- Ochsner Health (New Orleans, LA)
- …The Appeals Specialist is responsible for managing and resolving insurance claim denials and underpayments to ensure accurate reimbursement. This role involves ... reviewing medical documentation, interpreting payer policies, and preparing detailed appeal...+ Experience in healthcare or revenue cycle - specifically insurance claim denials. + Strong analytical and organizational skills.… more
- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes ... 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
- Robert Half Legal (Mountlake Terrace, WA)
- …this position is $21-$23/hr. Benefits available to contract/temporary professionals, include medical , vision, dental, and life and disability insurance . Hired ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- Affordable Care (Fredericksburg, VA)
- …Strong verbal and written communication skills. + Knowledge of dental/ medical insurance processes, including verification, claims , appeals , and denial ... scheduling, patient check-in/out, discussing treatment and financial arrangements, and managing insurance billing to ensure timely, accurate claims and maximum… more
- Affordable Care (New Pt Richey, FL)
- …Strong verbal and written communication skills. + Knowledge of dental/ medical insurance processes, including verification, claims , appeals , and denial ... scheduling, patient check-in/out, discussing treatment and financial arrangements, and managing insurance billing to ensure timely, accurate claims and maximum… more
- Robert Half Accountemps (Des Moines, IA)
- …reports on claim processing activities. Requirements * At least 1 year of experience in medical billing, insurance claims , or a related field. * Strong ... workers' compensation claims to ensure compliance with medical and insurance standards. * Process ...appeals procedures. * Experience in hospital billing and insurance claims management. * Excellent customer service… more
- CDPHP (Latham, NY)
- …+ Demonstrated ability to determine, analyze and solve problems related to benefits, claims appeals , claims pricing/processing by utilizing all applicable ... will address and resolve service-related issues including claim adjustment requests, appeals and complaints, eligibility determination and other claims related… more
- Kelly Services (Myrtle Beach, SC)
- …including telephone, written, web, or walk-in inquiries. + Reviewing and adjudicating claims and/or non- medical appeals , determining whether to return, ... or equivalent and possess 2 years of customer service experience, including 1 year of claims or appeals processing; or a Bachelor's Degree in lieu of work… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
- Billings Clinic (Billings, MT)
- …refunds, if appropriate, and coordinating adjustments when necessary, claims appeals or resubmissions, moving balances from insurance responsibility to ... Claims Specialist is responsible for preparing and submitting timely and accurate insurance claims to government and third-party payers, assisting in the… more