- Cognizant (St. Paul, MN)
- **Member Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** We ... are seeking a dedicated Member Appeals & Grievance Specialist with a minimum...and Grievance experience Minimum of 2 years of medical claims processing experience (Must be with a healthcare plan,… more
- Fairview Health Services (St. Paul, MN)
- …critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more
- TEKsystems (Minneapolis, MN)
- …by the management team. Skills Prior authorization, Customer service, Support, claims processing, insurance, benefits verification, appeals Top Skills Details ... coverage for surgery. Job responsibilities for the Benefit Verification Specialist * Act as an advocate for our customers...nurse case reviewers and clinical staff to build on claims for medical necessity. * Educates customers, staff and… more
- Cardinal Health (St. Paul, MN)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure...day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long-term disability coverage + Work-Life resources +… more