- TEKsystems (Addison, TX)
- …terminology,medical biller,anesthesia Additional Skills & Qualifications - Proven experience as an Appeals Specialist or in a similar role within a healthcare ... identify the root causes. - Initiate and manage the appeals and arbitration process for denied or underpaid claims,...or Sick Leave) Workplace Type This is a fully onsite position in Addison,TX. Application Deadline This position is… more
- Nuvance Health (Danbury, CT)
- …required by payers. * Ensure completion and delivery of required patient notices (by onsite team member). These include but are not limited to: HINNs, Condition Code ... 44, MOON, Connecticut notice of conversion, etc. * Tracking and trending all appeals and communicating on a daily/regular basis with the Denials Management team. *… more
- Trinity Health (Fort Wayne, IN)
- …Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and ... to benefits investigation, prior authorization request and submission, overturning appeals , and enrolling patient in financial assistance programs. Manages the… more
- Clark County, NV (Las Vegas, NV)
- JUVENILE DETENTION SPECIALIST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5178061) Apply JUVENILE DETENTION SPECIALIST I/II ... is seeking qualified candidates to apply for Juvenile Detention Specialist I/II (JDS). This position is responsible for the...- Deferred Compensation Plan + Employee Assistance Program + Onsite Fitness Center - $12/month *Benefits vary and are… more
- Helio Health Inc. (Syracuse, NY)
- Overview To support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up on accounts receivable and ... as required to accomplish medical billing for Helio Health. The Billing Specialist will work Full-Timeto support our Revenue Cycle Management team. This position… more
- City of Eugene (Eugene, OR)
- Court Operations Specialist A Print (https://www.governmentjobs.com/careers/eugene/jobs/newprint/5102438) Apply Court Operations Specialist A Salary $47,860.80 ... group, and is recruiting to hire four Court Operations Specialist A to join our team and create an...of State, County and Municipal Employees (AFSCME) Work Location: Onsite - Municipal Court Building, 1102 Lincoln Street, Eugene,… more
- FLACRA (Clifton Springs, NY)
- Utilization Management Specialist FLACRA Clifton Springs, NY ( Onsite ) Full-Time $16.50 - $17.50/Hour Apply Now ... (https://flacra.jobs.net/apply/jqn6gn6t2h294xv9ngh?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title:Utilization Management Specialist Location:Finger Lakes Region, NY Employment Type:Full-Time Job Summary:… more
- Deschutes County (Bend, OR)
- Administrative Support Specialist Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/5181012) Apply Administrative Support Specialist Salary ... real property transactions, plats, Commissioners' Journal documents and Property Value Appeals Board petitions for Deschutes County. The Clerk's office also issues… more
- Cardinal Health (Doral, FL)
- **Location: Onsite in Doral, Florida Office** **_What Customer Service Operations contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... performance and client satisfaction. + Resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. + Verifies… more
- Turner & Townsend (Superior, WI)
- …**Job Description** The **Turnaround Administrative Assistant / Document Controls Specialist ** provides vital administrative and document management support to the ... to the Superior, WI area only. Role will be onsite at the Superior Refinery. There will be no...turnaround package data. + Maintains turnaround scope change data ( appeals system). + Supports planning data reproduction and distribution… more
- UNC Health Care (Kinston, NC)
- …the Physician Advisors and subject matter experts for all audit and appeals work activities. Assists with documentation review to support the clinical documentation ... overturn, proactively gathers required clinical documentation and formulates appropriate appeals . Coordinates with the Physician Advisor and Case management… more
- State of Colorado (Garfield County, CO)
- …Act requirements. Attends training administered by the Safety & Loss Control Specialist of the State Office of Risk Management. Public Relations Conducts ... a rotating work schedule. + Required to live in onsite , state provided housing, exempt from overtime, on-call 24/7....It is recommended that you contact the Human Resources Specialist listed below to resolve issues related to your… more
- University of Pennsylvania (Philadelphia, PA)
- …experience at every encounter including walk-in visits, phone calls/phone conferences, onsite meetings, as well as through email and other written communications. ... Stop Counselor will evaluate both common and high-impact student requests and appeals , and will apply critical analysis and professional judgment in investigating… more
- Clark County, NV (Las Vegas, NV)
- …+ Morgan Stanley - Deferred Compensation Plan + Employee Assistance Program + Onsite Fitness Center - $12/month *Benefits vary and are subject to change depending ... generated based on the applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. + I have read and understand… more
- System One (Baltimore, MD)
- …Based on experience starting at $41.50 / hr Contractor Work Model: Hybrid - Onsite in Baltimore, MD 2-3 days per week, plus occassional travel to providers for ... needed. Clinical Medical Review Nurse / Medical Records Abstraction Specialist Schedule: 8-hour shifts (start time 8:00 or 8:30...Schedule: 8-hour shifts (start time 8:00 or 8:30 AM); onsite training twice a year (January and June/July) Residency… more
- Elevance Health (Chicago, IL)
- …TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). ... Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified...times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring… more
- The Cigna Group (Salem, OR)
- …procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial ... + Support and retention of offices in our dental networks + Complete onsite quality assessments + Respond to provider inquiries, concerns, complaints, appeals … more
- Rochester Regional Health (Rochester, NY)
- …oversight from the Director of Care Management. Provides daily oversight of the onsite review activities of third party payors identifying issues and cases for ... the medical management department in the tracking, trending and reporting of appeals and charge recovery information. + Conducts reviews of cost outliers and… more
- Evolent (Phoenix, AZ)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians… more