- 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 ... home for one Essential Duties and Responsibilities of the Appeals Specialist: Perform appeal edits and create appeals... Appeals Specialist: Perform appeal edits and create appeals in a variety of ebilling websites. Record all… more
- A-Line Staffing Solutions (Woodland Hills, CA)
- Full time Grievance and Appeals Coordinator openings in Los Angeles CA 91367 area with a major healthcare company ! Starting ASAP!! Apply now with Luke H. at ... meet deadlines. Job Requirements: Previous experience with either Grievance & Appeals , Medical management, Utilization management, and/or running a doctor's office… more
- A-Line Staffing Solutions (Sacramento, CA)
- Claims Analyst openings with a Major Health Insurance Company based out of the Natomas, CA area! Starting ASAP!! Apply now with Luke H. at A-Line!Remote-but will be ... claims, claims processing, review medical records, deny claims, denied claims, denials, appeals , grievance, grievance and appeals , denials and appeals ,… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …interpret policy provisions. Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity. Issues tend to be ... include answering benefit questions, claims questions, guiding on the appeals process, guiding on initiating authorization for pharmacy/medical calls,...staffing firms in the US. The growth of our company is a direct result of our global client… more
- A-Line Staffing Solutions (Mcallen, TX)
- Social Worker openings with a major health insurance company based in McAllen, TX 78501! Starting ASAP!! Apply now with Luke H. at A-Line!Must be from McAllen area - ... Pay Rate Keywords: Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, Master… more
- Penske Truck Leasing Co., LP (Reading, PA)
- …or manager with operating tax compliance processes including rendition/return filing, appeals and abatements and refund/bill entry. * Be able to understand ... or manager with operating tax compliance processes including rendition/return filing, appeals and abatements, bill entry for operating tax * Analyze processes,… more
- A-Line Staffing Solutions (Killeen, TX)
- Social Work Service Coordinator openings with a major health insurance company based in the Killeen, TX area ! Starting ASAP!! Apply now with Luke H. at A-Line! ... environment preferred Keywords: Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker,… more
- A-Line Staffing Solutions (San Antonio, TX)
- Social Worker openings with a major health insurance company based in San Antonio, TX 78230! Starting ASAP!! Apply now with Luke H. at A-Line!Primarily Remote; must ... Pay Rate Keywords: Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, Master… more
- A-Line Staffing Solutions (Tampa, FL)
- Bilingual Long-Term Care Coordinator openings with a major health insurance company in Hillsborough County, Florida! Starting ASAP!! Apply now with Luke H. at ... of acute care Assist member with filing and resolving complaints and appeals . Required Experience: Bachelor's degree in human services related field; Including but… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …verification result call. Welcome calls. Advanced alternate coverage research. Appeals /Denials. Intakes and reports adverse events as directed. Provides exceptional ... proficiently use Microsoft Excel, Outlook, and Word. Developing professional expertise; applies company policies and procedures to resolve a variety of issues. Work… more
- MultiPlan (Atlanta, GA)
- …competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our ... and belonging are part of the fabric of our company . We strive to create a workplace that fosters...Reporting and Analytics ecosystem.2. Understand claims flow, savings identification, appeals processing, and fraud, waste, and abuse detection by… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …behavior based upon established standards. 40% . Comply with departmental, company , state, and federal requirements when processing all information to ensure ... with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc.). 10% . Identify and elevate clinical inquiries to the… more
- Pacer Staffing (Whittier, CA)
- …. Has a strong understanding of CMS regulations, Managed Care and insurance company payment principles, rules, and regulations. . Is knowledgeable with the use of ... with concise information for account resolution. . Pursues underpayments and complete appeals , when necessary, in a timely manner providing accurate information to… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …professional behavior based upon established standards. . Comply with departmental, company , state, and federal requirements when processing all information to ... other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). . Identify and elevate clinical inquiries to the pharmacist… more
- Option Care Health (Austin, TX)
- …workforce that is as diverse as the patients and communities we serve. Join a company that is taking action to develop a culture that is more inclusive, respectful, ... with Billing and Collection Training and completes "second level" appeals to payers.Job Description: Job Responsibilities:Submits timely, accurate invoices to… more
- A-Line Staffing Solutions (Tampa, FL)
- …Coordinator located in Tampa, FL The Care Coordinator would be working for a major company and has career growth potential. This would be full time / 40+ hours per ... after 90 days of employment A 401(k) with a company match is available for full-time employees with 1.... Assist member with filing and resolving complaints and appeals Care Coordinator Requirements Bilingual in Spanish and English… more
- Beacon Hill Staffing Group, LLC (Cleveland, OH)
- …requirements, submitting and monitoring monthly bills, resolving rejections, creating appeals , and generating reports. The role involves using internal systems ... used for reporting purposes only and will be kept separate from all other records. Company Profile: Founded by industry leaders to set a new standard in search,… more
- A-Line Staffing Solutions (Haverhill, FL)
- Long-Term Care Coordinator openings with a major health insurance company in Palm Beach County, Florida! Starting ASAP!! Apply now with Luke H. at A-Line! ** Must ... HMO, Concurrent Review, Retrospective Review, Managed Care, Medical Claims, Appeals , Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization,… more
- Staffing Now (Manassas, VA)
- …questions and complaints, interfaces with third-party administrators to resolve claim appeals .Works with employees to promote health and wellness in the workplace; ... managers in evaluating reasonable accommodation and protected leave requests.Ensure company compliance with federal and state laws, including reporting… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals & Grievances is responsible for direct supervision and support of the… more
