- TEKsystems (Addison, TX)
- …medical necessity, and reimbursement methodologies to strengthen appeal arguments. Skills: Appeals , Claim, medical collections, Medical insurance , TDI, NSA, ... commercial insurance , out of network Top Skills Details: Appeals ,Claim,medical collections,Medical insurance Additional Skills & Qualifications: - Proven… more
- TEKsystems (Addison, TX)
- …medical necessity, and reimbursement methodologies to strengthen appeal arguments. Skills: Appeals , Claims, medical collections, Medical insurance , TDI, NSA, ... or in a similar role within a healthcare setting. - Familiarity with insurance denials, appeals , and arbitration processes, including knowledge of payer-specific… more
- University of Utah (Salt Lake City, UT)
- …**Preferences** + Demonstrated knowledge of revenue cycle. + Working knowledge of insurance denials, appeals and expected reimbursement rates. + Experience ... PRN40045B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt **Patient… more
- Guardian Life (Bethlehem, PA)
- Guardian is seeking individuals with Group Disability claims experience to join our dynamic Appeals Team. The ** Appeals Case Manager II** (ACM 2) is responsible ... for adjudicating assigned appeals for Group Life and Disability claims. The ACM...health reimbursement, and health savings accounts + Critical illness insurance **Life and Disability Insurance ** + Company-paid… more
- Guardian Life (Bethlehem, PA)
- The ** Appeals & Litigation Support Specialist** will provide comprehensive assistance to the Group Claims Disability Appeals , Litigation and Complaints team. ... with varying levels of supervision. You will + Monitor and triage appeals queues and assign work within established guidelines. + Prepare administrative records… more
- TEKsystems (Austin, TX)
- …Health care, Collection, Insurance , Medical claim, revenue cycle, medicare, insurance verification, accounts payable, denied claims, appeals , revenue cycle ... epic, reimbursement, outlook Top Skills Details: Medical billing,Accounts receivable,Claim,Health care,Collection, Insurance ,Medical claim,revenue cycle,medicare, insurance verification,accounts payable,denied claims, appeals… more
- TEKsystems (Charlotte, NC)
- …Health care, Collection, Insurance , Medical claim, revenue cycle, Medicare, insurance verification, accounts payable, denied claims, appeals , revenue cycle ... Description: The Revenue Cycle Denials and Appeals Specialist will be responsible for building and...management, medical terminology, medical billing and coding, insurance follow up, payment posting, Medicaid, claims resolution, medical… more
- TEKsystems (Boise, ID)
- …and payors to support our clients. If you have experience working within medical insurance roles handling claims, payer portals, appeals , AR follow up, denials ... company! As a rev cycle specialist on our team you will be verifying insurance information, following up, doing research on insurance coverage, and updating… more
- Avera (Sioux Falls, SD)
- …+ Required to handle communications and follow up related to unpaid claims and insurance appeals . + Track and monitor appeals for reporting purposes, ... Competitive pay, front-loaded PTO and options for free health insurance , sign-on bonuses, various shifts to fit your lifestyle...credit balance accounts as well as follow up and appeals of denied claims. + Responsible to handle claims… more
- University of Virginia (Charlottesville, VA)
- …has assigned AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities… more
- UNC Health Care (Chapel Hill, NC)
- …to coder questions and provide training and education. This position processes and appeals insurance coding denials. This position analyzes coded records for ... the coding and send for rebilling if required. 5. Generate coding appeals for insurance denials with sound arguments and based on coding guidelines and… more
- Spectrum Billing Solutions (Skokie, IL)
- …receivable collections. This is a remote/hybrid position. Responsibilities: + Research and resolve insurance denials + File appeals on denied or underpaid claims ... use their skills and knowledge to ensure optimal reimbursement by performing insurance collections. This role includes all aspects of revenue cycle collections… more
- Robert Half Accountemps (Alhambra, CA)
- … companies. * Conduct verification of patients' insurance coverage. * Insurance follow up, appeals and denials. * Determine the patient's financial ... have impeccable medical billing an in-depth knowledge of medical insurance , and the drive to ensure that our patients...that our patients receive their invoices on time. Medical appeals and denials experience is plus. Responsibilities: * Ensure… more
- Robert Half Accountemps (Van Nuys, CA)
- …insurance correspondence. * Maintain accurate records of patient accounts and insurance correspondence. * Handle appeals , billing functions, and claim ... care including Medicare, commercial, PPO/HMO, and Medical. * Conduct appeals and denials management. * Engage in Billing Functions,...patient accounts and take appropriate action to collect insurance payments. * Oversee the management of … more
- VNS Health (Manhattan, NY)
- OverviewManages the day to day activities for staff handling of grievances and appeals for one of the following VNS Health Plans product lines - Managed Long Term ... subcontractors who have delegated responsibility for managing grievance and appeals on behalf of the plan to ensure operational...paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical,… more
- CVS Health (Atlanta, GA)
- …and affordable. **Position Summary** This position supports the daily processing of appeals in the Commercial Member Clinical Appeals (CMCA). Job functions ... faxes, and movement of cases in the Complaints and Appeals Tracking System (CATS). All work is to be...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
- VNS Health (Manhattan, NY)
- OverviewResolves grievances, appeals and external reviews for VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Fully ... decision. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. Assists with collecting and...paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical,… more
- CVS Health (Tallahassee, FL)
- …Summary** Coordinate effective resolution of member and/or provider/practitioner appeals , complaints and grievances. Responsible for the day-to-day management ... of staff to ensure effective resolution of member or provider/practitioner appeals , complaints and grievances for all products, which may contain multiple issues… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member… more
- VNS Health (Manhattan, NY)
- OverviewResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage ... decision. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. Assists with collecting and...paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical,… more