Appeals Specialist
HealthCare Support
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Medical Appeals Specialist in the Tacoma, WA area seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with which to further your longterm goals? Are you seeking REAL advancement opportunities in-house with a Fortune 500 company? If you answered “yes” to any of these questions – then this opportunity may be for you! Daily Responsibilities In this role, you will be responsible for validating disputes presented on EOBs, entering denied claims into company database & escalating paymment/variance trends to management Responsibilities Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons Coordinates for clinical consultations or account referrals when necessary Generate an appeal based on the dispute reason and contract terms specific to payer Follow specific payer guidelines for appeals submission Escalate exhausted appeal efforts for resolution Review denial reasons on EOBs to determine denials Work payer projects as directed Advantages of this Opportunity Competitive hourly pay above regional average! Longterm stability and individual professional growth potential from a national Healthcare company that continues to grow! You will have the opportunity to add great experience to your resume, while getting the chance to network with several future colleagues in a highly-competitive insurance claims field. Qualifications What We Look For 1-2 years in a healthcare administrative environment performing billing and/or collections 3-5 years of A/R follow up with insurance on claims (direct contract with insurancess) Full understanding of the insurance denials / appeals process Excellent computer skills with emphasis on use of Excel spreadsheets #J-18808-Ljbffr Healthcare Support Staffing
$30.7 - $41.54 per hour
...Northwest Administrators, Inc. is seeking an Appeals Specialist to assist in the Health and Welfare Claims Department. This role focuses on processing member disputes and appeals, ensuring accuracy and adherence to policies. The ideal candidate should have a Bachelor'...SuggestedHourly payWork at office3 days per week$24 - $26 per hour
...Education Program, Grades K-12 , a growing, dynamic organization with a social mission to offer hope, is seeking a Behavior Specialist to join our award-winning Special Education team and perform meaningful work in a culture that welcomes innovation,...SuggestedFull timeWork at officeImmediate startFlexible hours- ...behavioral support transfers directly into special education classrooms. \n Whether you’ve worked as a Behavior Technician, Behavioral Specialist, Behaviour Therapist, or Behavior Interventionist, the skills you use every day are exactly what SPED classrooms need. Building...SuggestedWeekly pay
- ..., all while being a part of a dynamic downtown that offers everything from artisanal markets to eclectic galleries. Beyond the appealing landscape and lively culture, Tacoma offers a welcoming atmosphere where community connections run deep. Enjoy farmers markets, outdoor...SuggestedImmediate startFlexible hoursDay shift
$20.42 - $27.57 per hour
...organization that values continuous improvement, teamwork, and excellence in every aspect of our business. Overview: The Lead Equipment Specialist performs routine work in the repair and general maintenance on various pieces of equipment including restrooms, sinks, holding...SuggestedFull timeTemporary workPart timeSecond jobLocal areaFlexible hours$18 - $20 per hour
...experience as a great place to live, work, and be. The Role The Leasing Specialist is responsible for leasing, marketing, and maintaining positive... ...Maintenance Supervisor. Contribute to the cleanliness and curb appeal of the community on a continuing basis. Assist in planning...Immediate startFlexible hoursAfternoon shift- Lamwork is looking for an Admitting Representative to join their team in Tacoma, WA. The role involves registering patients, collecting and verifying financial information for services, and ensuring effective communication with both patients and hospital staff. Strong ...
$51.03 - $85.02 per hour
...Job Summary and Responsibilities As an Electrophysiology Specialist, you will be a central figure performing complex electrophysiology studies and related cardiac procedures, meticulously operating specialized equipment to diagnose and treat cardiac arrhythmias. You will...Work experience placement$25 - $28.95 per hour
...Facilities Specialist Department: Facilities Employment Type: Full Time Location: Washington - Tacoma Reporting To: Facilities Supervisor/Manager Compensation: $25.00 - $28.95 / hour Summary Our Facilities Specialist is responsible for making sure that our buildings and...Hourly payFull time$28 - $32 per hour
...while inspiring others. Why this role is special Join Green’s team of experts. At Green, you are more than just a clerk – here, as a specialist you will own the consignment from start to finish, managing airfreight and ocean import related decision‑making; negotiating with...Work at officeRemote workWorldwideOverseas$17.13 - $23.5 per hour
...schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner...Hourly payMinimum wageLocal areaImmediate startFlexible hours$23.02 - $35 per hour
...MultiCare Health System in Tacoma seeks a Distribution Specialist for the Supply Chain Operations team. This key role involves overseeing the supply and patient care equipment to ensure quality healthcare experiences. Responsibilities include verifying order documents...$21.75 - $29.67 per hour
Job Description Job Description Full Time $21.75 - $29.67 Monday - Friday 7:30am - 4:00pm We Offer - Medical, Dental, and Vision with 100% paid premiums for employees. 11 paid holidays, 403(b)-retirement plan, Life Insurance, Long term Disability, Employee...Full timeContract workTemporary workMonday to FridayAfternoon shift- ...WKS KRISPY KREME, LLC Position : Production Specialist / Doughnut Maker Brand : Krispy Kreme Reports To : General Manager Job Overview The Production Specialist / Doughnut Maker is responsible for preparing, producing, and processing Krispy Kreme doughnuts...All shiftsFlexible hoursShift workNight shiftWeekend workDay shiftEarly shift
- Top National management companies are looking to hire you at their newest and most recently renovated Luxury apartment communities. Job Responsibilities Greet prospects and qualify by covering all criteria (ask questions; utilize completed guest cards, etc.). Immediately...Immediate start
$35.23 per hour
...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Housing Specialist Regular Full-Time 902 S L St, Tacoma, WA, US 2 Attachments 6 days ago Requisition ID: 1048 Join Tacoma Housing Authority as a...Full timeWork experience placementWork at officeLocal areaRemote workTrial period- WaFd Bank is hiring a Personal Banker to strengthen clients’ financial health and build relationships. The role focuses on opening accounts, onboarding relationships, originations, and proactive community outreach across the bank’s service area. We seek motivated individuals...
