Healthcare Appeals & Grievances Specialist
MassGenics, Inc.
Innova Solutions in Philadelphia, PA is seeking an Appeals & Grievances Specialist for a contract-to-hire role. The position focuses on managing appeals from receipt through resolution within regulatory timelines, analyzing benefits and evidence documents, and preparing external-review packages. The ideal candidate has a bachelor’s degree in healthcare-related field and at least 3 years in healthcare operations, with knowledge of plan products, benefits, and claims procedures. #J-18808-Ljbffr MassGenics, Inc.
- Molina Healthcare in Kentucky is seeking a Claims Support Specialist to review and resolve member and provider complaints and communicate resolutions to members... ...CMS standards. The role involves researching appeals and grievances, requesting and reviewing medical records and...SuggestedContract work
$22 - $25 per hour
...(WHA) is seeking a detail-oriented and customer-focused Appeals & Grievances Specialist to join our team. In this fast-paced role, you will support... ...of experience in appeals and grievances or a similar healthcare role, preferably within an HMO environment. Experience with...SuggestedHourly payWork experience placement$14.76 - $31.97 per hour
...Duties Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and... ...certified coder, billing, or medical assistant). Molina Healthcare offers a competitive benefits and compensation package. Molina...SuggestedRemote jobHourly payContract workWork experience placementWork at office- ...coordinating with insurance policies and care teams. Analyze medical records, review criteria, and engage with clinicians to support appeals, while promoting evidence-based and cost-effective care delivery in a collaborative, multidisciplinary environment. #J-18808-...Suggested
- ...requests prior to discussion. Investigates and processes employee grievances, prepares reports and provides recommendations for effective... ...Officer for grievances. Represents the Corporation, when appealed to City Office of Labor Relations and at arbitration hearings....SuggestedWork at officeLocal areaWork from homeShift work
$20.5 - $41 per hour
Revenue Cycle Specialist III page is loaded## Revenue Cycle Specialist IIIlocations: United... ...requisition id: 31163405Abbott is a global healthcare leader that helps people live more fully... ...patient claims, charges, and appeal processes.- In collaboration with leadership...Work at office- ...How you'll contribute Utilization Review Specialist facilitates clinical reviews on all... ...documentation requirements are met. Ensure appeals are completed thoroughly and on a timely... ...utilization review experience in a psychiatric healthcare facility preferred. License: Current...Temporary workFlexible hours
- ## RCM Specialist IIApply: Remote: Remote - Iowa: Remote - Idaho: Remote - Kansas: Remote -... ...therapists, their clients, and the whole healthcare community.**Job Description**At Ensora... ...submission, payment posting, denial management, appeals, and accounts receivable follow-up.*...Full timeWork at officeRemote work
- Lawrenceburg NHC HealthCare Lawrenceburg 374 Brink Street Lawrenceburg, TN 38464, USA Lawrenceburg... ...a dependable and caring Culinary Specialist / Food Service Tech to join our dietary... ...candidate takes pride in preparing appealing, nutritious meals while helping maintain...Daily paidFull time
$57 - $65 per hour
...application process. Behavioral Health Specialist: Part-Time/Evening Hours **... ...dental, psychiatry, optometry and other healthcare team members as appropriate for integration... ...Cooperate in investigations, patient grievances, and requests from payers. Participates...Hourly payPart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursWeekend workAfternoon shift$30 - $35 per hour
...025, Northpoint is a leading behavioral healthcare provider offering evidence-based treatment... ...Northpoint team, the Utilization Review Specialist is a licensed professional who is... ...admissions, continued stays, discharges and appeals related to service provision are reviewed...Full timeTemporary workWork at officeRemote workMonday to Friday$19.31 per hour
...help ensure that meals are attractive, nutritionally complete, appealing and delivered fresh and hot. Will coordinate the preparation... ...Pratt, we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing...Hourly payMonday to FridayNight shiftWeekend work- ...alternative application process. Health Specialist Regular Full-Time Des Moines, IA, US... ...knowledge of Department of Inspection and Appeals rules and regulations in order to provide... ...wellness, safety, etc. Assist in maintaining healthcare/emergency supplies Other duties as...Full timeWork experience placement10 hours per weekFlexible hoursShift work
