- A-Line Staffing Solutions (Sacramento, CA)
- …verbal and written communication Skills Strong written and critical Skills Preferred Requirements: Previous Grievance and Appeals experience preferred ... Medical management, utilization management or experience running Doctors office preferred Grievance and Appeals Coordinator, grievance and appeals ,… more
- Creative Financial Staffing (Cleveland, OH)
- …all billing attorneys have returned their appeal spreadsheets with appeal instruction.) Preferred Qualifications for the Appeals Specialist: One year of legal ... 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 health… 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 A-line!! ... 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)
- …Intermediate with MS Office Applications High school diploma or equivalent Preferred Experience: Prior claims exp/medical billing experience Working knowledge of ... claims, claims processing, review medical records, deny claims, denied claims, denials, appeals , grievance, grievance and appeals , denials and appeals ,… more
- Preferred Solutions Group (Bethesda, MD)
- Preferred Solutions Group (PSG) is a woman owned business based in Washington, DC that is uniquely qualified to serve small businesses and corporations alike as they ... the appropriateness of the release and review and make recommendations regarding appeals . . Review documents and responses to ensure compliance with the Acts… more
- Blanchard Valley Health System (Findlay, OH)
- …of productivity to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims within the department/division. ... Maintains appropriate timeliness of appeals for denials. Identifies other means and resources to complete tasks, as applicable and appropriate. Helps create and… 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, documenting… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed. Must maintain compliance ... resolve coverage requests. . Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed. Must maintain compliance… more
- A-Line Staffing Solutions (Mcallen, TX)
- …in Texas Excellent computer skills; Proficient in Word, Excel, and PowerPoint Preferred Skills/ Experience: Bilingual: Spanish and English Speaking preferred ... 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)
- … preferred Keywords: Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, Master of ... needs of members Excellent computer skills; Proficient in Word, Excel, and PowerPoint Preferred Skills/ Experience: Experience in a managed care environment… more
- A-Line Staffing Solutions (San Antonio, TX)
- …of members Excellent computer skills; Proficient in Word, Excel, and PowerPoint Preferred Skills/ Experience: Experience in a managed care environment preferred ... 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)
- …of acute care Assist member with filing and resolving complaints and appeals . Required Experience: Bachelor's degree in human services related field; Including but ... medical health records, and Microsoft office programs Valid driver's license Preferred Skills/ Experience: Current state's RN, LCSW, LCPC, LSW, LPC licensure… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc.). 10% . Identify and elevate clinical inquiries to the ... for example faxes, sorting, email boxes, CAS maintenance, etc. 5% Experience: . Preferred 0-3 years work experience required in a customer service position with high… more
- Cambia Health Solutions, Inc (Renton, WA)
- …a talented Policy and Implementation Analyst to join our team! Preferred Key Experience:Clinical knowledge (Understands clinical reviews)Understanding of claims, ... billing and codingFacets/FEP/Claims systems in appeals , SIUClaims processing, claims configuration rolesUnderstanding of Medical and reimbursement policiesCPC… 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 ... use of medical industry vernacular. General knowledge of health care billing preferred . Ability to proficiently use Microsoft Excel, Outlook, and Word. Developing… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …patient access. Could include documenting and initiating prior authorization process, claims appeals , etc. Completes quality review of work as part of finalizing ... written and verbal communication. Familiarity with verification of insurance benefits preferred . Attention to detail, flexibility, and the ability to adapt to… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …will accept 5 years direct pre-certification experience. Other: Preferred Job QualificationsPreferred Licensure or other certifications: CPC CertificationPreferred ... Educational Requirements: Preferred Experience: One...of the pre-certification into the appropriate account.Collaborates with the appeals department to provide all related information to overturn… more
- A-Line Staffing Solutions (Haverhill, FL)
- …medical health records, and Microsoft office programs Valid driver's license Preferred Skills/ Experience: Current state's RN, LCSW, LCPC, LSW, LPC licensure ... Home health, discharge planning, or long-term care experience preferred Keywords: Long Term Support Services, LTSS, LCSW, LCPC, LSW, LPC, Concurrent Review,… 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" ... Nurse qualifications: High School/GED degree requiredAssociate/Bachelor's degree in nursing preferred LICENSURE/CERTIFICATION: GPN, LPN, GN or RN that must pass… more
