- Molina Healthcare (Bellevue, WA)
- …subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... Marketplace benefits and services including reviewing and resolving member appeals and complaints, then communicating resolution to members or... appeals and denials . * Customer service experience. * Strong organizational and… more
- Oracle (Olympia, WA)
- …for appeals packets, identify trends/improvement opportunities to prevent future denials , and ensure maximum appropriate reimbursement. This role is critical for ... denials . **Qualifications** + 3+ years hands on experience preparing appeals for claim denials in the hospital and ambulatory setting + 3+ years hands on… more
- Cardinal Health (Olympia, WA)
- …receivables performance and client satisfaction. + Resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. ... including all Medicaid states on paper and online. + Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage,… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and champion successful relationships with Care Coordination (Utilization Management, Denials Management, and Progression/Transition of Care) * Establish partnership ... (LOS) ○ Assist with the identification and management of denials ○ Make suggestions related to resource utilization and...leadership * Support and/or perform the ALJ and DAB appeals process; especially ALJ support * Demonstrate experience with… more
- Robert Half Accountemps (Tacoma, WA)
- …eligibility, benefits, and coverage requirements. + Research and resolve claim denials , rejections, and payment discrepancies. + Post insurance payments and ... Medicaid, Medicare, and commercial payers. + Familiarity with AR follow-up and appeals processes. Robert Half is the world's first and largest specialized talent… more
- Whidbey General Hospital (Oak Harbor, WA)
- …refunds, and audits. + Inputs statistically numbers in online reports. + Prepares insurance appeals and follows up as required. + Processes technical denials . + ... Maintains the Itemized Statement Request Line. + Reviews First Choice invoice and Pacific Medicaid invoice to ensure proper billing prior to sending for payment request. Identifies and resolves any errors. + Completes financial rounding with IP/OBS patients to… more
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims, submit claims to secondary payers, and ensure accurate billing information is submitted. Answer all ... government agencies, medical service bureaus, and insurance companies. Submit claims appeals with supporting documentation as necessary and resolve aged insurance… more