- Ellis Medicine (Schenectady, NY)
- …in MIDAS per policy. + Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with ... files, updating referral information, and verifying information related to health insurance or benefits. Role requires interaction with clients, payers, post-acute… more
- Affordable Care (Durham, NC)
- …Strong verbal and written communication skills. + Knowledge of dental/medical insurance processes, including verification, claims, appeals , and denial ... patient check-in/out, discussing treatment and financial arrangements, and managing insurance billing to ensure timely, accurate claims and maximum reimbursement.**… more
- Elderwood (Waverly, NY)
- …phone calls) with case managers to provide concurrent updates as requested by Insurance Companies, handles Third Party appeals , peer to peers as applicable ... liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax,...2 years of experience within the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed… more
- Affordable Care (Tacoma, WA)
- …Strong verbal and written communication skills. + Knowledge of dental/medical insurance processes, including verification, claims, appeals , and denial ... patient check-in/out, discussing treatment and financial arrangements, and managing insurance billing to ensure timely, accurate claims and maximum reimbursement.**… more
- City of Coral Gables, FL (Coral Gables, FL)
- …in the daily implementation of activities related to the National Flood Insurance Program (NFIP). Oversees management of elevation certificate files and ensures that ... Florida and the Miami-Dade County Board of Rules and Appeals as a Certified Building Official and licensed as...accordance with the City's Personnel Rules & Regulations. HEALTH INSURANCE : Fully paid by the City (HMO Select). Coverage… more
- City of Coral Gables, FL (Coral Gables, FL)
- …Certified by the State of Florida and the Miami-Dade County Board of Rules and Appeals in accordance with Chapter 8, Article 2 of the County Code, and be qualified ... training course approved by the Board of Rules and Appeals before certification; or (2) Possess a current Florida...agreement and the City's Personnel Rules & Regulations. MEDICAL INSURANCE : Fully paid by the City (HMO Select). Coverage… more
- Robert Half Legal (Nashville, TN)
- Description We are seeking an Appeals Litigation LEGAL ASSISTANT Representative for the Appeals Operations Group within Member Services. The Appeals ... Litigation LEGAL ASSISTANT Representative will work to resolve appeals prior to hearing by identifying appeals that are prime for outreach, conducting outreach… more
- Stanford Health Care (Palo Alto, CA)
- …the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position requires strong ... analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and… more
- Rochester Regional Health (Rochester, NY)
- …patient documentation, + Responsible for the timely completion and submission of insurance authorization request and denial appeals . + Conducts quality audits ... of patient records and processes + Provides initial and ongoing assessment for clients in order to determine diagnosis and appropriate level of care. + Provides individual, family and group counseling, which engages and motivates clients throughout treatment.… more
- Ellis Medicine (Schenectady, NY)
- …in MIDAS per policy. Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals . * Denial Management Activities; ... Assists Denial Management staff with clerical support. Performs audit activities under the supervision of the Case Management Specialist and the Director of Case Management and Social Work Services. more
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