- VNS Health (Manhattan, NY)
- …to State Fair Hearings. Attends Fair Hearings in person with the Grievance and Appeals ' RN Specialist and presents arguments in defense of the appeals ... OverviewResolves grievances, appeals and external reviews for VNS Health Plans...wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for… more
- TEKsystems (Addison, TX)
- …the appeals and arbitration process for denied or underpaid claims , ensuring timely and accurate submissions. - Prepare compelling appeal letters, supporting ... Additional Skills & Qualifications: - Proven experience as an Appeals and or denials Specialist or in...Specialist or in a similar role within a healthcare setting. - In-depth knowledge of healthcare … more
- UCLA Health (Los Angeles, CA)
- …commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you will: + Facilitate responses to regulatory audits related ... Description Contribute to the success of a world-class healthcare organization by ensuring compliance in regulatory audits...systems + Review claim denials for clinical issues, prepare appeals , and manage each case's resolution process + Develop… more
- HCA Healthcare (Nashville, TN)
- …scrubbing/edits, vendor edit challenges/disputes and post bill processes for efficient claims resolution, including effective appeals for select inventory. This ... **Description** **Job Summary and Qualifications** The Coding Operations Education and Appeals Consultant is responsible for assisting in the efficient and effective… more
- Amaze Health (Denver, CO)
- Healthcare in the US is an ever-changing maze filled with confusion and complexity. Amaze Health is a company dedicated to empowering our patients with all the ... support they need to take charge of their own healthcare . We don't just take care of people, we...+ Love the challenge of persistently working with insurance claims and advocating for the patient + Demonstrates advanced… more
- Guidehouse (San Antonio, TX)
- …/ business setting. **What Would Be Nice To Have** **:** + Has active understanding of healthcare claims appeal process + UB-04 / CMS 1500 background + PC skills ... at ###_** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up +...+ High School Diploma/GED or 3 years of relevant healthcare and/or business experience in lieu of High School… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY... in accordance with contracts, calling payers on open claims , sending appeals on denied claims ... date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight ... State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing...Eight or more years of insurance experience within a healthcare or managed care setting (preferred) Claims … more
- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist (Insurance Benefits Claims Examiner), you will be part of Healthcare and Insurance, Office of Personnel ... from Federal enrollees and/or their authorized representatives, including responses on appeals of disputed health benefit claims , benefits regulations, and… more
- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist (Insurance Benefits Claims Examiner), you will be part of Healthcare and Insurance, Office of Personnel ... from Federal enrollees and/or their authorized representatives, including responses on appeals of disputed health benefit claims , benefits regulations, and… more
- Robert Half Accountemps (Tucson, AZ)
- …healthcare industry focused in Behavioral Health, is in need for a Medical Billing/ Claims specialist near downtown Tucson! You will be tasked with managing ... medical claims and ensuring accurate billing and collections. This position...appeals and authorizations as part of the medical claims process * Ensure compliance with all billing functions… more
- Robert Half Accountemps (Fort Wayne, IN)
- …is in the healthcare industry and will involve follow-ups on medical claims . The workplace environment is business casual and requires a high level of ... interaction with doctor offices. Responsibilities: * Follow-up on insurance claims and patient claims payments. * Provide customer service in relation to medical… more
- Priority Health Care (Marrero, LA)
- JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of Ethical Conduct and foster positive relationships within the company, across departments, and ... include following up on claim status, billing and re-billing of claims , credit balance resolution, denial management, following up on aging accounts,… more
- Hartford HealthCare (Farmington, CT)
- …collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and ... this is *your moment.* **Job:** **Finance / Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Third Party… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …errors and resubmit claims + Report all payments on collection claims to the Collections Specialist (s) + Attend required hospital-wide orientations, ... The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake Regional… more
- Maxim Healthcare Services (Columbia, MD)
- Maxim Healthcare Services is hiring for a Reimbursement Specialist who will serve as liaisons between office partners, patients and payers. Daily ... follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment +… more
- Randstad US (Duluth, GA)
- …claims + Payer Payment Posting + Medical Billing + Processing and completing the appeals process for medical claims + Payment posting + AR follow-up + ... revenue cycle specialist (remote). + duluth , georgia + posted...+ Payment Posting + AR Follow Up + Medical Appeals + Medical Claims Processing + Medical… more
- CEENTA (Huntersville, NC)
- Primary Objective The Insurance Specialist creates and sends medical claims for the insurance companies and the patients. The Insurance Specialist is ... correct amount. Other responsibilities include following up on unpaid claims , clarifying discrepancies, reviewing bills, and confirming eligibility. Essential… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... management and appeals process in a collaborative environment with revenue cycle...FUNCTIONS** + Analyzes data from various sources (medical records, claims data, payer medical policies, etc.), determines the causes… more
- State of Colorado (CO)
- CDOC - Employee Relations Specialist / Staff ADA Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4739353) Apply CDOC - Employee ... Relations Specialist / Staff ADA Coordinator Salary $4,809.00 - $7,695.00...Personnel Board Rules, legal precedence, and DOC performance standards. Appeals & Legal Case- Requests for Information + Exercise… more