- Datavant (Olympia, WA)
- …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...Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with… more
- Molina Healthcare (Bellevue, WA)
- …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 internal… more
- Molina Healthcare (Tacoma, WA)
- …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 internal… more
- Molina Healthcare (Spokane, WA)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
- University of Washington (Seattle, WA)
- …Practice Plane Services has and outstanding opportunity for a **Claims Specialist (Patient Account Representative 2).** This position is responsible for claims ... registration information, posting rejections, or forwarding the claim to a medical coding specialist for review and coding changes prior to submitting the claim for… more
- University of Washington (Seattle, WA)
- …Plan Services (FPPS)** has an outstanding opportunity for an **Insurance Follow-Up Specialist ** to join our **Medicare** team **.** **WORK SCHEDULE** + 100% FTE ... Mondays - Fridays + 100% Remote **POSITION HIGHLIGHTS** The **Insurance Follow-Up Specialist , Medicare** is responsible for the optimal payment of claims from… more
- Carrington (Olympia, WA)
- …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 (Olympia, WA)
- …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 (Bellevue, WA)
- …for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for ... further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed… 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 ... information requests from those payers, and trace all claims to those payers making sure they have been paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit claims… more