- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most accurate and descriptive… more
- Actalent (Houston, TX)
- Job Title: Remote Appeals Technician Job Description: As a Remote Pharmacy Technician, you will play a crucial role in managing coverage determination requests and ... * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and… more
- City of New York (New York, NY)
- …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... The City of New York offers a comprehensive benefits package including health insurance for the employee and his/her spouse or domestic partner and unemancipated… more
- Elevance Health (Indianapolis, IN)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Children's Hospital Boston (Boston, MA)
- …to government/payer regulation and department policy/procedures. + Prepares and submits accurate insurance claims and appeals to payer within required timeframes ... training. Key Responsibilities: + Reviews and verifies all demographic and insurance information utilizing available technologies, payer websites, or by phone… more
- Insight Global (Irving, TX)
- …pharmacy services. This role focuses on patient outreach, medication refills, insurance coordination, and appeals , ensuring seamless communication and support ... Conduct refill calls and manage prescription workflows Coordinate with insurance companies to obtain claims and run tests Draft...to obtain claims and run tests Draft and submit appeals for denied claims Perform patient outreach via phone… more
- CDPHP (Latham, NY)
- …in a fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a ... and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people,… more
- Corewell Health (Niles, MI)
- …and/or verifies that prior authorization has been obtained; assists with retroactive insurance denials/ appeals . + Responsible for complex EMR/EHR scanning and ... or equivalent + 2 years of relevant experience in insurance billing, access management, patient financial services, electronic health...more! + Optional identity theft protection, home and auto insurance , pet insurance + Traditional and Roth… more
- Sanford Health (Sioux Falls, SD)
- …referrals to tertiary centers, and legal requests such as depositions. Manage insurance denials, appeals , and peer-to-peer scheduling, and complete related ... employees. Depending on eligibility, a variety of benefits include health insurance , dental insurance , vision insurance , life insurance , a 401(k)… more
- TEKsystems (Columbia, SC)
- …* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and ... long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Columbia,SC. Application Deadline This position is… more
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