- ...nationwide community of providers, operations specialists and thought leaders who look for the... ...or platforms that improve the healthcare experience. We remain focused on enabling... ...Collections, including Review, Follow Up, and Appeal denied claims according to standards Determine...Temporary workWork at officeFlexible hours
- Utilization Review Specialist- Healthcare | Raleigh Oaks Behavioral Health | Garner, North Carolina About the Job The Utilization Specialist... ...trends of issues as they relate to utilization management. Appeals all denials ensuring accuracy of information and effective...Temporary workWork at office
- Iredell Memorial Hospital Incorporated seeks a Revenue Recovery Specialist to provide analytical and operational support for the IPN... ...financial records, prepare KPI reports on recovery rates and denial trends, and participate in appeals with payers. #J-18808-Ljbffr Y-Axis
$17 - $18.15 per hour
...point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part...Work at officeLocal areaRemote work$50.7k - $101.3k
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life‑changing technologies... ...the CHR Corporate Human Resources division. The Associate Specialist for our Global Compensation Administration team will be technically...Hourly payTemporary workLocal area$90k - $110k
...years and has earned a strong reputation for excellence in the healthcare field. Our unique business model, combined with our dedication... ...typical positionsPosition DescriptionThe Regional Colorectal Specialist (RCS) is responsible for providing minimally invasive surgical...Local areaImmediate start$26.88 per hour
...About Us We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system... ...items in a designated area. 19. *Orients new Information Specialists. 20. *Sorts and distributes mail on the unit. 21. *Communicates...Immediate startRelocationShift work- ...a dedicated candidate join our team as a Cognitive Behavioral Specialist (CBS) to service our patients in the Savannah area. The Cognitive... ...South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and...Full timeMonday to FridayFlexible hoursShift work
$37.79 - $39.58 per hour
About UsWe’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health...Work at office$20 - $31 per hour
...Counties and integrates SBIRT into outpatient behavioral health, healthcare, school, mobile outreach, and community-based settings.... ...education / experience / licensure Job Summary The Peer Recovery Specialist fulfills the Certified Peer Recovery Specialist function identified...Hourly pay- ...Alexandria Hospital is looking for a dedicated Case Management Specialist to join the team. This role will be Full-Time, Day Shift,... ...and holidays rotation). Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also...Full timeContract workMonday to FridayWeekend workDay shift
$32.97 per hour
...About Us We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system... ...Medicine. Overview Patient Access Patient Access Specialist I Full Time Permanent #85100 Transfer Rate $32.97...Permanent employmentFull timeContract workLocal areaWeekend workWeekday work$25 - $28.85 per hour
...It's more than a job As a Customs Specialist at Kuehne+Nagel, your job is to optimise logistics to keep our global supply chains... ...Logistics shapes everyday life - from the goods we consume to the healthcare we rely on. At Kuehne+Nagel, your work goes beyond logistics;...Full timeLocal area$23.1 per hour
...Health Care Specialist (HCS)YAI is a network of agencies offering people with intellectual and developmental disabilities a comprehensive range of services across all ages. YAI empowers people with disabilities to reach their goals every day.We are currently seeking a...Full time- ...Employment Specialist Community Bridges, Inc. (CB I) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment...Trial period
- ...Child Life Specialist It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing... ...with physicians, nurses, social workers, therapists, and other healthcare professionals to provide family-centered care. Advocates...InternshipShift workDay shift
$100k - $150k
...About Basalt Healthcare Basalt is transforming the post-acute admissions process. Every day, facilities lose hours of critical clinical time manually reviewing complex, hundred-page faxed referral packets. Basalt’s AI instantly reads these documents, checks them against...Full time
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