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Appeals specialist jobs

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Ajilon Healthcare

 ...Job Description Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance... 
3 days ago
Burbank, CA

Parathon by JDA eHealth Systems, Inc.

 ...Job Description POSITION : Clinical Appeal Analyst DEPARTMENT : Denials REPORTS TO: Clinical Denial Supervisor RESPONSIBILITIES: Investigate new business accounts utilizing all resources available, and document findings in necessary systems. Review... 
2 days ago
Irving, TX

Johnson Service Group

 ...rate! The ideal candidate possesses the below qualifications: ~2+ years of experience with Hospital Coding/Billing/Collections/Appeals ~ Experience with both Medicare Recovery Audits & Managed Care Audit processes ~ Knowledge of medical claims ~ Thorough... 
11 days ago
Houston, TX

Intrado

 ...work you do truly makes a difference in people’s lives every day? West’s Health Advocate Solutions is currently seeking an Appeals Specialist for our site in Plymouth Meeting, PA. Our next Appeals Specialist should have a great eye for detail, possess strong... 
3 days ago
Plymouth Meeting, PA

CGS Administrators

Education - High School Diploma or GED Skills - Word Processing - Communication Skills - Microsoft Word - Customer Service - Microsoft Office Summary Performs non-medical reviews and processes redetermination letters. Description 50% Performs non-medical...
18 days ago
Nashville, TN

Confidential

A financial services company has an open position for a Remote Appeals Specialist.Core Responsibilities of this position include: Evaluating the denied claim and the claimant’s letter of appealObtaining whatever additional information is needed in order to fully evaluate... 
1 day ago
Lawrenceville, GA

CareFirst BlueCross BlueShield

 ...Prepares Reconsideration (first level of the disputed claims process for FEP members as defined by the FEP Contract, i.e. level one appeal) files and initiates request(s) for all necessary documentation from all identified and applicable providers/sources, in order to... 
3 days ago
Washington DC

A-Line Staffing Solutions

$21 per hour
 ...A-Line Staffing Solutions is looking to hire several Grievance and Appeals Specialists in Tempe, AZ, full details below: Pay:$21 per hour (based on experience) City/Zip Code: Tempe, AZ - 85282 Various 8 hour shifts available Monday - Friday: between 8AM -... 
3 days ago
Tempe, AZ

Serenity Oak Wellness

 ...Job Description The function of the Appeals/Collection Specialist is to collect unpaid claims, responsibilities include appealing denials, collections of underpayments, and documenting collection activity in the billing system. Job Responsibilities: 1. Initiate... 
10 days ago
Fort Lauderdale, FL

Amerit Consulting

$18 - $20 per hour
 ...Job Description Position: Appeals & Grievances Specialist Location: Harrisburg, PA 17110 Duration: 6 months temp to perm | 40hr/week | M-F Pay Rate: $18-$20/hr. on W2   JOB RESPONSIBILITIES: This is an entry level position in the NGS Appeals Department... 
21 days ago
Harrisburg, PA

UnitedHealth Group

 ...Customer Service and researches Practice Connect issues for resolution. Responds to provider calls related to provider disputes and appeals for incoming provider / member disputes Identify, trend, and report the Provider Dispute and Resolution process for Monarch... 
2 days ago
Irvine, CA

Ear, Nose & Throat Specialists of Northern Virginia

 ...Job Description Ear, Nose & Throat Specialists of Northern Virginia is currently seeking an Insurance Medical Appeals Billing Specialists to join our team. The main responsibility is to manage and work the outstanding A/R for "all" major carriers. Requirement:... 
6 days ago
Rockville, MD

Wellcare

 ...WellCare has an exciting opportunity for an Appeals Coordinator position for our Detroit, Michigan office. Processes appeals from receipt to resolution in a timely and accurate manner. Reports to: Mgr. Appeals Department: PHS-Appeals Location: Detroit... 
4 days ago
Detroit, MI

Parallon

 ...will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious Clinical Appeals Nurse to help us reach our goals. Unlock your potential here! As a Clinical Appeals Nurse, you will be responsible for handling... 
6 days ago
Denver, CO

Ascension, B12

$2 per hour
 ...We Are Hiring Appeals Denial Specialist - RN- Revenue Cycle Mgmt - Full-Time,Day - Ascension Michigan Location: Cooperate Service Building (CSB) Warren, MI Why Join Ascension? In Michigan, Ascension operates 16 hospitals and hundreds of related healthcare... 
1 day ago
Warren, MI

Ascension, B12

We Are Hiring Appeals Denial Specialist RN Revenue Cycle Mgmt Full-Time,Day Ascension Michigan Location:
5 days ago
Warren, MI

A-Line Staffing Solutions

A-Line Staffing is actively searching for Multiple Accounts Receivable reps, for a major healthcare company located in Phoenix, AZ. This is an exciting opportunity with a client that is looking to move fast for the right candidate. Please contact Brad Zidek at [Click...
2 days ago
Phoenix, AZ

Cenpatico

Appeals & Grievance Specialist (HNGS) USA-California-Rancho Cordova Position Purpose: * Demonstrates regular, reliable and predictable attendance. * Ensures compliance with TRICARE regulations. * Researches and interprets TRICARE regulations to resolve appeals... 
9 days ago
Rancho Cordova, CA

Florida Foot and Ankle Associates, LLC

Job Description Experienced (one year or more) in medical payment appeals and denials for medical insurance claims. Full time with benefits.
22 days ago
Doral, FL

Genesis Healthcare

This individual must be an PT, OT or SLP who will work remotely supporting the appeals process. POSITION SUMMARY: Assists the Genesis denial management team by conducting a comprehensive analytical review of patient's medical records. Appeal Writer/ Reimbursement... 
3 days ago
Andover, MA