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Appeals specialist jobs

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 ...and to handle complex issues independently, but with the knowledge and ability to escalate and ask for help when needed. Demonstrated ability to work in a time-sensitive environment involving patients, family members and advocates. appeals,grievance,complaints... 
4 days ago
Rancho Cucamonga, 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... 
1 day ago
Naperville, IL

Texas Pain Physicians

 ...Job Description We are looking for a full time Medical Billing Appeals Specialist who specializes in Appeals to join our rapidly growing, high energy pain management practice! The Billing/Appeals Specialist works directly with the insurance company, healthcare provider... 
5 days ago
Dallas, TX

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... 
11 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... 
4 days ago
Irvine, CA

Medical Professionals

 ...4. Analyze trend reports to reduce AR by contacting the insurance and escalating payer issues to resolve unpaid claims. 5. Write appeal letters using the established insurance guidelines to resolve collection barriers. 6. Respond to written and email correspondence... 
14 days ago
Salt Lake City, UT

Ear, Nose & Throat Specialists of Northern Virginia

 ...Job Description Our company is currently seeking an Insurance Medical Appeals Billing Specialists to join our team. Main responsibility is to manage and work the outstanding A/R for "all" major carriers. Must have knowledge of practice management and word processing... 
10 days ago
Springfield, VA

Kelly Services

 ...that partners with federal and state agencies in regards to ACA eligibiity, has several contract administrative openings for Appeals Specialists, Customer Service Reps, and General Clerks. These positions involve reviewing cases for possible eligibility and providing excellent... 
14 days ago
Pittston, PA

Scripps Health

 ...department at our Scripps Corporate Office as a Public Resource Specialist. In this position, you will be responsible for a variety of...  ...monitoring of all applications, following through to highest level of appeals while adhering to all policies on fraud and abuse. Serving... 
a month ago
San Diego, CA

Health Advocate Solutions 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 communication... 
1 day ago
Plymouth Meeting, PA


 ...Position: Authorization and Appeals Specialist Schedule: M-F 8:30-4:30pm Hours Per Week: 40 # Review medical records and prepare authorizations as appropriate. # Review denials and medical records and prepare appeals as appropriate. # Follow up on all pending... 
1 day ago
Frisco, TX

The Judge Group

Our client is currently seeking a Appeals Specialist to join a company in the Long Beach, CA area. This job will have the following responsibilities: Enters denials and requests for appeal into information system and prepares documentation for further review.... 
2 days ago
Long Beach, CA


 ...Are you an experienced Appeals Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for... 
5 days ago
Columbus, OH

West Corporation 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... 
2 days ago
Plymouth Meeting, PA

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.
24 days ago
Doral, FL

Community Health System

* Manages workflow for all incoming denial/appeal letters & audit correspondence via centralized email and isynergy folders.* Accurately vets accounts; meets or exceeds quality & quantity benchmark targets as established (productivity/PDFU)* Directs ClaimIQ/Artiva requests... 
1 day ago
Sarasota, FL


 ...Medical Appeals Specialist Job Responsibilities Appeals Specialist coordinates the preparation of authorizations, treatment authorization requests, obtaining medical records, submission of initial Authorization or TAR and filing any appeal. Must demonstrate the... 
1 day ago
Frisco, TX

Presbyterian Healthcare Services

 ...Description Type of Opportunity: Full Time FTE: 1.****** Exempt: No Work Schedule: Days Summary: Responsible for tracking, appealing and resolving denied claims, as well as analyzing reimbursements according to contractual agreements. Performs a variety of duties... 
7 days ago
Albuquerque, NM

Tufts Associated Health Plans

 ...enjoy the important work we do every day on behalf of our members. Job Summary Under the general direction of the Appeals and Grievances Supervisor, the Specialist is responsible for ensuring professional and compliant processing of all member appeals and grievances in a... 
5 days ago
Watertown, MA

Lakeside Medical see you excel, because we believe that your success is our success.We currently have an opening for a Professional Claims Appeals Specialist (Healthcare):The Claims Appeals Specialist has the responsibility to evaluate and determine the appropriate path and to assist... 
5 days ago
Northridge, CA