- TEKsystems (Addison, TX)
- …terminology,medical biller,anesthesia Additional Skills & Qualifications - Proven experience as an Appeals Specialist or in a similar role within a healthcare ... appeals and arbitration process for denied or underpaid claims , ensuring timely and accurate submissions. - Prepare compelling...Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA)… more
- State of Colorado (Denver, CO)
- Claims Manager - Workers' Compensation Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5185970) Apply Claims Manager - Workers' ... Health Savings Account (https://www.colorado.gov/pacific/dhr/hsa) + Paid life insurance + Short - and long-term disability coverage + 11 paid holidays per… more
- Elevance Health (Latham, NY)
- Medical Coding Education Associate Sr (Hospital / Professional Claims ) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering ... Associate S** r is responsible for the comprehensive analysis of complex claims data to generate refined and industry-relevant concepts that govern the prosperity… 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
- HCA Healthcare (Ocala, FL)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... Program (paid time off, paid family leave, long- and short -term disability coverage and leaves of absence) + Employee...want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions… more
- Cardinal Health (Denver, CO)
- …optimal account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...all Medicaid states on paper and online. + Oversees appeals and denials management to maximize revenue recovery and… 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 (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
- TEKsystems (Los Angeles, CA)
- Job Title: Retro Claims Reviewer Location: West Hills/Canoga Park 91305 Compensation: LVN $38-$40 hourly RN $45-$50 hourly Overview: The Retro Claims Reviewer is ... responsible for auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication....Participate in special projects related to claim denials and appeals Required Qualifications: + Active LVN or RN license… 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 ... 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
- TEKsystems (Farmington, MO)
- …Scan incoming correspondence - Record specified incoming documents - Appropriately file imaged claims appeals adjustments and inferior quality imaged claims ... Mail Production Specialist Description - Open sort and prepare incoming...8am-4:30pm CST (40 hours/week with possible OT) Mailroom process Claims mails for enterprise departments Production based environment Hiring… 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
- CVS Health (Franklin, TN)
- …standards, and policies to provide effective and timely support. + Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... **A Brief Overview** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. **What you will do**… 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
- Great River Health (Fort Madison, IA)
- …Coordinates and assists in reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carrier. ... filing system. Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and… more
- State of Colorado (Denver, CO)
- Bilingual Compensation Insurance Specialist I Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5191435) Apply Bilingual Compensation Insurance ... Specialist I Salary $4,238.00 - $5,127.20 Monthly Location Denver,...Health Savings Account (https://www.colorado.gov/pacific/dhr/hsa) + Paid life insurance + Short - and long-term disability coverage + 11 paid holidays… more
- J&J Family of Companies (Cherry Hill, NJ)
- …processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals /grievances); practice management; Medicare and ... searching for the best talent for Senior Area Business Specialist to be in South New Jersey. Territory includes:...a good match, you'll be invited to complete a short -recorded video interview, giving you the chance to share… more
- Modivcare (Charleston, WV)
- …be the right fit for you! Modivcare is looking for an experienced Exception Specialist III to join our team. This position is responsible for facilitating various ... accordance with procedural requirements. + Coordinates fair hearings and denial appeals , collaborating with stakeholders to resolve issues efficiently. + Manages… more
- Actalent (Chattanooga, TN)
- …providers, members, and member representatives regarding pharmacy prior authorizations, exceptions, and appeals . + Enter authorizations and test claims into the ... We are seeking a detail-oriented and customer-focused Pharmacy Support Specialist to join our team. In this role, you...Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA)… more