- TEKsystems (Denver, CO)
- Medical Appeals Specialist (Fully Remote) Make a measurable impact by overturning denials, recovering missed revenue, and improving patient account outcomes. As ... a Medical Appeals Specialist , you'll combine deep payer policy...claims and payer denial codes, plus hands‑on complex appeals workflows + EMR/EHR experience (ideally Epic and Athena;… more
- Fairview Health Services (St. Paul, MN)
- …critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more
- Fairview Health Services (St. Paul, MN)
- …critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ... **Job Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more
- AssistRx (Overland Park, KS)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... A Day in the Life as a Patient Access Specialist : This role works directly with healthcare providers &...(PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move… more
- Helio Health Inc. (Syracuse, NY)
- …Maintains accurate files necessary for research and documentation. + Researches open claims and processes appeals when necessary. Follows up on patient ... support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up...or concern arises. + Communicates insurance trends and unresolved appeals to the billing manager for further action. +… more
- AssistRx (Maitland, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding… more
- AssistRx (Maitland, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding… more
- University of Virginia (Charlottesville, VA)
- …assigned AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental rules. + ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow...from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill… more
- Maxim Healthcare (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Maxim Healthcare is hiring for a Reimbursement Specialist who will serve as liaisons between office...reviewing office sales for appropriate documentation, generating and billing claims and invoices, and follow up on unpaid accounts.… more
- BrightSpring Health Services (Centennial, CO)
- …Providing service to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and classifies existing documentation and identifies ... documentation needed to respond effectively and efficiently. The PBM Payer Audit Specialist also performs quality assurance checks for all medical and PBM billing… more
- State of Colorado (Denver, CO)
- HCBS Benefits Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5155072) Apply HCBS Benefits Specialist Salary $71,544.00 - ... for overtime compensation. Department Contact Information Sarah Roman, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online… more
- J&J Family of Companies (Denver, CO)
- …processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals /grievances); REMs certification; Medicare and ... We are searching for the best talent for Neuroscience Area Business Specialist to cover the territory of Colorado-Wyoming. **About Neuroscience** Our expertise in… more
- J&J Family of Companies (Phoenix, AZ)
- …processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals /grievances); REMs certification; Medicare and ... searching for the best talent for Neuroscience Area Business Specialist to cover the territory of Arizona. **About Neuroscience**...a good match, you'll be invited to complete a short -recorded video interview, giving you the chance to share… more
- State of Colorado (Denver, CO)
- …for overtime compensation. Department Contact Information Jessica Bosick, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage + Automatic Short -Term and Optional Long-Term Disability Coverage… more
- Cardinal Health (Sacramento, CA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure...day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long-term disability coverage + Work-Life resources +… more
- State of Colorado (CO)
- …Denver, CO 80203, USA Department Contact Information Sarah LaRue Talent Acquisition Specialist ###@state.co.us How To Apply Please submit an online application for ... Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage + Automatic Short -Term and Optional Long-Term Disability Coverage… more
- CVS Health (Madison, WI)
- …areas. Knowledge of Aetna clinical and coding policy and experience with appeals , claim review, reimbursement issues, and coding is preferable, but a willingness ... license in physical therapist or occupational therapist * Seating Mobility Specialist (SMS) Rehabilitation Engineering & Assistive Technology Society of North… more
- HCA Healthcare (Manchester, NH)
- …Time Away From Work Program (paid time off, paid family leave, long- and short -term disability coverage and leaves of absence) + Employee Health Assistance Fund that ... the risk manager to review and evaluate an applicant's claims history and National Practitioner Data Bank or other...process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements.… more