- Clark County, NV (Las Vegas, NV)
- …+ Pharmacy Benefits (30, 90-day retail or mail order fills) + 24/7 Telephone Advice Nurse - no employee cost + Teledoc, Doctoroo, and Dispatch Health + Retiree ... insurance - eligible after 5 years of service +...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Virtua Health (Voorhees, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... account collections.Obtains required billing information / documentation (pre-certifications, codes, insurance information) and enters into database.Identifies and resolves denied… more
- Robert Half Accountemps (Dallas, TX)
- Description Job Summary: Overall responsibility for contacting all assigned patient and insurance /third party payer accounts with a debit balance to ensure receipt ... within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned...31 days old. * Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm… more
- Fairview Health Services (St. Paul, MN)
- …analyzes medical records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a working knowledge ... research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure… more
- Select Medical (Dallas, TX)
- … insurance approvals and authorizations, as well as facilitating appeals for patients + Demonstrates positive referrer satisfaction and account retention. ... least one year experience in a related position preferred. + Experience with insurance approvals, prior authorizations, and the appeals process. + Experience in… more
- State of Colorado (Pueblo, CO)
- …of Colorado Benefits (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits) + Paid life insurance ; + Short and long-term disability coverage; ... are performed on-site; + Accountable for the work product of Nurse Practitioners and Physician Assistants. Accountability involves direct line authority, clinical… more
- Alameda Health System (Oakland, CA)
- …communication and collaboration with internal departments, external agencies, and insurance providers to facilitate the utilization review process. + Participate ... of quality improvement initiatives. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals .… more
- State of Colorado (Pueblo, CO)
- …or complaints such as pain or other medical needs to the Provider or Nurse + Knowing the 10 rights of Medication Administration, and proper Infection Control ... of the department's action. For more information about the appeals process, the official appeal form, and how to...+ Employer supplemented Health Savings Account + Paid life insurance + Short- and long-term disability coverage + 11… more
- CVS Health (Franklin, TN)
- …accordance with contract. + Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) ... incoming correspondence and internal referrals. + Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management. + Performs… more
- Mount Sinai Health System (New York, NY)
- …current insurance coverage. 5. Collaborates and participates in the appeals process with all members of the interdisciplinary team. 6. Collaborative ... collaboratively with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as needed, coordinating… more