- AssistRx (Phoenix, AZ)
- …provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding ... (PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move...+ Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in… more
- Insight Global (Nashville, TN)
- Job Description . Specialist performs pre- and post-payment audits of external claims; ensures that the company rigorously manages claims for external services; ... on CPT codes, UB04s, HICFA forms, DRGs, ICD-10, and appeals . - Address and resolve escalated claims issues and...Facility Claims, Audit Codes and Billing, DRGs and ICD-10, Appeals Processes . . Proven experience in a leadership,… more
- Robert Half Accountemps (Berea, OH)
- Description We are looking for a skilled Medical Biller/Collections Specialist to join our team in Berea, Ohio. This long-term contract position involves managing ... Review and resolve medical denials efficiently to ensure proper reimbursement. * Manage appeals for denied claims, following up with insurance providers as needed. *… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …to risk management issues.. Notifies, educates and guides providers on the appeals process. Completes NPDB report and enter information as required. Provide ... complete the tort claim process. Coordinate and schedules review of Veterans Benefits Appeals cases. Manages the process for handling all small claims and those… more
- Robert Half Accountemps (Milwaukee, WI)
- Description We are looking for a skilled Medical Billing Specialist to join our team on a 12-week contract in Milwaukee, Wisconsin. In this role, you will play a ... such as Epic, to process claims and manage accounts receivable. * Handle appeals and authorizations as part of the claims resolution process. * Maintain organized… more
- Robert Half Office Team (Palm Springs, CA)
- …and timelines and respond to inquiries promptly. Renewals and Appeals : Manage provider contract and credentialing renewals within California-specific timeframes. ... Facilitate appeals and resolution of disputes related to provider denials...in a fast-paced environment. Preferred Certifications: Certified Provider Credentialing Specialist (CPCS) by the National Association Medical Staff Services… more
- Robert Half Accountemps (Federal Way, WA)
- Description We are looking for a Medical Collections Specialist to join our team in Federal Way, Washington. In this long-term contract position, you will play a ... processes. * Manage back-end collections by coordinating with payers and filing appeals to recover owed payments. * Communicate effectively with clinics, payers, and… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Summary Description: Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and ... pending claims and invoices. . Responsible for the appeal process including filing appeals and monitoring appeals through completion. . Responsible for accurate… more
- Molina Healthcare (Davenport, IA)
- …Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the ... analyses of advocacy issues; and assists with documentation preparation for appeals , fair hearings or other formal/informal dispute resolution process. * Provides… more
- Beth Israel Lahey Health (Burlington, MA)
- …in order to determine appropriate coding and initiate corrected claims and appeals . Duties include hands on coding, documentation review and other coding needs ... the Billing Supervisor with the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. Provides feedback and… more