Search Results: 1,830 vacancies
...environment!
In collaboration with the claims leadership and other internal and external stakeholders, the Claims Audit and Appeals Specialist will be accountable for managing second level provider disputes, the review and resolution of claims related issues, and...
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Holiday work
Remote job
Monday to Friday
...Job Title: Specialist for Claims Appeals Resolution
Salary: $65,000-$90,000 + Medical Benefits offered Typical Schedule/Shift: Monday - Friday, 7:30 AM - 4 PM or 8 AM - 4:30 PM
Overview:
Join our team as an Appeals Resolution Specialist where you will be instrumental...
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Permanent employment
Contract work
Remote job
Shift work
Monday to Friday
...Job Title: Appeals Specialist
Typical Schedule/Shift: Monday - Friday, 7:30 AM - 4 PM or 8 AM - 4:30 PM
Summary:
As an Appeals Specialist, you play a critical role in reviewing and resolving member and provider complaints. Your responsibility includes ensuring...
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Shift work
Monday to Friday
...clearing barriers to payment
Manage claim details and verify accurate reimbursement, so as to initiate account adjustments and/or appeals on payment disputes
File appeals for denied claims and follow-up as necessary through appeal resolution
Manage and maintain...
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Full time
...Company :
Allegheny Health Network Job Description :
GENERAL OVERVIEW:
This job is responsible for all aspects of clinical appeal activities to include but not limited to, clinical record review, composing comprehensive appeal letters and compiling minimum...
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Full time
Local area
Appeals Processing Assistant (Hybrid Option) Location Hybrid remote in Gastonia, NC : Competitive Compensation & Benefits Package! Position eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan...
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Holiday work
Full time
Remote job
...us as we digitally connect the world and shape the future.
The Role
Senior tax manager to lead income tax audit defense and appeals.
The Main Responsibilities
Manage income tax audit defenses, audit strategy, including researching technical issues and assisting...
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Local area
Immediate start
...Job Summary:
The Clinical Appeals Nurse is responsible for the completion of clinical appeals and state hearings from all states.
Essential Functions:
Responsible for the completion of clinical appeals and state hearings from all states
Review and complete...
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Remote job
Full time
About The Role
If you have knowledge of the NHS Continuing Healthcare National Framework and the appeals process, then we’d love to hear from you.
As an NHS Continuing Healthcare Volunteer, you’ll use your knowledge of the framework to support people affected by dementia...
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...Job Summary:
The Team Lead, Grievance and Appeal Vendor Oversight is the primary contact person for vendors that are utilized with the Grievance and Appeal workflows. Responsibilities include invoice management and reconciliation, ensuring the vendor has the appropriate...
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Full time
Contract work
For contractors
...Systems Specialist
Office of the Registrar
Full-Time, Regular, Exempt, Pay Grade 1.3
Location: Stateside Remote
University... ...and data details for other university stakeholders to handle appeals, waivers, and student exceptions including performing transactions...
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Full time
Immediate start
Remote job
Shift work
...hear from you!
We're seeking a highly skilled Email Marketing Specialist to join our dynamic team. You'll play a vital role in developing... ...and inspires action.
• Design Savvy: Develop visually appealing and on-brand email designs that promote click-throughs and engagement...
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$3,000 - $4,000 per month
...journey is a comfortable adventure!
As an Email Marketing Specialist , the purpose is to propel their marketing initiatives, with... ...and platforms.
✅ Basic design skills for creating visually appealing email templates.
What’s in it for you?
&##128176; Competitive...
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Full time
Part time
For contractors
Freelance
Second job
Worldwide
Outdoor
Flexible hours
...Job Description
Job Description This position can be in office, hybrid or remote!
Reimbursement Specialist with BA Degree
The Overpayment Specialist (OVPS-I) is assigned a group of credit balances and is responsible for accurately and efficiently resolving...
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Permanent employment
Contract work
Work experience placement
Local area
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...Insignia Technology is looking for a Telecommunications Engineering Specialist to join our team to assist in providing Information Technology... ...the Veterans Benefits Administration, the Board of Veterans Appeals, and the National Cemetery Administration to develop and...
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Work experience placement
Local area
Remote job
...their patients and communities.
The Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving... ...lists provided by the manager in a timely manner.
Write appeals using established guidelines to resolve claim denials with a...
Hourly pay
Full time
Private practice
Offshore
Flexible hours
...Job Description
Job Description Customer Service Specialist
Be a part of a dynamic and energic team as a Customer Service Specialist. Bring your attention to detail and fantastic communication skills to aid in an important aspect of our client's overall experience...
Remote job
2 days per week
...Job Description
Job Description The Web Specialist is responsible for creating, designing, and maintaining the mdlogix website, its clients’ BHLC websites [currently BHLCofmi.org; BHLCofpa.org; BHLCofks.org] and any associated web platforms. You will provide a wide...
...Job Description
Job Description BC forward is currently seeking a highly motivated Insurance Specialist for an opportunity in Remote/WFH
Job Name: Insurance Specialist/ Commercial Loan / Loan Servicing
Job Location: REMOTE
Pay Rate: $20/hr. on W2...
Contract work
Temporary work
Remote job
Offshore
...Position Overview:
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.
Work hours: This position...
Permanent employment
Full time
Contract work
Remote job
