- Lincoln Financial (Atlanta, GA)
- …for this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and...lieu of Bachelor's) + 1 - 3+ Years of Short -Term and/or Long-Term Disability. (Required) + Ability to communicate… more
- Equitable (Charlotte, NC)
- Appeals Specialist , Disability Claims ...in the insurance industry + Experience with Group Insurance Claims (Life, Short Term Disability, Long Term ... unlock your potential? Equitable is seeking an influential and dynamic Appeals Specialist to join our Disability and Absence Claims organization. The … more
- TEKsystems (Sarasota, FL)
- …9. Ensure confidentiality of all patient accounts by following HIPPA guidelines Skills appeals , data entry, medical claim, denied claims , patient access Top ... Skills Details appeals ,data entry,medical claim,denied claims ,patient access Additional Skills & Qualifications Appeals and denials medical claims … more
- MaineGeneral Health (Augusta, ME)
- Job Summary: MaineGeneral Health is seeking a qualified RN Clinical Appeals Specialist to support our Revenue Cycle team by reviewing denied insurance claims ... mission of exceptional patient care Job Description: Position: RN Clinical Appeals Specialist Location: Alfond Center for Health, AugustaSchedule: Full-time… more
- CVS Health (Carson City, NV)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our...in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our...in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the… more
- Ultimate Care Inc (Brooklyn, NY)
- Ultimate Care in Brooklyn, NY is looking for a Billing & Collections Specialist to join our team! The Billing & Collections Specialist will be responsible for ... the billing and collections process for Medicare/Medicaid Managed Care claims . You will work closely with our finance and...resolve any billing discrepancies. As a Billing & Collections Specialist at Ultimate Care , you will play 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 Outpatient 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
- Stryker (Flower Mound, TX)
- **What You'll Do:** As our **Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... processes-ensuring successful navigation of the billing, prior authorization, and appeals process. **Key Responsibilities:** + Respond to day-to-day reimbursement… more
- Atlantic Health System (Morristown, NJ)
- …Management Specialist is responsible for overseeing complex insurance claims , verifying patient insurance coverage, and ensuring accurate and efficient billing ... processes. This role requires advanced knowledge of insurance policies, claims processing, and patient interaction to resolve billing issues effectively. Manages… more
- TEKsystems (San Antonio, TX)
- …healthcare, revenue cycle, collections accounts receivable, Emr, Epic, claims follow up, claims denials, claims appeals , medicare, medicaid, EOB, rebill ... submitting adjustments and understanding payor payments This team reviews claims after they've been paid or denied by insurance...to identify why they were denied, why they were short paid, and taking the steps to correct those… more
- State of Georgia (Richmond County, GA)
- …appeal rights. . Accurately answers client questions concerning program eligibility and explains appeals process . Processes claims from the universal queue . ... DOL Services Specialist - Augusta Georgia - Richmond - Augusta...and questions . Provides one on one assistance with claims filing process . Submits all claims … more
- AssistRx (Phoenix, AZ)
- …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 Benefits Verification 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
- HCA Healthcare (Nashville, TN)
- …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 ... for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with… more
- ClearChoiceMD (Concord, NH)
- …understand the need for excellent, expedient care. The Accounts Receivable Denials Specialist is a member of the ClearChoiceMD/CareWell Urgent Care billing team. ... all rejection and payer denials. The Accounts Receivable Denialist Specialist will also review monthly denials and provide denial...for: + Medical, Dental, Vision Insurance + Company Paid Short Term disability and Basic Life Insurance + 401(K)… 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
- CVS Health (Washington, DC)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more