- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Associate Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing ... timely follow-up with regard to clinical and medical necessity insurance appeals . Analyzes all correspondence regarding insurance denials for the Revenue Integrity… more
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Senior Appeals Specialist. The Senior Appeals Specialist is responsible for the ... resolution of all appeals relating to technical issues identified during the billing...billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: +… more
- Motion Recruitment Partners (Durham, NC)
- Clinical Appeals Analyst Durham, NC **100% Remote** Contract $35/hr - $39/hr Our client, a nationally recognized and award-winning company in the health insurance ... a possible contract to hire opening for a Clinical Appeals Analyst. They have over 4 million customers and...3 years of clinical LPN, PT, or OT. + Appeals Experience is required **Desired Skills & Experience** +… more
- Magellan Health Services (San Diego, CA)
- Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. In some cases may be ... medical necessity reviews. + Enters all data related to appeals and case reviews into a database. + Prepares...into a database. + Prepares and presents information on appeals to panels second-level multi-disciplinary committee. + Participates in… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member… more
- Universal Health Services (Chicago, IL)
- …appeal activities for the Utilization Management department, including Expedited Appeals , Standard Appeals , External Independent Reviews, Retrospective Reviews, ... and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical necessity of services requested.… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the centralized intake, logging and triage… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an Appeals Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... make a difference. We are looking for a dedicated Appeals Specialist like you to be a part of...of our team. **Job Summary and Qualifications** Seeking an Appeals Specialist, who will be responsible for performing end-to-end… more
- Motion Recruitment Partners (Durham, NC)
- Appeals Analyst Durham, NC **100% Remote** Contract $15/hr - $19/hr Our client, a nationally recognized and award-winning company in the health insurance vertical, ... has a possible contract to hire opening for a Appeals Analyst. They have over 4 million customers and...of experience in related field. + Healthcare Experience in Appeals /Claims **Desired Skills & Experience** + Experience with Behavioral… more
- Motion Recruitment Partners (Durham, NC)
- Appeals Coordinator Durham, NC **100% Remote** Contract $15/hr - $15/hr Our client, a nationally recognized and award-winning company in the health insurance ... has a possible contract to hire opening for a Appeals Coordinator. They have over 4 million customers and...+ Performs initial research and documentation of all incoming appeals and, grievances. Demonstrates the ability to research benefits,… more