- 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 (Dallas, TX)
- … 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
- 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
- NTT DATA North America (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
- Johns Hopkins University (Middle River, MD)
- …the collection of unpaid third-party claims and independent resolution of complex appeals , using various JHM applications and JHU/ PBS billing applications. Will ... high-cost procedures. Will incorporate research findings on medical policy into appeals documentation. Communicates with payers to resolve issues and facilitate… more
- Houston Methodist (Sugar Land, TX)
- …utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with clinical team partners. This ... for the denials and determines the need for or feasibility of submitting appeals . + Facilitates communication with payors and external case managers by documenting… more
- AssistRx (Phoenix, AZ)
- This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a ... specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing...(PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move… more
- AssistRx (Orlando, FL)
- …therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the ... coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding… more
- Guidehouse (Lewisville, TX)
- …office 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** is an extension of a client's business office… 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