- Oracle (Little Rock, AR)
- …us and grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to ... necessity, level of care, clinical validation) to lead the appeals initiative to review denied claims , create...dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life… more
- TEKsystems (Denver, CO)
- Medical Appeals Specialist (Fully Remote) Make a measurable impact by overturning denials, recovering missed revenue, and improving patient account outcomes. As ... a Medical Appeals Specialist , you'll combine deep payer policy...claims and payer denial codes, plus hands‑on complex appeals workflows + EMR/EHR experience (ideally Epic and Athena;… more
- Fairview Health Services (St. Paul, MN)
- …critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more
- TEKsystems (Woods Cross, UT)
- …or payers. + Employ effective billing techniques to resolve edits, denials, and appeals as necessary. + Investigate claims on accounts receivable (AR) reports ... Professional Summary The Healthcare Billing Specialist is responsible for managing the full cycle...maximize efficiency and accuracy. Key Responsibilities + Submit approved claims for processing and ensure proper acceptance through billing… more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... Program (paid time off, paid family leave, long- and short -term disability coverage and leaves of absence) + Employee...want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions… more
- AssistRx (Overland Park, KS)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... A Day in the Life as a Patient Access Specialist : This role works directly with healthcare providers &...(PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move… more
- Helio Health Inc. (Syracuse, NY)
- …Maintains accurate files necessary for research and documentation. + Researches open claims and processes appeals when necessary. Follows up on patient ... support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up...or concern arises. + Communicates insurance trends and unresolved appeals to the billing manager for further action. +… more
- TEKsystems (Woods Cross, UT)
- Billing Specialist - Healthcare Industry/Revenue Cycle Management Team - In Office Location: Woods Cross, UT (On-site) Schedule: Monday-Friday, 8-hour shifts ... About the Role We are seeking an experienced Billing Specialist to join a dynamic healthcare team and support...and timely claim submissions. Key Responsibilities + Submit approved claims and ensure proper acceptance. + Research, resolve, and… more
- AssistRx (Orlando, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill… more
- Maxim Healthcare (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Maxim Healthcare is hiring for a Reimbursement Specialist who will serve as liaisons between office...reviewing office sales for appropriate documentation, generating and billing claims and invoices, and follow up on unpaid accounts.… more
- CVS Health (Oklahoma City, OK)
- …related to new business/account implementations. **Fundamental Components:** + Reviews pre-specified claims or claims that exceed specialist adjudication ... a fulltime teleworker opportunity in Oklahoma. The **Senior Claim Data Specialist ** handles end-to-end processes associated with claim data management. This person… more
- J&J Family of Companies (Denver, CO)
- …processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals /grievances); REMs certification; Medicare and ... We are searching for the best talent for Neuroscience Area Business Specialist to cover the territory of Colorado-Wyoming. **About Neuroscience** Our expertise in… more
- J&J Family of Companies (Jackson, MS)
- …processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals /grievances); REMs certification; Medicare and ... are searching for the best talent for Area Business Specialist , Neuroscience to be in the Jackson, MS territory...a good match, you'll be invited to complete a short -recorded video interview, giving you the chance to share… more
- TEKsystems (Whitestown, IN)
- Description This department is in charge of turning around claims submitted in the billing process. - claim submission - third party follow up on unpaid claims - ... - denial appeal and recovery - patient collections -Submitting appeals at times Job Type & Location This is...Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA)… more
- Elevance Health (Roanoke, VA)
- …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case ... and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all...may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding… more
- State of Colorado (Denver, CO)
- …for overtime compensation. Department Contact Information Jessica Bosick, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage + Automatic Short -Term and Optional Long-Term Disability Coverage… more
- State of Colorado (CO)
- …Denver, CO 80203, USA Department Contact Information Sarah LaRue Talent Acquisition Specialist ###@state.co.us How To Apply Please submit an online application for ... Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage + Automatic Short -Term and Optional Long-Term Disability Coverage… more
- CVS Health (Madison, WI)
- …areas. Knowledge of Aetna clinical and coding policy and experience with appeals , claim review, reimbursement issues, and coding is preferable, but a willingness ... license in physical therapist or occupational therapist * Seating Mobility Specialist (SMS) Rehabilitation Engineering & Assistive Technology Society of North… more
- HCA Healthcare (Manchester, NH)
- …Time Away From Work Program (paid time off, paid family leave, long- and short -term disability coverage and leaves of absence) + Employee Health Assistance Fund that ... the risk manager to review and evaluate an applicant's claims history and National Practitioner Data Bank or other...process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements.… more