- Cambia Health Solutions, Inc (Tacoma, WA)
- Appeals Specialist IRemote within WA, ID, OR, and UTPrimary Job Purpose:Responsible for all activities associated with requests for Provider Billing Disputes and ... reviews for appeals .Normally to be proficient in the competencies listed below: Appeals Specialist I would have a high school diploma or GED and a minimum… more
- Creative Financial Staffing (Cleveland, OH)
- Appeals Specialist About the company and Appeals Specialist opportunity: Our client is a law firm located in Cleveland, Ohio Hybrid 1 day per week Great ... Maternity leave and tuition assistance Essential Duties and Responsibilities of the Appeals Specialist : Perform appeal edits and create appeals in a variety… more
- Creative Financial Staffing (Cleveland, OH)
- APPEALS SPECIALIST WHY YOU SHOULD BE THE APPEALS SPECIALIST Our client is a law firm located in Cleveland, Ohio Hybrid 1 day per week Great health ... and retirement Paid Maternity leave and tuition assistance RESPONSIBILITIES OF THE APPEALS SPECIALIST Perform appeal edits and create appeals in a variety… more
- Option Care Health (Columbus, OH)
- …with Billing and Collection Training and completes "second level" appeals to payers.Job Description: Job Responsibilities:Submits timely, accurate invoices to ... payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all...to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims… more
- Staffing Now (Manassas, VA)
- Human Resource Specialist (Contract)Responsible for maintaining employee personnel files, and general office files and forms; responsible for employee benefits ... questions and complaints, interfaces with third-party administrators to resolve claim appeals .Works with employees to promote health and wellness in the workplace;… more
- Compass Health Network (Union, MO)
- The Outreach and Enrollment Specialist is responsible for outreach and education to current health center patients and community residents related to theirhealth ... in The Health Insurance Marketplace, MO HealthNet or CHIP.Assist persons with appeals and hearings related to Marketplace and MO HealthNet coverage issues.Complete… more
- Compass Health Network (Union, MO)
- The Outreach and Enrollment Specialist is responsible for outreach and education to current health center patients and community residents related to theirhealth ... The Health Insurance Marketplace, MO HealthNet or CHIP.* Assist persons with appeals and hearings related to Marketplace and MO HealthNet coverage issues.* Complete… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …providers for the past 13 years in a row. The AR Specialist will provide continual and accurate documentation regarding eligibility, authorization, and other ... for accuracy as well as sending out initial claims, corrected claims and appeals .Starting pay: $23.00/hr. This position is for the California / NM region.… more
- Accounting Now (Pinellas Park, FL)
- …in St Petersburg, Florida:Medical Collector The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of ... Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid… more
- Compass Health Network (Sullivan, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a PRN… more
- Compass Health Network (Warrensburg, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. An Outpatient Nurse will… more
- Compass Health Network (Sullivan, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a PRN… more
- Compass Health Network (Warrensburg, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. An Outpatient Nurse will… more
- Martin's Point Health Care (Portland, ME)
- …Place to Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist (Medicare or US Family Health Plan) is responsible for ... in accordance with CMS requirements + Cross-trains with US Family Health Plan Appeals Specialist to perform functions as needed US Family Health Plan Focus Key… more
- HCA Healthcare (Largo, FL)
- …**Introduction** Do you want to join an organization that invests in you as an Appeals Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... have the opportunity to make a difference. We are looking for a dedicated Appeals Specialist like you to be a part of our team. **Job Summary and… more
- HCA Healthcare (Brentwood, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Appeals Specialist opening with Parallon today and find out what it ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Appeals Specialist for our team to ensure that we continue to provide all patients… 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
- Abbott (Plano, TX)
- …Our 114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist , Patient Therapy Access Team** **Position Location: 6600 Pinecrest ... location in **Plano, TX** currently has an opportunity for a **Sr. Appeals Specialist ** . This role is responsible for facilitating and assisting Abbott patients… more
- Universal Health Services (Bonham, TX)
- …day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare ... in compliance with Managed Care contracts and government fee schedules. The Appeals Specialist will obtain, manipulate, and analyze data from a variety of… more
