- 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
- 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
- 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
- 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
- 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 (St. Paul, MN)
- …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
- Gehring Group (Palm Beach Gardens, FL)
- …employees, assisting with and resolving issues related to billing, eligibility, claims resolution, member appeals , benefit verification, medical procedure ... a great relationship with both the employees and various carriers. In short , Client Service Specialist make a difference in the lives of our clients' employees… more
- Cedars-Sinai (Los Angeles, CA)
- …daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, performing account follow-up activities, updating information ... and resolve complex cases and problem accounts with minimal assistance. Submits appeals and collect monies relative to physician reimbursement. Services as a… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …coverage and patient responsibility on claim. + Post denials, correcting charges, filing appeals , and following up on unpaid claims , including composing and ... work; position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer… more
- Cardinal Health (Atlanta, GA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure...day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long-term disability coverage + Work-Life resources +… more
- State of Colorado (CO)
- …for overtime compensation. Department Contact Information Sarah Roman, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage + Automatic Short -Term and Optional Long-Term Disability Coverage… more
- Cognizant (Helena, MT)
- …implementation of process initiatives to reduce denials. The Accounts Receivable Specialist role responsibilities include following up directly with payers to ... action to resolve accounts including drafting and submitting technical appeals . **Key Responsibilities:** + **Problem Solving** : Use exceptional problem-solving… more
- State of Colorado (Denver, CO)
- …for overtime compensation. Department Contact Information Sarah Roman, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage + Automatic Short -Term and Optional Long-Term Disability Coverage… more
- State of Colorado (Denver, CO)
- …for overtime compensation. Department Contact Information Kelli Dauleh, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage + Automatic Short -Term and Optional Long-Term Disability Coverage… more