Medical Collector - Accounts Receivable Department Location: East Hanover, NJ (In-Office) Schedule: Full-Time | Monday-Friday, 8:30 AM-4:30 PM About Us: Join our ... accountability, and growth. Position Overview: We are seeking an enthusiastic and resourceful Medical Collector with a minimum of 3 years of experience in medical… more
- PHI Health (Phoenix, AZ)
- …individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second ... With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set...Draft correspondence to patients and payers including 1st level appeals for technical denials, and identify accounts to refer… more
- Quadax (Cleveland, OH)
- …needed to resolve claim rejections. Respond to payer correspondence. Draft appeals for denied claims. Research requests for insurance payment retractions. Research ... Ability to maintain confidentiality. Working knowledge of coding and medical terminology. Excellent written and verbal communication skills. Strong problem… more
- UHS (Riverside, CA)
- …the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and ... change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice...all assigned tracer claims 3. Initiate claim review and/or appeals , as indicated on assigned explanation of benefits. 4.… more
- State of Delaware (Dover, DE)
- …much more. Summary Statement The Delaware Department of Justice seeks a Victim Service Specialist (VSS) to join the Criminal Division in Kent County. This VSS will ... disseminating information and referrals to community resources for counseling, medical care, legal assistance, emergency funding, and/or other applicable resources;… more
- Golden Gate Regional Center (San Francisco, CA)
- …on compliance related policies and procedures and ethical conduct Supervise Public Records Specialist and appeals specialist Work across departments and with ... compliance team, develops and implements policies, investigates complaints and appeals , monitors regulatory changes, and ensures timely reporting. The Compliance… more
- State of Colorado (Golden, CO)
- …of Maintenance & Operation projects; Assists the unit's Environmental Protection Specialist in consultant management for contracts and associated Task Orders related ... of the department's action. For more information about the appeals process, the official appeal form, and how to...Colorado offers permanent employees a variety of benefits including medical , dental, life and disability insurance, as well as… more
- Children's Health (Dallas, TX)
- …Ambulatory clinics and Patient Access Service areas; assisting in reviewing medical records for appropriate reimbursement of medically necessary services meeting ... and resolve quality opportunities for appropriate authorization; and Denials Management Specialist to analyze denial data, propose and execute improvements to… more
- POM Recoveries Inc (Farmingdale, NY)
- …claims follow-up experience? Join our team as an Insurance Claims Follow-up Specialist , where you'll leverage your expertise in medical collections, denial ... and verification processes. Reviewing correspondence, including refund requests and medical necessity documentation. Conducting detailed follow-ups with insurance providers.… more
- State of Colorado (Denver, CO)
- …PERA Defined Contribution Plan plus 401K and 457 plans. Member Contribution Rates. Medical and dental health plans; Short and long term disability coverage; Paid ... preventive dental health care; Sterilize instruments and equipment; Dispose of medical contaminated waste; Interpret and adapt radiation safety and infection control… more
- Rochester Regional Health (Newark, NY)
- …4:30PM SUMMARY Participates and supports oversight of office processes of the Medical Management Department to maintain daily operations. Oversees the daily review ... requirements of Third Party Payors are maintained. Participates and supports the medical management department in the tracking, trending and reporting of appeals… more
- City of Ashland, OR (Ashland, OR)
- …requests for information from the public. Work with Code Enforcement Specialist in addressing municipal code problems that require police assistance. Investigates ... use your cover letter to discuss why this position appeals to you and how you meet the qualifications...from the City for qualified employees; employee and dependent medical , dental and vision insurance with a 7.5% pre-tax… more
- State of Colorado (Sterling, CO)
- …I-IV qualify as "Safety Officers" and are eligible for increased PERA benefits; Medical and dental health plans; Short and long term disability coverage; Paid life ... from the Colorado Department of Regulatory Agencies as a Certified Addiction Specialist (CAS) or Addiction Counselor Candidate (ADDC) will substitute for the… more
- University of Michigan (Ann Arbor, MI)
- …opportunity employer. **Job Detail** **Job Opening ID** 266022 **Working Title** Denials Prevention/ Appeals Specialist **Job Title** Medical Coder Compliance ... Denials Prevention/ Appeals Specialist Apply Now **Job Summary** The Denials Prevention and Appeals Specialist is responsible for ensuring the accuracy… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on ... the services/treatment rendered. JOB DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for diagnosis and procedure code assignment and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve… more
- HCA Healthcare (Nashville, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Appeals Specialist for our team to ensure that we continue to ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...you to apply! **Job Summary and Qualifications** Seeking an Appeals Specialist , who will be responsible for… more
