- Stanford Health Care (Palo Alto, CA)
- …accounts; direct the day-to-day activities of insurance claim editing and billing, insurance follow-up, denial and appeals + Serve as a contact/resource to ... of and complies with established policies and procedures including government, insurance and third-party payor regulations. + Assures compliance with the medical… more
- Emanate Health (Covina, CA)
- …follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations ... and all other non-governmental third-party payers. Duties include collections, appeals , billing, adjustments, EOB review, correspondence and managing all types… more
- HP Inc. (Palo Alto, CA)
- …as a seeding ground for HP's future leaders. We work as a 'meritocracy' that appeals to and rewards high achievers. Your success paves the way for a rewarding career ... a comprehensive benefits package for this position, including: ? Health insurance ? Dental insurance ? Vision insurance ? Long term/short term disability… more
- HP Inc. (Palo Alto, CA)
- …as a seeding ground for HP's future leaders. We work as a 'meritocracy' that appeals to and rewards high achievers. Your success paves the way for a rewarding career ... a comprehensive benefits package for this position, including: + Health insurance + Dental insurance + Vision insurance + Long term/short term disability… more
- Southland Industries (Santa Barbara, CA)
- …and potential career paths with one of the country's largest MEP building systems firms appeals to you and you're ready for the next big step in your career, then ... and immediate 100% vesting + Medical, dental, and vision insurance **(100% paid for employee)** + Annual bonus program...performance, achievement, and company profitability + Term life, AD&D insurance , and voluntary life insurance + Disability… more
- Seattle Children's (Seattle, WA)
- …through appropriate internal and external documented channels. + Reconsiderations and appeals are professionally written and tracked efficiently. + Adjustments are ... generous benefit package, including medical, dental, and vision plans, 403(b), life insurance , paid time off, tuition reimbursement, and more. Additional details on… more
- Advance Local (Worcester, MA)
- …in May 2026. A successful candidate will be able to cover Trending news that appeals to a wide spectrum of audiences and who can flourish in a fast-paced, ... assistance program to support your work/life balance, optional legal assistance, life insurance options, as well as flexible holidays to honor cultural diversity.… more
- Tutor Perini (Fresno, CA)
- …accurate and submitted per established procedures. + Accompany all safety, health, and insurance inspectors on walk through tours. + Prepare written appeals for ... safety violation citations. + Additional assignments on supervisor's request. **REQUIREMENTS:** + Requires at least 10 years of heavy civil construction experience. + Certified Safety Professional (CSP). + Familiarity with occupational safety and health laws… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …register new patients in the system, including patient demographics, verifying insurance , eligibility and claim information is accurate. Incumbent will verify ... position is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and accurately complete the… more
- Carnegie Mellon University (Pittsburgh, PA)
- …fund efforts and manage, in collaboration with the Annual Giving team, specific appeals to the international community. + Other duties as assigned. **You should ... of benefits including comprehensive medical, prescription, dental, and vision insurance (https://www.cmu.edu/hr/benefits/health-welfare/index.html)** **as well as a generous retirement savings… more
- Tutor Perini (Henderson, NV)
- …accurate and submitted per established procedures. + Accompany all safety, health, and insurance inspectors on walk through tours. + Prepare written appeals for ... safety violation citations. + Additional assignments on supervisor's request. **REQUIREMENTS:** + Bachelors degree in a Safety, Environmental Health discipline from an accredited institution + 5 or more years of experience as a supervisor or manager in safety… more
- Oregon State University (Corvallis, OR)
- …Assistance Program. -Optional lifestyle benefits such as pet, accident, and critical illness insurance , giving you peace of mind and the support you need to thrive ... please describe how you are uniquely qualified for this position, and what specifically appeals to you about joining our campus community. 3) In a separate document… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …phone or online before processing authorizations + Assist with complaints and appeals related to eligibility and claims, documenting information accurately in the ... medical management, claims, or member services + Experience in healthcare or insurance settings **Diversity Statement** _At BroadPath, diversity is our strength. We… more
- Highland Hospital (Rochester, NY)
- …via telemedicine dependent on clinical availability, personal preference, and insurance guidelines for telemedicine coverage 10-20%Office Practice (Non-Face to Face ... + Complete clinical documentation, forms/paperwork requested by patients, prior authorization appeals , sign home care orders + Coordinate with other providers, home… more
- Seattle Children's (Seattle, WA)
- …Experience in revenue cycle functions, including coding denial management and appeals process. Experience in research of payer policy and coding guidelines. ... generous benefit package, including medical, dental, and vision plans, 403(b), life insurance , paid time off, tuition reimbursement, and more. Additional details on… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is ... integrity auditor to take appropriate action. Prepares necessary documentation for insurance appeals process, ensuring timely follow through. Processes claim… more
- Elevance Health (Plano, TX)
- **Referral Specialist I/Patient Access (Pre & Prior Authorizations, Appeals , Insurance ) - Paragon Infusion** **Location:** 3033 W President George Bush HWY., STE ... information if necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer policy. + Ability to read and… more
- Point32Health (FL)
- …as a customer service or member services representative in health care or insurance + Preferred: 2 years' Appeals and Grievance experience **Skill Requirements** ... **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and...NCQA (National Committee for Quality Assurance), DOI (Dept of Insurance ), CMS, DOL and any state or federal specific… more
- Robert Half Accountemps (Van Nuys, CA)
- …you will play a critical part in maximizing hospital revenue by managing insurance denials, processing appeals , and handling collections related to HMO/PPO ... Complete and accurately review UB-04 forms for billing and appeals processes. + Communicate with insurance carriers...billing and appeals processes. + Communicate with insurance carriers to gather status updates and clarify payment… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …operations. This role handles a high volume of claims processing, insurance denials, appeals , contract management, prior authorization submissions, and ... ability to apply this knowledge to claim processing and appeals . + Extensive experience managing insurance denials, appeals , and negotiating with payers to… more
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