- AmeriHealth Caritas (Philadelphia, PA)
- …position is responsible for the administrative tasks for coordination of member and/or provider appeals , the analysis of claims and appeals , and the review ... more
- Fallon Health (Worcester, MA)
- …information, visit fallonhealth.org. **Brief Summary of Purpose:** Fallon Health's (FH) Appeals and Grievance process is an essential function to FH's compliance ... more
- Point32Health (TX)
- …colleagues and communities. **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst ... more
- Penske (Reading, PA)
- …audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims . -The position will require the ability ... more
- Robert Half Accountemps (Los Angeles, CA)
- Description We are looking for a competent Medical Claims Representative to join our team in Los Angeles, California. The Medical Claims Representative ... more
- Robert Half Accountemps (Bakersfield, CA)
- Description We are offering an employment opportunity for a Medical Claims Representative in the Financial Services industry, located in Bakersfield, California. ... more
- Robert Half Accountemps (Rancho Cordova, CA)
- Description We are on the lookout for a dedicated Medical Claims Representative based in Rancho Cordova, California. As a Medical Claims Representative , ... more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across ... more
- Robert Half Accountemps (Fort Wayne, IN)
- …This role is in the healthcare industry and will involve follow-ups on medical claims . The workplace environment is business casual and requires a high level of ... more
- Guidehouse (Lewisville, TX)
- …San Antonio office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + ... more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Insurance ... 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 ... more
- Houston Methodist (Houston, TX)
- …functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity or ... more
- Fairview Health Services (St. Paul, MN)
- …process. + Daily work queues are at zero + Correspondence worked daily + Timely claims processing and timely appeals Demonstrate a high degree of proficiency in ... more
- Virtua Health (Mount Laurel, NJ)
- …claims .Assists customers with denial related questions.Prepares and maintains appeals for denials.Position Responsibilities:* Identifies items to be appealed ... more
- UNC Health Care (Chapel Hill, NC)
- …**Job Responsibilities:** + **Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and ... more
- State of Colorado (Morgan County, CO)
- …Administrative Assistant III / Customer Service Representative - (Brush, CO) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4880515) Apply ... more
- MVP Health Care (VT)
- Professional, Provider Relations Representative Plattsburgh, NY, USA * Vermont, USA Req #2356 Friday, January 24, 2025 At MVP Health Care, we're on a mission to ... more
- Essentia Health (Duluth, MN)
- …and updates claims based on edits to support accurate and compliant claims submissions + Completes claim follow-up, denials, appeals and corrections + ... more
- Froedtert South (Kenosha, WI)
- …AND ESSENTIAL DUTIES + Independently performs all aspects of insurance claims billing, follow-up work, and appeals , including accessing, retrieving, ... more
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