- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN39530B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt ... **University Medical Billing ( UMB )** is a fully remote department that is viewed as the premier billing...-H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist … more
- State of Colorado (CO)
- …Specialist (EPS II) - Eastern Plains - Remote /Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4625817) Apply ECMC Reclamation ... Specialist (EPS II) - Eastern Plains - Remote /Hybrid Salary $74,604.00 - $90,000.00 Annually Location Other (see...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity ( Remote ) Location: Midtown Org Unit: AR - Coding Medicine Work Days: Weekly Hours: 35.00 Exemption Status: ... Certifications** + Certified Professional Coder Certificate (CPC) or Certified Coding Specialist (CCS) **Working Conditions/Physical Demands** Remote based work… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Maximum Allowable Cost Programs Specialist - Remote **Job Description Summary** The purpose of this position ... their respective assigned accounts. **Job Description** + Assesses provider appeals inquiries, researches various pricing resources and makes appropriate… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
- Fairview Health Services (St. Paul, MN)
- …per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with revenue cycle and clinical ... with insurance payors on prior authorization denials. Process authorization denial appeals , when necessary. **Point of Service Collection:** + Educates patients and… more
- Omaha Children's Hospital (Omaha, NE)
- **Schedule: FT, Mon - Fri, remote (training on site 1 month)** At Children's, the region's only full-service pediatric healthcare center, our people make us the very ... the billing department to related claim denials + Follows appropriate processes for appeals and peer to peer requests + Obtains and maintains knowledge of… more
- Option Care Health (Columbus, OH)
- …payments. Assists with Billing and Collection Training and completes "second level" appeals to payers. **Job Description:** Job Responsibilities: + Submits timely, ... accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are… more
- Sutherland Global Services (Columbus, OH)
- …phone, email, or online + Providing ongoing appropriate collection activity on appeals + Requesting additional information from Patients, Medical Records, and others ... as needed + Communicating with insurance plans and researching health plans for benefits and types of coverage + Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed. + Handling… more
- CareFirst (Fairfax, VA)
- …hospitalist, diabetes education, reduction of authorizations, reduction of claims appeals , etc.). Participate in internal and external committees and workgroups, ... to identify network improvements and areas of concern, implement resolutions and contribute to the implementation process of projects as it relates to institutional, ancillary, professional, dental and vendor contracting. Provide subject matter expertise on… more
- Vanderbilt University Medical Center (Nashville, TN)
- …in patient care, education, and research. **Organization:** Coding and Auth. Appeals **Job Summary:** JOB SUMMARY Coordinates the billing and follow-up process ... between the organization, payers and patients independently. Analyzes and reports on insurance denial causes and trends. Acts as a resource and mentor for peers. . KEY RESPONSIBILITIES * Processes claims, payments, adjustments, refunds, denials, and unpaid… more
- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit ... Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title...full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote role, but you must reside in one of… more
- State of Indiana (Indianapolis, IN)
- Program Specialist Date Posted: Sep 6, 2024 Requisition ID: 449180 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... issue working across business units; Collaborates extensively with Contact Center, Adjudication, Appeals , Special Claims, TFA, Cashiering and BPC staff on a variety… more
- Spectrum Billing Solutions (Skokie, IL)
- …We are looking to add a passionate and skilled Revenue Cycle AR Collections Specialist to our growing team. The ideal candidate will use their skills and knowledge ... includes all aspects of revenue cycle collections including denial management, appeals , reimbursement rate negotiation, and accounts receivable collections. This is… more
- State of Colorado (Denver, CO)
- ECMC Location Assessment Specialist (EPS II) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4649055) Apply ECMC Location Assessment ... Specialist (EPS II) Salary $74,604.00 - $90,000.00 Annually Location...and sick leave + Flexible work schedule options and remote -work options + Career advancement opportunities throughout the State… more
- State of Colorado (Denver, CO)
- CPW Program Coordinator / Invasive Species Specialist (Denver, CO) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4638068) Apply CPW Program ... Coordinator / Invasive Species Specialist (Denver, CO) Salary $57,708.00 - $75,024.00 Annually Location...and sick leave + Flexible work schedule options and remote -work options + Career advancement opportunities throughout the State… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- CAU Eligibility Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4574616) CAU Eligibility Specialist Salary Depends on ... Qualifications Location Baton Rouge, LA Job Type Unclassified Remote Employment Remote Optional Job Number R-001382 Department University of New Orleans Opening… more
- State of Colorado (CO)
- ECMC Enforcement Advisor (COMPLIANCE SPECIALIST IV) -Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4633466) Apply ECMC Enforcement ... Advisor (COMPLIANCE SPECIALIST IV) -Hybrid Salary $70,140.00 - $91,200.00 Annually Location...Primary Physical Work Address 1120 Lincoln Street Denver 80203, Remote /Hybrid Hiring Pay Rate Employees new to State Government… more
- State of Colorado (El Paso County, CO)
- …Worker / Counselor I (Behavioral Health Specialist ) - Spring Creek Youth Services Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4645713) ... Apply Social Worker / Counselor I (Behavioral Health Specialist ) - Spring Creek Youth Services Salary $2,562.92 Biweekly...provide onsite services and is not approved to provide remote services to youth unless approved by the Director… more