- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Senior Appeals Specialist . The Senior Appeals Specialist ... identified during the billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: + Responsible for higher… more
- Universal Health Services (Richmond, VA)
- …Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist . The Appeals Specialist is responsible for the ... identified during the billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: + Responsible for … more
- Universal Health Services (Richmond, VA)
- …Kingdom. Atlantic Region CBO (uhs.com) (https://jobs.uhs.com/atlantic-region-cbo) The Reimbusement Specialist /Analyst is responsible for the resolution of accounts ... information as required. Document in patient account notes as indicated. Work with Appeals staff for resolution on denied accounts. + Responsible for routing … more
- Robert Half Accountemps (Richmond, VA)
- …following: -Claims Submission -Data Entry -Payment Posting -Medical Claims, focusing on appeals and denials -Medical Billing and Coding including CPT & Diagnostic ... -Data/System reconciliations Requirements Medisoft, Microsoft Excel, Accounts Receivable (AR), Appeals , Medical Billing, Medical Claims, Claim Denials, Coding, Insurance… more
- Intermountain Health (Richmond, VA)
- **Job Description:** Scope: The Pharmacy Contract Reimbursement Specialist assists with Pharmacy Benefit contract management, prepares, or reviews third-party ... payments based on contracts, audit adjustments and settlements, and files appeals and exception requests to appropriately maximize reimbursement. 5. Understands and… more
- Prime Therapeutics (Richmond, VA)
- …+ Review & present recommended credentialing decisions for pharmacy provider appeals and terminations to Prime's Credentialing Committee for final determination + ... Qualifications** + PBM or pharmacy experience + Certified Provider Credentialing Specialist (CPCS) + Certified Professional Medical Services Management (CPMSM) +… more