- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... on Facebook, Twitter and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance with… more
- Akumin (Tampa, FL)
- …Initiate follow-up with insurance companies for payments of pending claims. + Appeals denied claims with insurance carriers. + Research credit balances to ... of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment.… more
- Select Medical (Harrisburg, PA)
- … insurance approvals and authorizations, as well as facilitating appeals for patients + Demonstrates positive referrer satisfaction and account retention. ... experience in a related position preferred. + Experience with insurance approvals, prior authorizations, and the appeals ...with insurance approvals, prior authorizations, and the appeals process. + Experience in workers' compensation is a… more
- Rush University Medical Center (Chicago, IL)
- …of each case. **Summary:** This position reviews initial clinical denials, document appeals for clinical inpatient denials, conducts appeals as appropriate. ... outcomes, identify trends and work collaboratively with clinical providers, coders, insurance companies and revenue cycle leadership to prevent future clinical… more
- NTT America, Inc. (Plano, TX)
- …Manager to join our team. NTT DATA is seeking to hire a **Medicare Appeals Clinical Leader** to lead service delivery engagements and improve end-to-end delivery of ... Medicare Appeals . Desire experience specifically for processes for clinical ...eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health… more
- Executive Office for US Attorneys and the Office of the US… (Atlanta, GA)
- …US Attorney (AUSA) opening in our Criminal Division, to be assigned to the Appeals and Legal Advice ( Appeals ) Section. The selected Criminal AUSA will initially ... of time also will be spent on assignments and training from the Appeals Section. After successfully completing this training period, the AUSA will be permanently… more
- MyFlorida (Miami, FL)
- …is in the Office of the Attorney General within the Criminal Appeals Unit in Miami, Florida. Pay:$83,522.92 Annually Qualifications: Admission to the Florida ... include, but are not limited to the following: CRIMINAL APPEALS :Represent the State of Florida in all criminal ...and one Personal Holiday each year. + State Group Insurance coverage options, including health, life, dental, vision, and… more
- Town of Gilbert (Gilbert, AZ)
- …Municipal Court and East Valley Regional Veteran's Court, as well as cases for Appeals and Rule 11 evaluations in the Maricopa County Superior Court. This position ... + Attend and represent the State of Arizona in the Arizona Court of Appeals , Arizona Supreme Court, and federal courts in appellate matters stemming from cases heard… more
- TEKsystems (Raleigh, NC)
- …will be on the bill review team specifically working in the backlog of appeals . The Bill Review Analyst position holds accountability for accurate and timely review, ... payment of bills to include pre-coding accuracy and adjudication of appeals /provider reconsideration requests. Job Duties: * Examines and adjudicates requests for… more
- Guidehouse (El Segundo, CA)
- …and three days from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative** **(Hospital Claims)** is an extension of a… more
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