- TEKsystems (Memphis, TN)
- Revenue Cycle/ Appeals Specialist Needed Description: 100% Remote Equipment Provided The Appeals Specialist 1, under the direction of the Director of ... processes. Skills: medical claims processing, insurance claim, insurance collections, appeals , revenue cycle Additional Skills & Qualifications: -2 years of… more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $34.9314-$52.3971) Responsible for reviewing all post-billed ... Responsible for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing… more
- Trinity Health (Farmington Hills, MI)
- …Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues ... Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $20.6822-$31.0233) Performs day-to- day payment resolution… more
- 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
- Trinity Health (Farmington Hills, MI)
- …Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing ... of appeals as required by payers. in addition to promoting...and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn… 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
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Coding Denials Specialist for a Full Time, 2.00 FTE, Day position. The salary range for this job opening at PeaceHealth is ... of any applicable collective bargaining agreement, seniority, etc. **This remote role requires the incumbent to reside in OR,...AK or TX by date of hire.** Coding Denials Specialist coordinates the flow of DRG denial letters through… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Billing/Follow-up Specialist Lead - Commercial Billing for a Full Time, 1.00 FTE, Day position. The salary range for this ... resolution of insurance accounts and identify delays in processing. + Drafts appeals to insurance companies for reimbursement of monies owed. + Maintains daily… more
- US Anesthesia Partners (Austin, TX)
- Overview The Patient Advocate Out of Network Specialist position is to promote the processing of out of network claims and favorable company relationships with ... federal regulations and company policy. + Process and follow up on complex appeals to insurance companies. + Answers incoming and make outbound patient and insurance… 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
- State of Colorado (Denver, CO)
- Civil Rights Investigator - HR Specialist III - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4627053) Apply Civil Rights ... Investigator - HR Specialist III - Hybrid Salary $57,708.00 - $75,024.00 Annually Location Denver Metro, CO Job Type Full Time Job Number IHA 04502 08/18/2024… 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
- Option Care Health (Des Moines, IA)
- …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
- State of Colorado (Denver, CO)
- Continuous Improvement Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4618813) Apply Continuous Improvement Specialist Salary ... performance management, project management and continuous improvement. The Continuous Improvement Specialist is part of the project management team dedicated to… 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
- 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 Indiana (Indianapolis, IN)
- Program Specialist Date Posted: Aug 1, 2024 Requisition ID: 447411 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... this role could include: + Serves as a claims specialist and subject matter expert for specific program area....initiatives to improve the functions of the unit. + Appeals : Provides clerical and administrative support to the administrative… more