- 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
- Crystal Stairs (Los Angeles, CA)
- …responsible for providing administrative or clerical support to the Fraud Prevention & Appeals Unit. This position will assist in the areas of file maintenance, ... making follow up phone calls to parents and/or providers regarding appeals hearing appointments. The qualified candidate will have the following responsibilities:… 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
- State of Colorado (Denver, CO)
- …Support Services (DCSS) exists to ensure that all children receive financial and medical support from each parent through the location of each parent, the ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- PHI Health (Phoenix, AZ)
- Specialist , Med Billing - Follow-Up & Collections IV Join Our Life-Saving Team and take advantage of a sign on bonus up to $7,500! Are you ready to elevate your ... 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… 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
- Quipt Home Medical Corp (Mesa, AZ)
- …claim denials associated with referrals, authorizations, notifications, non-coverage, and medical necessity. An Accounts Receivable Specialist reviews claim ... billing which resulted in denial and payment delay Submits appeals to payers based on review of medical... appeals to payers based on review of medical records and in accordance with payer requirements Performs… more
- Baylor Scott & White Medical Center - Frisco (Frisco, TX)
- …incoming calls and/or walk-in customers, when needed. Understands managed care contracts. Appeals claims that are not paid correctly according to Managed Care ... contracts. Supports hospital department policies, department director and hospital administration. Lends knowledge and assistance to other hospital departments, physicians' offices, and co-workers. Communicates effectively, expresses ideas clearly, actively… more
- CN Guidance and Counseling Services (Hicksville, NY)
- JOB DEFINITION: Billing Specialist I primary responsibilities are Account Receivable follow-up, investigate, analyze, appeal and resolve any denied or unpaid ... EXPERIENCE REQUIRED: Solid Knowledge and understanding of Billing Concepts, ICD-10, Medical Terminology, Behavioral Health Billing, and Electronic Medical … more
- Kaiser Permanente (Walnut Creek, CA)
- …experience in delegated credentialing. Two (2) years of experience in medical records administration. Certified Provider Credentialing Specialist (CPCS). Primary ... cost-effective due process that complies with internal fair hearing and appeals policies and external legal and regulatory requirements; identifying and escalating… 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
- Tyson & Mendes LLP (San Diego, CA)
- …We are currently looking for an Insurance Defense Legal Bill Auditor & Appeal Response Specialist to join our team. The bill auditor will review, and audit law firm ... clients. Work closely with attorneys and timekeepers to gather information for appeals , ensuring that all billing entries are substantiated and properly documented.… more
- PeaceHealth (Vancouver, WA)
- PeaceHealth is seeking a Billing/Follow-up Specialist - Government (Remote: OR & WA) for a Full Time, 1.00 FTE, Day position . The salary range for this job opening ... of insurance accounts and identify delays in processing. Drafts appeals to insurance companies for reimbursement of monies owed....capacity : Formal training or college coursework from a medical coding accredited school, specific to medical … 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
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims 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
- Waccamaw Dermatology, LLC (Myrtle Beach, SC)
- …Type Full-time Description Job Summary: The Prescription Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ... necessary third party authorization requests. The Prescription Prior Authorization Specialist has direct over-the-phone interaction with patients and is an… more
