- Mohawk Valley Health System (Utica, NY)
- Business Office Specialist Department: ACCTS RECEIVABLE & COLLECTION Job Summary Under the general direction of the AR Supervisors or designee, the Billing Office ... Specialist will provide support and assistance with the daily...emails from remote staff needing printing and submission of appeals , reconsiderations, and records mailed out to payers, while… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... and procedures regarding access to care, the grievance and appeals process, the eligibility process, etc. + Remains updated...ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care **Department** : MNS Managed Care… more
- City and County of San Francisco (San Francisco, CA)
- …examination process is subject to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or the Civil Service Commission. ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Modification and LTSS UM Department, including authorization and approval of services, appeals and the coordination of benefits for all LTSS Participants. + Assists ... based on staffing levels, staff experience, and number/request types of authorizations/ appeals received. + Provides coaching and counseling to improve productivity… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Integrated Case Management Specialist ** performs selected services and functions related to insurance management with ... ortho calls, payer communications and support of the Care Coordinators. Prepares required Appeals and Denial information for processing and follows up on receipt of… more
- Army National Guard Units (Camp Dodge, IA)
- …is required. LOCATION: G4, Johnston, IA Responsibilities As a TRAFFIC MANAGEMENT SPECIALIST , GS-2130-9 your duties are below. Supports the DMC with the planning ... and traffic procedures. Experience preparing reports and recommendations involving appeals , special permits, adjustments in rates and charges. Experience which… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43131BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... vendor's queries to clarify and to complete the claim filing process. + Process appeals online or via paper submission. + Assist with billing audits and/or related… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... and coding guidelines. + Reviewing medical coding claim denials for correction and appeals within the AthenaIDX and Enterprise Task Manager (ETM) systems as assigned… more
- US Physical Therapy (Uniondale, NY)
- …Physical Therapy is growing and looking for a **motivated, detail-oriented Accounts Receivable Specialist ** to join our Garden City team! This role is essential in ... claims from submission through payment + Follow up on denials, rejections, and appeals to ensure reimbursement + Communicate with insurance carriers and patients to… more
- SAIC (Silver Spring, MD)
- **Description** SAIC is seeking to hire a **Freedom of Information Act (FOIA) Specialist ** to support our federal client, located in **Silver Spring, MD** . ... Assisting in other duties related to the processing of initial FOIA requests, FOIA Appeals and Litigation such as ad hoc research, data pulls, data entry correction… more