- TEKsystems (Portland, OR)
- Professional Summary: The Appeals Specialist I is responsible for managing provider billing disputes and appeals with precision and professionalism. This ... and internal policies. While not responsible for making final clinical decisions, the Appeals Specialist I works closely with licensed health professionals to… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist ** to join… more
- Ascension Health (Austin, TX)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + Composes ... wellness plans Retirement benefits including employer match plans Long-term & short -term disability Employee assistance programs (EAP) Parental leave & adoption… more
- CVS Health (Lansing, MI)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing… more
- WellSpan Health (York, PA)
- …and claim denials management. Conducts reviews of claim denials and submits appeals . Performs a variety of functions including, but not limited to answering ... payer denials and institutes appropriate courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge (ALJ) hearings as necessary for… more
- City and County of San Francisco (San Francisco, CA)
- …may perform the following duties: QUALITY CONTROL, INVESTIGATIONS, OVERPAYMENTS, AND/OR APPEALS SPECIALIST Under general supervision, the Quality Control, ... resources, and presentation media. + Facilitates and contributes to short and long-term projects and workgroups. + Provides technical...Investigations, Overpayments or Appeals Specialist performs investigations in support of… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in a key role of...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- State of Colorado (CO)
- CDOC - Human Resources Specialist III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5052855) Apply CDOC - Human Resources Specialist III ... and are eligible for increased PERA benefits; + Medical and dental health plans; + Short and long term disability coverage; + Paid life insurance; + 11 paid holidays… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …investigate and resolve rejections or denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as ... Job Summary The Billing Specialist plays a critical part in maintaining the...be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting,… more
- State of Colorado (Denver, CO)
- Trust Policy & Recoveries Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5044040) Apply Trust Policy & Recoveries Specialist ... for overtime compensation. Department Contact Information Jessica Boyer, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online… more