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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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Holiday work
Remote job
Work from home
...OVERVIEW:
This position is responsible for reviewing various carrier denials at their assigned Billing Group and submitting appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently.
ESSENTIAL DUTIES...
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Holiday work
Remote job
Flexible hours
...0 Salary/year
Description
POSITION SUMMARY
Gathers information and resolves customer concerns presented as a grievance or appeal. Works closely with internal departments and providers' staff to obtain pertinent information in a timely manner and in compliance...
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Local area
Weekend work
Afternoon shift
...near our Office Locations:
Tustin, CA - Las Vegas, NV - Oklahoma City, OK - Uniondale, NY - Tampa, FL
The Grievances and Appeals Analyst I will be responsible for investigating and resolving member, Health Plan Partner-member and network provider grievances and appeals...
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Hourly pay
Holiday work
Full time
Immediate start
Remote job
Relocation
Visa sponsorship
Shift work
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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Holiday work
Flexible hours
...Job Title: Nursing - Appeal Analyst RN I
Location: Remote ( Wall NJ)
Remote role candidate is required to be 100% onsite for training (1-2 weeks or as required).
Duration: 3 Months + possible extension
Job Description:
· Appeal Analyst...
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Remote job
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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...Title: Healthcare - Appeals Specialist I
REMOTE
6 months
Job Description:
• Will the position be 100% remote? yes
• Are there are time zone requirements? Prefer no more than 4 in the MT/PT zone
Others can be in CT and ET
• What are the must have requirements...
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Contract work
Remote job
...Anticipated End Date:
2024-06-14
Position Title:
Grievance/Appeals Analyst Lead
Job Description:
Grievance/Appeals Analyst Lead
Must be located within 50 miles of a PulsePoint office
This position is primarily work from home but requires working in a...
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Holiday work
Temporary work
Work experience placement
Local area
Remote job
Work from home
Day shift
...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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Holiday work
Flexible hours
...departmental requests. Supports the MedStar Family Choice Department of Appeals/Grievances/ER Reviews for Maryland Appeals and Grievances, and... ...oversight. Consults directly with business users, clinicians, analysts, and decision-makers to gather reporting requirements and...
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Work experience placement
Local area
Immediate start
...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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Remote job
Holiday work
Full time
For contractors
Local area
Currently hiring
Monday to Friday
Director Member and Provider Appeals Remote in Washington, Oregon, Utah or Idaho Primary Job PurposeProvides leadership for operational areas within Clinical Services including functions such as Medical Management (Prior Authorization and IP Concurrent Review), Member and...
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Full time
Remote job
...Job Description
Job Description Salary:
Senior Business Analyst – VA Appeals Process
Position Overview: Sprezzatura is looking for a seasoned Senior Business Analyst to enhance the requirements team supporting the Board of Veterans Appeals (BVA). This role...
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Remote job
$100k - $110k
The Denials and Appeals Manager will be responsible for overseeing the denials and appeals process to ensure timely and accurate resolution of claim denials and disputes. This RN manager will work closely with the billing department, healthcare providers, and insurance...
Suggested
Full time
Work experience placement
Private practice
Relocation
Shift work
...setting/status determination, authorizations and appropriate length of stay.
Ensure all denied claims are accurately worked and appealed to obtain maximum reimbursement and minimize recoupment.
Combine clinical, business and regulatory knowledge and skills to...
Work experience placement
Night shift
Description
Summary:
Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison...
Permanent employment
For contractors
...Job Title: Healthcare - Appeals Specialist I
Location: Phoenix, AZ 85034
Schedule: Monday to Friday, 8:00 am to 5:00 pm (On-site)
Job Summary: The Healthcare Appeals Specialist I is responsible for reviewing and resolving member and provider complaints and communicating...
Contract work
Monday to Friday
...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:...
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
Remote job
Relocation
Day shift
Monday to Friday
...Responsible for all activities associated with appeal analysis, decision-making and closure as described below:Appeal Intake Validate intake determinations regarding timeliness, member benefits, employer group, and provider contract provisions for Appeals Specialist,...
Contract work
