- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties… more
- RWJBarnabas Health (Oceanport, NJ)
- Patient Accounts Representative , Appeals , Remote, NJReq #:0000176998 Category:No Category Assigned Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... Corporate Services Department: Appeals Location: Remote, 2 Crescent Place, Oceanport, NJ 07757...Place, Oceanport, NJ 07757 Job Summary: The Patient Accounts Representative position supports the reduction of Accounts Receivables. The… more
- NJM Insurance (Hammonton, NJ)
- NJM's General Claims Legal Department is currently seeking to fill a PIP Appeals and Litigation (PAL) Representative position. We are looking for talent who has ... a full-time position and offers a hybrid schedule after training. The PAL Representative will conduct a complete and thorough investigation on assigned PIP Payment… more
- HCA Healthcare (Nashville, TN)
- **Description** **Job Summary and Qualifications** The Coding Operations Education and Appeals Consultant is responsible for assisting in the efficient and effective ... and delivery of all coding operations education components and an effective coding appeals review process for the HCA Physician Services Group (PSG). The education… more
- Conduent (Hamilton, NJ)
- …a culture where individuality is noticed and valued every day. Fair Hearing Appeals Agent $18.50/ Hourly Onsite- Hamilton, NJ Full-time and Full Benefits **Location ... Summary** An experienced healthcare (Medicaid & CHIP) call-center based customer service representative to process requests for an appeal (Fair Hearings for Plan A… more
- State of Indiana (Indianapolis, IN)
- Governor's Summer Intern - DWD Appeals Date Posted: Nov 25, 2024 Requisition ID: 452807 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity...Indiana Department of Workforce Development (DWD) is seeking an Appeals Intern to join our agency in the summer… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend… more
- HonorHealth (Scottsdale, AZ)
- …medical records documentation and billing statements on patient accounts; submits appeals to payers on patient account denials when appropriate; reviews medical ... appeal is clearly presented. Prioritizes and organizes own work to meet appeals and grievance deadlines. Responsible for the denials process, including subsequent… more
- HANAC, Inc. (Astoria, NY)
- …integral part of a team with the immigration attorney, Board of Immigration Appeals (BIA) accredited representative , and support staff. The Immigration Paralegal ... will assist the staff attorney and the Program Director in providing legal services, education, and outreach, including coordination of community events, and working under attorney supervision to assist clients on Immigration law matters. The Paralegal will… more
- Independent Health (Buffalo, NY)
- …and commitment to diversity and inclusion. **Overview** The Provider Relations Representative is responsible for assisting our provider constituents and providing ... exceptional customer service. The Provider Relations Representative will answer incoming calls from health care providers including physician offices, ancillary… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity… more
- State of Colorado (Denver, CO)
- SDD Regional Training Representative Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4731441) Apply SDD Regional Training Representative ... timelines. Position serves as a direct resource and training representative to the division's email inbox. Performs other duties...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None Join Guidehouse on **Thursday, February 15** for ... you onboard. Join our team as a **Patient Account Representative with expected start dates in February, March, and...Skills . Experience needed for insurance focused opportunities: + Appeals & Denials + Medicare/Medicaid + Commercial & Federal… more
- Sacramento County (Sacramento, CA)
- Senior Utility Billing Services Representative Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4103836) Apply Senior Utility Billing ... Services Representative Salary $54,789.12 - $66,607.20 Annually Location Sacramento, CA...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- WellSpan Health (York, PA)
- Patient Financial Services Representative II - Govt Billing - Days Location: WellSpan Health, York, PA Schedule: Full Time General Summary Completes assigned revenue ... researches claim denial for resolution and submits disputes and appeals . Represents the System in a professional manner while...within 1 year Required or + Certified Revenue Cycle Representative within 1 year Required or + Certified Revenue… more
- Humana (Frankfort, KY)
- …and outcomes working in a best-in-class contact center. As a Call Center Representative 2, you will provide coverage for **Eastern Time Zone** hours **, taking ... Specialists, benefit coverages, authorizations, Provider claims inquiries, grievances and appeals , transportation needs, and pharmacy support. + Handle 40-50 inbound… more
- Guidehouse (El Segundo, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Insurance ... Patient Account Representative - Hospital A/R Emphasis** is an extension of...Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up +… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Central Denials ... Account Representative conducts thorough account reviews to determine the appropriate...resolve claim denials and account balances. + Performing Non-Clinical Appeals . + Assisting Supervisor/Manager as needed with various projects.… more
- Surgery Care Affiliates (Boise, ID)
- …the growing career opportunities for YOU. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow ... and two years' experience in a medical office as a patient account representative . + Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer… more
- TEKsystems (Nashville, TN)
- …multi-physician Oncology practice. Including processing insurance claims, reviewing EOB'S, submitting appeals , follow up with insurance payers and any other duties ... They must be able to explain the process of appeals and denials, corrected claims, EOB'S. Preferred to have...Ability to comprehend EOB's, work denials and knowledge of appeals process Knowledge of billing secondary and tertiary carriers… more