- 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
- University of Virginia (Charlottesville, VA)
- …+ Works complex denials with a high degree of accuracy and timeliness. Responds to inquiries from patients, clinical departments, and third parties by way of ... telephone, written correspondence and personal contacts. + Adds/corrects registration, insurance, and demographic data in the EPIC billing system to ensure accurate records. + Analyzes and prepares applicable adjustments to physicians' fees in compliance with… 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
- AECOM (Arlington, VA)
- …perform the tasks listed above in the Project Overview. EHP Specialist positions may include Archaeologist, Architectural Historian, Biologist, Certified Floodplain ... Manager, Ecologist, Environmental Planner, Historic Architect, Horticulturalist, Water Quality Specialist , and Wetlands Specialist . The EHP Specialist will… more
- University of Virginia (Charlottesville, VA)
- …cost reports and be point of contact for intermediary audits reviews and appeals . To implement rate optimization analyses and changes. To closely interact with ... adjustments settlements receivable (payable) Medicare and Medicaid Cost Reports appeals amendments and re-openings. + Maintains competency in reimbursement by… 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
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental rules. + Resolves… 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
- Amazon (Arlington, VA)
- Description We are looking for an enthusiastic, detail-oriented, and customer obsessed Risk Specialist to join the Ads Trust Policy team to build out our brand-new ... * Own investigating and responding to a high-volume of Ad Policy queries, appeals , and exception requests. * Learn our Ad Policies in order to provide… more
- AECOM (Arlington, VA)
- …your #H2Opportunity **Job Description** We are accepting resumes for various technical specialist positions to perform the tasks listed above in the Project ... Inspection Process (https://training.fema.gov/is/courseoverview.aspx?code=IS-1004〈=en) IS-1018: Determination Memorandums and Appeals (https://training.fema.gov/is/courseoverview.aspx?code=IS-1018〈=en) **Preferred Qualifications:** + Bachelor's degree… more
- US Marine Corps (Quantico, VA)
- …files and draft formal correspondence on disciplinary and adverse actions, and appeals . Represent the Human Resources Branch in attempting to resolve employee ... grievances under the agency negotiated or administrative grievance procedures. Make assessments of the relevant facts in the grievance, identifying courses of action to resolve the matter and selling the solution to both management and grievant. Analyze and… more
- Deloitte (Rosslyn, VA)
- …to commute to Chantilly, VA Preferred: + SAP Certified Application Specialist or SAP Certified Application Professional + Proven experience effectively prioritizing ... + Demonstrated ability to write clearly, succinctly, and in a manner that appeals to a wide audience + Proficiency in word processing, spreadsheet, and presentation… 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