- Robert Half Finance & Accounting (Anderson, IN)
- Description We are seeking an Appeals specialist to join our team in Anderson, Indiana. In this role, you will be responsible for managing internal and external ... appeals , collaborating with various departments, drafting response letters, and...professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll… more
- TEKsystems (Jackson, MS)
- …facilities to understand denial/appeal management processes. Skills: medical claims processing, insurance claim, insurance collections, appeals , revenue ... Revenue Cycle/ Appeals Specialist Needed Description: 100% Remote Equipment Provided...and information. -Responsible for review and resolution of prepay insurance denials, correlating with the follow-up teams. -Works closely… more
- University of Utah (Salt Lake City, UT)
- …**Preferences** + Demonstrated knowledge of revenue cycle. + Working knowledge of insurance denials, appeals and expected reimbursement rates. + Experience ... PRN40045B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt **Patient… more
- University of Virginia (Haymarket, VA)
- …+ Analyzes information required to complete pre-certifications and/or authorizations or appeals with insurance carriers, service area contacts and workman's ... admission and outpatient diagnostic testing is current. Admission procedures or appeals are communicated to insurance carriers via telephonic/fax/on-line review… more
- Apex Health Solutions (Houston, TX)
- … review/investigation function will be considered. One year of health insurance /managed care experience performing Appeals and Grievances functions. Will ... Summary: The Appeals and Grievances coordinator position is focused on...as well as respond to CMS and department of insurance inquiries. The position will promote quality patient care… more
- Apex Health Solutions (Houston, TX)
- … review/investigation function will be considered. Five years of health insurance /managed care experience performing Appeals and Grievances functions. Knowledge ... Summary: The Appeals and Grievances coordinator, Senior position, is focused...as well as respond to CMS and department of insurance inquiries. The position will promote quality patient care… more
- CVS Health (Harrisburg, PA)
- …meetings when required. + Understands and can respond to Executive complaints and appeals , Department of Insurance , Department of Health or Attorney General ... issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from… more
- UCLA Health (Los Angeles, CA)
- … and grievances. + Collaborates closely with beneficiaries, healthcare providers, and insurance companies to ensure that complaints, appeals , and grievances are ... Description As the Appeals and Grievances (A&G) Analyst, you will be...be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal… more
- UCLA Health (Los Angeles, CA)
- … and grievances. + Collaborates closely with beneficiaries, healthcare providers, and insurance companies to ensure that complaints, appeals , and grievances are ... Description As the Appeals and Grievances (A&G) Analyst, you will be...be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal… more
- Staffing Solutions Organization (Albany, NY)
- …+ Interpret guidance and instructions related to Medicaid eligibility, health insurance appeals , enrollment, and notices from a requirements perspective; ... new eligibility system, and the implementation of the new appeals management system for New York's Complex Medicaid population....for New York's Complex Medicaid population, and the new appeals management system. + Assist in the supervision and… more
- University of Virginia (Haymarket, VA)
- …has assigned AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental ... The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities… more
- TEKsystems (Los Angeles, CA)
- … insurance companies, medical terminology, insurance coverage, patient registration, insurance billing, insurance follow up, appeals , medical record, ... insurance ,medicare,claim, insurance companies,medical terminology, insurance coverage,patient registration, insurance billing, insurance follow up, appeals ,medica Additional… more
- UNC Health Care (Chapel Hill, NC)
- …to coder questions and provide training and education. This position processes and appeals insurance coding denials. This position analyzes coded records for ... the coding and send for rebilling if required. 5. Generate coding appeals for insurance denials with sound arguments and based on coding guidelines and… more
- Spectrum Billing Solutions (Skokie, IL)
- …receivable collections. This is a remote/hybrid position. Responsibilities: + Research and resolve insurance denials + File appeals on denied or underpaid claims ... use their skills and knowledge to ensure optimal reimbursement by performing insurance collections. This role includes all aspects of revenue cycle collections… more
- Intermountain Health (Columbus, OH)
- …of accounting procedures such as debits/credits, highly preferred - Experience with insurance claim appeals , highly preferred - Excellent computer skills ... Account Representative you need to know how to: Review insurance aging reports- Resubmit and work corrected claims and... aging reports- Resubmit and work corrected claims and appeals - Review and manage aging claims and accounts receivable,… more
- Robert Half Accountemps (Van Nuys, CA)
- …insurance correspondence. * Maintain accurate records of patient accounts and insurance correspondence. * Handle appeals , billing functions, and claim ... care including Medicare, commercial, PPO/HMO, and Medical. * Conduct appeals and denials management. * Engage in Billing Functions,...patient accounts and take appropriate action to collect insurance payments. * Oversee the management of … more
- VNS Health (Manhattan, NY)
- …complexities of healthcare? VNS Health Plans is seeking a dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals ... Purpose: Manage day-to-day activities for staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare...paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical,… more
- Banner Health (Tucson, AZ)
- **Primary City/State:** Arizona, Arizona **Department Name:** Grievances & Appeals **Work Shift:** Day **Job Category:** General Operations Great careers are built ... hybrid opportunities. In the role of Senior Grievance & Appeals Coordinator, you will utilize your expertise in Grievance...as an innovative leader in new health care models, insurance plans and physicians are coming together to work… more
- The Cigna Group (Bloomfield, CT)
- Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst We will depend on you to communicate some of our most critical information to the correct ... individuals regarding Medicare appeals and related issues, implications and decisions. The Case...also offer 401(k) with company match, company paid life insurance , tuition reimbursement, a minimum of 18 days of… more
- University of Michigan (Ann Arbor, MI)
- …for both the inpatient and outpatient populations. They are knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will ... Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join...Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals … more