- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Nurse Specialist LVN II is primarily responsible for… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details The Appeals and Authorization representative will perform activities to resolve authorization denials ... for ambulatory practices, and facilitate appeals for hospital based services. SPECIFIC RESPONSIBILITIES AND DUTIES Review all authorization denials entered into the… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** Hybrid position - Temple, TX The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider ... complaints, appeals and grievance cases for products for all lines...of cases; review, research and coordination of complaints, grievances, appeals and reconsiderations consistent with statutory and federal regulatory… more
- University of Michigan (Ann Arbor, MI)
- …Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit ... They are knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain… more
- LA Care Health Plan (Los Angeles, CA)
- …and/or exceed member satisfaction. Responsible for the day to day oversight of Appeals and Grievance Specialist by closely monitoring work, providing feedback on ... Lead Customer Solution Center Appeals and Grievances Job Category: Customer Service Department:...and or process improvement. Assist Supervisor to ensure that Specialist provide accurate, timely, and quality responses. Ensure that… more
- State of Colorado (Denver, CO)
- ECMC Engineering Research QA Specialist (PSRS II) - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4711249) Apply ECMC Engineering ... Research QA Specialist (PSRS II) - Hybrid Salary $74,604.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Moffat County, CO)
- Highway Maintenance Specialist - Dinosaur/Skull Creek MTC/Traffic Hybrid (CDL Required) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4724452) Apply Highway Maintenance Specialist - Dinosaur/Skull Creek MTC/Traffic Hybrid (CDL… more
- State of Colorado (CO)
- … Specialist of Education and Training / Training Specialist IV - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4721423) Apply ... Equity Specialist of Education and Training / Training Specialist IV - Hybrid Salary $70,140.00 - $77,256.00 Annually Location Statewide, CO Job Type Full… more
- Tufts Medicine (Lowell, MA)
- …40 hours per week; Monday through Friday from 8:00 AM to 4:30 PM **Location:** Hybrid model; 2 days onsite at 55 Technology Drive in Lowell, MA is required. **Job ... the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures… more
- State of Colorado (Denver, CO)
- Variable Data Design Specialist / Technician IV - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4708125) Apply Variable Data ... Design Specialist / Technician IV - Hybrid Salary $54,960.00 - $60,000.00 Annually Location Denver, CO Job Type Full Time Job Number AAA-81586-102524 Department… more
- Randstad US (Duluth, GA)
- revenue cycle specialist ( hybrid ). + duluth , georgia + posted october 28, 2024 **job details** summary + $22 - $23 per hour + temporary + high school + category ... claims, and handling accounts receivable follow-up. This is a hybrid position and will require work from Monday to...to Friday. If you are an experienced Revenue Cycle Specialist , please today! salary: $22 - $23 per hour… more
- Beth Israel Lahey Health (Danvers, MA)
- …interprets third party payments, adjustments and denials. Initiates corrected claims, appeals and analyzes unresolved third party and self-pay accounts, initiating ... that start day-1!** + **Schedule: 40 Hours, days - Hybrid , with some onsite time in Danvers, MA** **Essential...edits of the same nature. Initiates claim rebilling, written appeals or corrections and obtains and submits information necessary… more
- TEKsystems (Fresno, CA)
- Hybrid work schedule after probationary period is met - 3 days remote and 2 days in office. Description: Job Description The Benefits Verification Specialist ... office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete… more
- CVS Health (Monroeville, PA)
- …free parking. **What you will do** + Timely response to Medicare audits and appeals + Research and gather the appropriate documentation to form all levels of ... appeals for Medicare + Third party follow-up associated with...both verbally and written + Certified Billing and Coding Specialist (CBCS) preferred but not required . **Education** +… more
- Methodist Health System (Dallas, TX)
- …**Your Job:** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in ... claims, denied claims, and correspondence. As an AR II Specialist , you will play a crucial role in optimizing...actions based on correspondence received, such as claim corrections, appeals , or adjustments. - Conduct thorough follow-up on aging… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Senior Contract Specialist works closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, Mandates, ... Insurance Administration surveys as needed and assigned. Responds to Central Appeals Unit, Executive Inquiry, Corporate + Audit and other department inquiries… more
- Methodist Health System (Dallas, TX)
- …:** **Your Job:** The ability to manage the organization's third party payer appeals through the ability to analyze, research and successfully appeal third party ... claims within timely filing timelines, provide excellent customer service, write Appeal and Recon letters for follow-up in accordance with Departmental protocol with an emphasis on maximizing patient satisfaction and profitability. You will be responsible for… more
- State of Colorado (Denver, CO)
- DNR EDO Employee and Labor Relations Specialist II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4715148) Apply DNR EDO Employee and Labor ... Relations Specialist II Salary $49,848.00 - $72,000.00 Annually Location Denver,...range minimum. Primary Physical Work Address This is a Remote/ Hybrid position - Work is primarily performed form a… more
- Johns Hopkins University (Middle River, MD)
- …edits reports, file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production ... for the basic collection of unpaid third-party claims and standard appeals , using various JHM applications and JHU/ PBS billing applications. Communicates… more
- Robert Half Accountemps (Charleston, SC)
- …We are offering a contract employment opportunity for a Medical Billing Specialist in the Healthcare industry. Based in Charleston, South Carolina, the role ... you to work on-site initially, with potential for a hybrid work arrangement in the future. As a Medical...work arrangement in the future. As a Medical Billing Specialist , you will be handling billing and coding procedures… more