• Cambia Health Solutions, Inc (Tacoma, WA)
    Appeals Specialist IRemote within WA, ID, OR, and UTPrimary Job Purpose:Responsible for all activities associated with requests for Provider Billing Disputes and ... Appeals . Includes analysis, preparation, evaluation of prior determinations, coordination of clinical review if needed, decision making, notification, and completion.… more
    JobGet (05/01/24)
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  • Creative Financial Staffing (Cleveland, OH)
    Appeals Specialist About the company and Appeals Specialist opportunity: Our client is a law firm located in Cleveland, Ohio Hybrid 1 day per week Great health ... and tuition assistance Essential Duties and Responsibilities of the Appeals Specialist: Perform appeal edits and create appeals... Appeals Specialist: Perform appeal edits and create appeals in a variety of ebilling websites. Record all… more
    JobGet (05/16/24)
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  • Creative Financial Staffing (Cleveland, OH)
    APPEALS SPECIALIST WHY YOU SHOULD BE THE APPEALS SPECIALIST Our client is a law firm located in Cleveland, Ohio Hybrid 1 day per week Great health benefits, ... Paid Maternity leave and tuition assistance RESPONSIBILITIES OF THE APPEALS SPECIALIST Perform appeal edits and create appeals... APPEALS SPECIALIST Perform appeal edits and create appeals in a variety of ebilling websites. Record all… more
    JobGet (05/10/24)
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  • Accounting Now (Tampa, FL)
    Medicare Appeals Specialist Do you like challenging payers? Enjoy that feeling of satisfaction when your appeal is overturned? Then, this position may is right for ... you! The ideal candidate will be well versed in the Medicare managed care appeals and grievance process. Must have strong knowledge of Medicare payer guidelines and… more
    JobGet (04/29/24)
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  • Accounting Now (Tampa, FL)
    …advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for conducting a comprehensive review ... to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely manner. This...fax, etc Documents and summarizes all rationale for all appeals in EPIC. Documents communications with medical office staff… more
    JobGet (04/29/24)
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  • Preferred Solutions Group (Bethesda, MD)
    …the appropriateness of the release and review and make recommendations regarding appeals . . Review documents and responses to ensure compliance with the Acts ... Counsel in reviewing and arriving at recommendations regarding requests involving administrative appeals . . Review appeals for non-release of information or fees… more
    JobGet (05/16/24)
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  • Option Care Health (Columbus, OH)
    …with Billing and Collection Training and completes "second level" appeals to payers.Job Description: ​Job Responsibilities:Submits timely, accurate invoices to ... payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized… more
    JobGet (05/17/24)
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  • Blanchard Valley Health System (Findlay, OH)
    …of productivity to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims within the department/division. ... Maintains appropriate timeliness of appeals for denials. Identifies other means and resources to...A/R and payer issues, avoid timely claim consideration/filing, failed appeals , and/or increased denials & write-offs. Participates in and… more
    JobGet (04/29/24)
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  • Accounting Now (Pinellas Park, FL)
    …companies on unpaid insurance accounts identified through aging reportsAble to identify an appeals worthy claim and or ability to process appeals online or ... insurance accounts identified through aging reportsAble to identify an appeals worthy claim and or ability to process ...appeals worthy claim and or ability to process appeals online or via paper submission; Assist with billing… more
    JobGet (05/05/24)
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  • US Tech Solutions, Inc. (Columbia, SC)
    …as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals . Determines whether to return, deny or pay claims following organizational ... department guidelines. . Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining… more
    JobGet (05/17/24)
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