- Datavant (Des Moines, IA)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with...as it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse… more
- Molina Healthcare (Cedar Rapids, IA)
- …and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Molina Healthcare (Des Moines, IA)
- …and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Carrington (Des Moines, IA)
- …and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on all liquidated loans. Identify ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… more
- Carrington (Des Moines, IA)
- …team and work from home!** The Loss Mitigation Underwriting Quality Control Specialist primary responsibilities consist of reviewing the accuracy of work performed ... by the Loss Mitigation Underwriters including the review of approvals, denials , income calculations and final conversion calculations. Incumbent will review… more
- Molina Healthcare (Davenport, IA)
- …for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for ... education and experience. * Customer service experience. * Organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Trinity Health (Des Moines, IA)
- …Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing. . Makes process improvement recommendations to ... management as identified, specifically related to registration and charge posting. . Performs in compliance with federal, state, insurance industry regulations. .… more
- Cardinal Health (Des Moines, IA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials … more
- UnityPoint Health (Cedar Rapids, IA)
- …S + Shift: 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves ... clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for...to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible… more
- UnityPoint Health (Ankeny, IA)
- …Full Time/Days + Job ID: 174197 Overview Insurance Billing and Follow Up Specialist II Location: On-site in Ankeny, IA Days, Full-time The Insurance Billing and ... Follow Up Specialist II will be responsible for performing all billing...and claims status on unpaid claims + Review payment denials and discrepancies and take appropriate action to correct… more