Search Results: 80,437 vacancies
Overview:
Catholic Health is one of Long Islands finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island...
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*The Akron, OH billing center has multiple openings for Appeals Representatives. These are remote, work-from-home positions*... ...payment denials, taking appropriate corrective action. The Analyst responds to carrier issues as needed and processes all appeals...
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Join a team of dynamic, results oriented professionals!
Named among "The World's Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among "Great Places to Work" by Becker's Hospital...
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...Full job description
Summary
We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as the RN Appeals Analyst, you will research the substance of complex appeal or retrospective review requests, including...
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Full time
For contractors
Local area
Currently hiring
Monday to Friday
...appropriate.
Provide correction suggestions to other departments so the invoice can be resubmitted.
Provide coding direction to appeal invoices and/or submit appeals via payer website or fax, as directed.
Complete reconsideration letters as needed.
Complete...
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...assigned denials to determine appropriate action based on payer requirements.
Assembles and prepares required documentation for appeal in billing system to appeal disputed claims.
§ Assembles and forwards required documentation for payer guidelines.
§ Maintains...
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...either in person, via phone, or video platforms such as FaceTime or Zoom.
- As assigned, assist clients with their application or appeal to FEMA either in person, via phone, or via video platforms such as FaceTime or Zoom.
- Prepare and present prospective client...
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...Job Description
Division/Unit: Appeals Division
Position Title: Appeals Paralegal
Civil Service Title: Community Associate
Salary Range: $49,000 - $51,984
Job Description:
The New York County District Attorney's Office anticipates openings beginning in...
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Shift work
Monday to Friday
...The Revenue Cycle Manger of Clinical Audit and Administrative Appeals is responsible for the development and management of programs... ...and inpatient encounters as performed by the Nurses and Claims Analysts for the JHH, JHBMC, HCGH, SMH, SH and ACH. The Manager also has...
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...UM Denials and Appeals RN
Responsibilities
004615
The UM Denials and Appeals RN facilitates, investigates and reports on the appeal processes for hospital claims denied by any payer, including Medicare for medical necessity. Examines trends in status and denials activities...
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...Appeals and Compliance Specialist
Starting Salary: $84,495 - $101,395
This position reports to the Executive Director and is responsible for managing complaints, informal resolution meetings, mediations, and appeals, ensuring compliance with state and federal laws...
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...Job Description
Job Description The Appeals Representative is responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence ensuring adherence to client policy, industry standards along with CMS and state guidelines...
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Minimum wage
Full time
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...agency
Open to IRS Career/Career-Conditional, Treasury/IRS CTAP, & IRS RPP employees
Duties
WHAT IS THE INDEPENDENT OFFICE OF APPEALS DIVISION?
A description of the business units can be found at:
15 Vacancies will be filled in the following specialty areas:...
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Day shift
Monday to Friday
Responsibilities
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed...
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oPerforms daily quality assessments for all function areas of the Appeals and Grievances Department to assure the integrity of processes – for all lines of business.
oReviews include assessments of the decision-making process through the life of the appeal and assuring...
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...spent on the particular responsibility - High to Low
1.
Manages workflow for Humana PPI Audits, RAC Audits, or Outpatient Appeals and communicates daily with Sr. Director/Manager on trends identified
2.
Responds to queries within 72hrs, appropriately documents...
...frequently completed without established procedures Works independently May act as a resource for others May coordinate others' activities Requires current pharmacy technician state license or nat Technician, Pharmacy Technician, Appeals, Pharmacy, Senior, Health, Healthcare...
Work experience placement
...serve through compassionate, innovative, patient-centered care.
JOB SUMMARY
This position is responsible for managing the appeal of unpaid claims in the Central Business Office. This position will also work closely with insurance carriers in resolving unpaid claims...
Remote job
...Appeals Specialist I
Remote within WA, ID, OR, and UT
Primary Job Purpose:
Responsible for all activities associated with requests for Provider Billing Disputes and Appeals. Includes analysis, preparation, evaluation of prior determinations, coordination...
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...Medical Director - Pharmacy Appeals at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical...
Local area
