- A-Line Staffing Solutions (Mcallen, TX)
- …Pay Rate Keywords: Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, Master ... Calls, Outbound Calls, Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, Master… more
- A-Line Staffing Solutions (Killeen, TX)
- …environment preferred Keywords: Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, ... Calls, Outbound Calls, Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, Master… more
- A-Line Staffing Solutions (San Antonio, TX)
- …Pay Rate Keywords: Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, Master ... Calls, Outbound Calls, Medical Necessity Review, Clinical Review, Denials, Appeals , Grievances, Medicare, Medicaid, CMS, Licensed Clinical Social Worker, Master… more
- Option Care Health (Austin, TX)
- …with Billing and Collection Training and completes "second level" appeals to payers.Job Description: Job Responsibilities:Submits timely, accurate invoices to ... payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized… more
- CornerStone Staffing (Waxahachie, TX)
- …address claim rejections and denials; and will prepare requests for reconsideration or appeals to address denied claims that are not resolved with a corrected claim. ... Effective communication skills and a proactive approach are essential in this role to facilitate collaboration with other revenue cycle staff and uphold the highest standards of quality assurance in the claims processing workflow. Requirements: REQUIRED:… more
- HCA Healthcare (San Antonio, TX)
- …environment where diversity and inclusion thrive? Submit your application for our Senior Appeals Analyst opening with Parallon today and find out what it truly means ... may vary by location._** We are seeking a Senior Appeals Analyst for our team to ensure that we...to apply! **Job Summary and Qualifications** Seeking a Senior Appeals Analyst who will research and resolve High Dollar… more
- Molina Healthcare (TX)
- …discussed during our interview process._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions ... for appeals outcomes... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied… more
- Lincoln Financial Group (Austin, TX)
- …#:** 73054 **The Role at a Glance** We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a fully remote environment. Appeal ... and analysis of an assigned caseload of Long-Term Disability appeals and Life Waiver of Premium claims. The role...appeal procedures to each claim. _Background Details_ As an Appeals Specialist you will be responsible for being a… more
- Abbott (Plano, TX)
- …Our 114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist, Patient Therapy Access Team** **Position Location: 6600 Pinecrest Drive ... **Plano, TX** currently has an opportunity for a **Sr. Appeals Specialist** . This role is responsible for facilitating...in the event of initial coverage denial. Manage complex appeals cases for assigned region including taking ownership of… more
- Universal Health Services (Bonham, TX)
- …TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare relevant ... regarding trends in denials. Demonstrate the ability to ensure accurate and timely appeals to third party payers in compliance with Managed Care contracts and… more
