- Northeast Georgia Health System, Inc (Gainesville, GA)
- …claims , which is dependent on either the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and ... About the Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed … more
- MultiPlan (Atlanta, GA)
- …our client's needs and tailoring innovative healthcare cost management solutions. Medical Claims Intake Specialist Remote positions available - temporary $17.00 ... 5:00 pm CT. Responsibilities: Evaluate and research cases, coordinate documentation, research claims for next steps using various systems. Perform timely data entry… more
- Creative Financial Staffing (Baltimore, MD)
- …the senior position. Company offers potential for bonus as well! Reports to the Senior Claims Specialist This position is 100% in office in Baltimore, MD. M-F ... Support Insurance and Claims Department in litigation and claims management. Create and organize claim files. Maintain and update claim files. Assist… more
- AppleOne (Pittsburgh, PA)
- …about providing support and assistance to individuals navigating workers' compensation claims ? We're looking for a dedicated medical claims coordinator ... to gather information such as work status reports, appointment details, and specialist referrals- Manage multi-line phone calls, regarding specific cases in the… more
- MultiPlan (Atlanta, GA)
- …coding standards and regulations to claims billed. Research and review individual claims , claim trends or detailed itemized bills, operative notes and other ... bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most...provides analysis of the highest dollar and most complex claims by applying research, coding standards, industry knowledge and… more
- MultiPlan (Atlanta, GA)
- …Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing ... summarize trends, coding practices, and regulatory changes. Research and review individual claims , claim trends or detailed itemized bills, operative notes and… more
- APN Consulting, Inc (TX)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... Title: Healthcare - Appeals Specialist IREMOTE6 monthsJob Description:* Will the position be...ensure that internal and/or regulatory timelines are met.* Research claims appeals and grievances using support systems to determine… more
- Blanchard Valley Hospital (Findlay, OH)
- …of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits. Support Condition 44 ... enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist , Revenue Integrity Auditor,… more
- US Tech Solutions, Inc. (Atlanta, GA)
- Duration: 12+ months contract Job Description: As a Pharmacy Insurance Specialist , you will be responsible for ensuring that all required third party insurance ... appropriately within the pharmacy adjudication system. The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... services as well as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all denials and ensure… more
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