- 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 ... office four days, at home for one Essential Duties and Responsibilities of the Appeals Specialist : Perform appeal edits and create appeals in a variety of… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all...to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims… more
- US Tech Solutions, Inc. (Atlanta, GA)
- Job Title: Prior Authorization Specialist Location: Fully Remote Duration: 12 months contract Job Description: The CD Representative II will work closely with ... and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed. Must maintain compliance… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Benefit Verification Specialist Location: Remote Duration: 3+ month's Working hours: 8:30am to 5:30pm EST or 10:30am - 7:30pm EST Note: Training shift timing ... Under general supervision of an Operations Manager, the Benefits Verification Specialist will contact insurance companies to verify patient specific benefits for… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form ... Under the general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced services to patients, providers, and caregivers on… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form ... Under the general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced services to patients, providers, and caregivers on… more
- Beacon Hill Staffing Group, LLC (Cleveland, OH)
- …Cleveland (Hybrid) INDUSTRY: Law Firm/Legal (Required) We are seeking an eBilling Specialist with legal/law firm industry experience to join a thriving and well ... This is a hybrid role of in-office and remote! The Electronic Billing Specialist provides e-billing support to clients, including setting up clients on e-billing… more
- Army National Guard (Milan, IL)
- …and unit commanders with legal matters and judicial work. The Paralegal Specialist provides legal and administrative support in areas like family law, international ... research court decisions and Army regulations, process legal claims and appeals , and prepare records of hearings, investigations, courts-martial, and courts of… more
- Staffing Now (Manassas, VA)
- Human Resource Specialist (Contract)Responsible for maintaining employee personnel files, and general office files and forms; responsible for employee benefits ... questions and complaints, interfaces with third-party administrators to resolve claim appeals .Works with employees to promote health and wellness in the workplace;… more
- Option Care Health (Austin, TX)
- …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 correctly authorized… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …documentation of the pre-certification into the appropriate account.Collaborates with the appeals department to provide all related information to overturn denied ... claims.Helps monitor insurance authorization issues to identify trends and participates in process improvement initiatives.Expected to answer, manage, and satisfy the customer during all incoming calls as appropriate to their specialty, and to meet department… more
- Accounting Now (Pinellas Park, FL)
- …Billing and Collections Specialists in St Petersburg, Florida. Billing & Collections Specialist The medical billing and collection specialist is responsible for ... Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid… more
- ProKatchers (Alhambra, CA)
- Job Description: The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, ... and electronic claims; process tracers, denial and related correspondence; initiate appeals ; compose and submit appeal letters specific challengeable denial issues… more
- Compass Health Network (Raymore, 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" ... This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. An Outpatient Nurse will… 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" ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a PRN… 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" ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a PRN… more
- Martin's Point Health Care (Portland, ME)
- …Place to Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist (Medicare or US Family Health Plan) is responsible for ... in accordance with CMS requirements + Cross-trains with US Family Health Plan Appeals Specialist to perform functions as needed US Family Health Plan Focus Key… more
- HCA Healthcare (Brentwood, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Appeals Specialist opening with Parallon today and find out what it ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Appeals Specialist for our team to ensure that we continue to provide all patients… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as an Appeals Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... have the opportunity to make a difference. We are looking for a dedicated Appeals Specialist like you to be a part of our team. **Job Summary and… more
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Senior Appeals Specialist . The Senior Appeals Specialist ... identified during the billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: + Responsible for higher… more
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