- ...familiarity preferred MISCELLANEOUS: U.S. Citizen required. Must pass an extensive background investigation Military Personnel Specialist Our Equal Employment Opportunity Policy: Patriot Enterprises is an equal-opportunity employer. We recruit, employ, train...Civilian ContractorLocal area
$20.9 - $23.92 per hour
...Rivian is searching for an Adventure Readiness Specialist based in Fife, Washington. This role is essential during high-demand seasons, ensuring the seamless care of vehicles and owners. Responsibilities include vehicle inspection, assisting technicians with repairs,...Hourly pay- ...Job Description Job Description Job description The Staffing Specialist, is key role focused on learning the fundamentals of the branch operations and supporting the day to day functions of the branch. As the first point of contact for both external employees and...Temporary workWork at officeLocal area
- ...) personnel. The role requires a Bachelor’s degree in a related field and certification as a Certified Strength and Conditioning Specialist (CSCS) or equivalent. Candidates should have a minimum of 5 years of experience in developing performance programs, knowledge of...
$21 per hour
...A major home improvement retailer is seeking an Asset Protection Specialist in Tacoma, WA. This role focuses on preventing financial loss due to theft and fraud while ensuring safety compliance in the store. Responsibilities include detailed case reporting, monitoring...- ...Abbott’s Electrophysiology (EP) team seeks a seasoned Clinical Specialist to provide advanced engineering, sales, and clinical support for EP products. You will act as a senior liaison between physicians and the business, building relationships and guiding complex case...
$80k - $95k
...solutions for the major Primes and Tier-1’s across the aerospace, defense, and shipbuilding sectors. By integrating our supplier specialists directly within supply chain networks, we deliver a level of oversight and engagement that surpasses conventional methods. Headquartered...Full timeWork at officeLocal areaFlexible hours- Performs analysis of assigned accounts and activity. Triage risk and determine appropriate action using internal tools and information sources. Obtains and provides detailed documentary evidence to support confirmed fraud activity necessary to prepare cases or alerts for...Local area
$23 - $25 per hour
Join the Industry Leader in Geriatric Mental Health Behavioral Health Solutions (BHS) is seeking a hard‑working, self‑driven individual to join our behavioral team as a Behavioral Program Coordinator for the Tacoma and surrounding areas. Our team of mental health treatment...Hourly payFull timeWork experience placementRemote workMonday to Friday$29.77 - $41.35 per hour
...Route Coverage Specialist At UniFirst, we Always Deliverfor our customers and our people. Join us as a Route Coverage Specialist, a key service professional integral to the success of our operations. In this role, you'll provide exceptional service by stepping in to cover...Hourly payFull timeWork at officeLocal areaShift workDay shift- Discover the Pulse of the Pacific Northwest as a Sonographer: Where Each Scan Tells a Story Have you ever envisioned yourself at the crossroads of significant medical intervention and an idyllic lifestyle filled with stunning natural backdrops? As a Diagnostic Medical...Local areaFlexible hoursDay shiftAfternoon shift
$27.76 - $40.72 per day
...VMI Specialist Linde Gas & Equipment Inc. Tacoma, WA, United States | req31988 1st Shift In this role you will visit a pre-determined list of strategic customers daily for vendor managed inventory of cylinders and hardgoods. You will ensure accuracy of order,...Day shift- ...following up on unpaid claims, working with payers to resolve denials and rejections in a timely manner. Preparing and submitting appeal letters for denied claims, ensuring that all required documentation is included in a timely manner. Process incoming mail concerning...Contract workLocal area
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