- HCA Healthcare (Orange Park, FL)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... want to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- HCA Healthcare (Tampa, FL)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Medical Insurance Appeals Specialist with Parallon you can be a part of an ... organization. We are looking for an enthusiastic Medical Insurance Appeals Specialist to help us reach our...for reconsideration. + Identify contract protection to leveraged overturn denials . + Argue appeals that prevent claim… more
- Molina Healthcare (FL)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving... appeals and denials . + Strong verbal and written communication skills To… more
- Molina Healthcare (Miami, FL)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** Responsible for reviewing and resolving... appeals and denials . + Strong verbal and written communication skills To… more
- Molina Healthcare (Doral, FL)
- …for letters and prepare responses to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial ... by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Junior Medical Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... and experience in medical billing. Key Responsibilities: + Review denials on an explanation of benefits (EOB) statement +...up on unpaid claims + Prepare and submit out appeals on claims that require additional review or reconsideration… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and ... and experience in third-party billing. Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement +...to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit… more
- Cardinal Health (Tallahassee, FL)
- …in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + ... prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and...Processes denials & rejections for re-submission (billing) in accordance with… more
- AdventHealth (Tampa, FL)
- …claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with developing and implementing strategies and procedures to ... reduce denials , maximize reimbursements, and promote faster payment. Resolves claim...Certified Pension Consultant (CPC) Required or + CCS-Certified Coding Specialist Required This facility is an equal opportunity employer… more
- TEKsystems (Orlando, FL)
- …and report documentation trends, coding errors, or compliance risks. * Assist with appeals and denials related to coding or medical necessity. * Maintain ... school diploma or equivalent. * Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding credential. * Minimum 2 years of medical… more
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