- The LaSalle Group (Evanston, IL)
- Job Title: RN Clinical Appeals Specialist Department: Revenue Cycle - Denial Management Location: Onsite-Evanston, IL Schedule: Monday - Friday | 7:00 AM - 4:00 ... Thisrole will have a strong focus on resolving complex clinical denials through evidence-based appeals . The Clinical Appeals Specialist will play a critical… more
- HCA Healthcare (Richmond, VA)
- Appeals Specialist Experience the HCA Healthcare...We are an amazing team that works hard to support each other and are seeking a phenomenal addition ... unique and intrinsic worth of each individual is recognized. We are seeking an Appeals Specialist for our team to ensure that we continue to provide all patients… more
- Elms College (Chicopee, MA)
- …Supports the AVP in planning the Annual Fund solicitation calendar, and provides support in preparing digital and direct mail appeals , and other strategic ... Reports to: Assistant Vice President of Advancement Job Summary: The Annual Giving Specialist at Elms College is responsible for Annual Fund donor development with a… more
- Baptist Memorial Health Care Corporation (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code : 21432 FLSA Status Job Family : FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in a key role of...communicate with physician clinics to obtain additional documentation to support appeal, collaborate with coding/billing for formulation of appeal… more
- Zelle LLP (Framingham, MA)
- JOB TITLE: Legal Billing Specialist FLSA STATUS: Non-Exempt SUPERVISOR: Controller SUMMARY: Compiles, manages, and executes attorney billing. This includes advanced ... split bills, submit ebills to various Ebilling platforms, monitor rejections/deductions, appeals and set up and management of timekeepers. Demonstrates expertise in… more
- UHS (Wayne, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... established performance targets (productivity and quality). Initiates and follows-up on appeals . Exercises good judgement in escalating identified denial trends or… more
- State of Colorado (Denver, CO)
- …If yes, consider turning your passions into a career as a Highway Maintenance Specialist . CDOT has a vacancy for a Highway Maintenance Specialist in Southeast ... and our commitment to our people is to shape, support , and sustain the employee experience and ultimately create...patrol location has at least one lead highway maintenance specialist and multiple highway maintenance specialists. Your main job… more
- CAPPS (Austin, TX)
- …appearances, jury trials and, in many cases, matters at the Fifth Circuit Court of Appeals and state courts of appeals . The OAG is a dynamic state agency ... and investigatory research; analyze complex data and documents; create support material for investigations and evidentiary product Coordinates the preparation… more
- Kaiser Permanente (Los Angeles, CA)
- …and processes. Supports and responds to the needs of others to support a business outcome. Completes work assignments autonomously by applying up-to-date expertise ... are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems;… more
- The Hanover Insurance Group, Inc. (Scottsdale, AZ)
- …branding). Prepares or analyzes information on adverse underwriting decisions, rate appeals , underwriting requirements, status and declinations in order to drive ... job, it's a career, and we are here to support you every step of the way. We want...Hanover, you'll enjoy what you do and have the support you need to succeed. Benefits include: Medical, dental,… more
- Guardian Life Insurance Company (Bethlehem, PA)
- …seeking a resolute motivated individual to join our team as a Benefits Operations Specialist . This role is responsible for serving as a subject matter expert on ... Committee (BAC), reviewing, researching, presenting, and responding to administrative plan appeals . Processing all health, welfare, and wellness vendor invoicing and… more
- MNGI (Minneapolis, MN)
- …Pay, Floating Holiday Disability Coverage: Short & Long-Term Disability Family Support : Two Weeks Paid Parental Leave Performance Incentive: Discretionary Bonus ... for details including denials and payment inconsistencies. Submit replacement claims and appeals to the insurance companies; submit timely follow up requests for… more
- State of Colorado (Golden, CO)
- …adjudicated and/or pre-adjudicated youth in a secure setting. Monitor, participate, support , and enforce behavioral management plans for individual youth as directed ... program, teach, coach, and redirect youth within the program. Support DYS initiatives and strategies as they relate to...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Experity (Machesney Park, IL)
- …5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients ... take necessary actions to resolve Submit corrected insurance claims and/or appeals , as necessary, with appropriate documentation based on payer guidelines Prioritize… more
- State of Colorado (Grand Junction, CO)
- …successfully. Specific duties include: School-Based Multi-Tiered and Behavioral Systems Support Social / Emotional Assessments Planning and collaboration with ... behavioral analysis process and development of behavior intervention plans for students Support internal and external Multi-Tiered Systems of Support (MTSS)… more
- State of Colorado (Denver, CO)
- …marital status. Your application will be reviewed by a qualified Human Resources Specialist to determine if you meet the minimum qualifications for this position. If ... of the department's action. For more information about the appeals process, the official appeal form, and how to...to improve; and 4) "better together," by working to support each other and collaborate. We are Committed to… more
- State of Colorado (Denver, CO)
- …joining the dedicated people of the State of Colorado. Our professionals strive to support state government and the citizens of Colorado. Customer service is a key ... and/or elimination from the background investigation process Toll Free Applicant Technical Support : If you experience technical difficulty with the NEOGOV system (eg… more
- State of Colorado (Pueblo, CO)
- …joining the dedicated people of the State of Colorado. Our professionals strive to support state government and the citizens of Colorado. Customer service is a key ... elimination from the background investigation process. Toll Free Applicant Technical Support : If you experience technical difficulty with the NEOGOV system (eg… more
- City of Compton, CA (Compton, CA)
- …be distinguished from the entry level Recreation Aide and lower level Recreation Specialist by the nature and difficulty of work performed. PRIMARY DUTIES AND ... and the reason(s) for such appeal. The Personnel Board will consider appeals from the decisions and ratings of qualifications appraisals (interview) boards if… more
- Adventist Health (Roseville, CA)
- …in clinic and/or facility revenue cycle: Preferred Licenses/Certifications: Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician ... Certified Documentation Integrity Practitioner (CDIP) or Certified Clinical Documentation Specialist - (CCDS) or CIRCC-AAPC or Radiation Oncology Certified Coder… more
