- Commonwealth of Pennsylvania (PA)
- Appeals Referee Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4788352) Apply Appeals Referee Salary $75,678.00 - $114,915.00 Annually ... Board of Review is eager to welcome an ambitious Appeals Referee to complete the team at the Philadelphia...B. I have experience as a legal or non-legal representative of parties to quasi-judicial administrative hearings conducting direct… more
- Point32Health (TX)
- …(https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- State of Indiana (Indianapolis, IN)
- Governor's Summer Intern - DOR Appeals Date Posted: Jan 23, 2025 Requisition ID: 452851 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...commitment to employee engagement and satisfaction. About the DOR Appeals Team: The DOR Appeals team serves… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Director of Health Complaints and External Appeals (Director Financial Services Programs 3, NS) Occupational Category Other ... candidates for the position of Director of Health Complaints and External Appeals in Consumer Protection and Financial Enforcement Division (CPFED). The incumbent of… 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
- Northwell Health (Melville, NY)
- …and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care ... current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness… more
- State of Indiana (Indianapolis, IN)
- Appeals Referee Date Posted: Jan 21, 2025 Requisition ID: 454084 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable… 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
- MyFlorida (Fort Lauderdale, FL)
- 844532-EMPLOYMENT SECURITY REPRESENTATIVE II-LW - 40046224 Date: Jan 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... . Requisition No: 844532 Agency: Commerce Working Title: 844532-EMPLOYMENT SECURITY REPRESENTATIVE II-LW - 40046224 Pay Plan: Career Service Position Number:… more
- Catalpa Health, Inc. (Appleton, WI)
- Last Updated: November 2022 Revenue Cycle Representative Department: Administration Reports To: Revenue Cycle Lead Direct Reports: No FLSA Status: Full Time, ... OVERVIEW AND RESPONSIBILITIES OF THE ROLE The Revenue Cycle Representative reports to the Revenue Cycle Lead. The ...a financial write off or transfer in Epic. * Appeals - Draft and submit claim appeals … 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
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Labor, Department of Title Labor Services Representative /Trainee 1/2- Syracuse (NY HELPS) Occupational Category Other Professional Careers Salary ... Zip Code 13202 Duties Description Standard Duties:As a Labor Services Representative /Trainee 1/2 with the Unemployment Insurance Appeal Board (UIAB), the incumbent… more
- Whidbey General Hospital (Coupeville, WA)
- JOB SUMMARY The Patient Financial Services Representative supports the mission of providing quality healthcare to the patients of WhidbeyHealth by performing a ... support the financial health and well-being of the organization. The PFS Representative may be responsible for coordinating patient referrals and subsequent follow… more
- WellSpan Health (York, PA)
- Patient Financial Services Representative II - Patient Financial - Day Location: WellSpan Health, York, PA Schedule: Full Time General Summary Completes assigned ... 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
- Elevance Health (FL)
- …and personalized support throughout the consumer's treatment journey._ **Authorization Representative II** **Location:** This position will work a hybrid model ... or days may be required based on operational needs. **The Authorization Representative II** is responsible for the administration of prior authorizations requests… more
- Guidehouse (Gardena, 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
- 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
- US Tech Solutions (May, OK)
- …and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. Must maintain compliance ... needed. **Responsibilities:** Utilizing multiple software systems to complete Medicare appeals case reviews Meeting or exceeding government mandated timelines… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals . The Customer Service Representatives must be able to work in various shifts Monday to Friday between… more
- Robert Half Accountemps (Olathe, KS)
- …a long term contract employment opportunity in Olathe, Kansas, for a Medical Claims Representative . This role is crucial in our healthcare industry where you will be ... ensure prompt resolution. * Oversee the administration of insurance claims and appeals . * Manage billing functions and maintain up-to-date records. * Ensure correct… more
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