- Molina Healthcare (Spokane, WA)
- …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 (Vancouver, WA)
- …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
- Robert Half Accountemps (Federal Way, WA)
- …collections, billing, or revenue cycle operations. * Strong understanding of insurance denials , appeals , and benefit verification processes. * Proficiency in ... Description We are looking for a Medical Collections Specialist to join our team in Federal Way,...payers, and patients. Responsibilities: * Investigate and resolve insurance denials by conducting thorough account reviews from the start… more
- Mindful Support Services (Seattle, WA)
- …both personally and professionally. About the role: The Insurance Follow-Up Specialist is responsible for reviewing rejected claims, posting insurance payments, and ... Call insurances and use payer portals to resolve insurance denials . + Focus on denials and 120+...portal navigation + Claims reprocessing requests, corrected claims, and appeals + Navigating many commercial insurances such as Blue… more
- PeaceHealth (Vancouver, WA)
- …multi-specialty organization. **Essential Functions** + Resolves insurance claim rejections/ denials , and non-payment of claims by payors. + Identifies ... resolution of insurance accounts and identify delays in processing. + Drafts appeals to insurance companies for reimbursement of monies owed. + Maintains daily… more
- PeaceHealth (Vancouver, WA)
- …**Department / Location Specific Notes** **Home Infusion:** + Follow-up work with denials and appeals for Prior Authorizations. + Efficient communication and ... **Description** **PeaceHealth is seeking a Referral/Pre-Auth Specialist for a Full Time, 1.00 FTE, Day position. Monday - Friday; 8:30am - 5:00pm.** The salary range… more
- Cardinal Health (Olympia, WA)
- …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
- Whidbey General Hospital (Coupeville, WA)
- …refunds, and audits. + Inputs statistically numbers in online reports. + Prepares insurance appeals and follows up as required. + Processes technical denials . + ... setting strongly preferred. Certificates, Licenses, Registrations Certified Revenue Cycle Specialist (CRCS) certification preferred; Certified Healthcare Access Associate (CHAA)… more