- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is ... integrity auditor to take appropriate action. Prepares necessary documentation for insurance appeals process, ensuring timely follow through. Processes claim… more
- Nuvance Health (Danbury, CT)
- …This role is instrumental in liaising with all above parties to submit provider appeals to insurance companies including Medicare and Medicaid for the Nuvance ... Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in ensuring… more
- CVS Health (Harrisburg, PA)
- …meetings when required. * Understands and can respond to Executive complaints and appeals , Department of Insurance , Department of Health or Attorney General ... issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from… more
- Mount Sinai Health System (New York, NY)
- …in the department as per protocol + Requests or provides Medical Records as required for appeals , On / Off-site Insurance reviews + Implements first step of ... information in Allscripts + Meets time frame for reviews / appeals as specified by Insurance / State & Federal regulation. + Enters concurrent review information… more
- Whidbey General Hospital (Coupeville, WA)
- …refunds, and audits. + Inputs statistically numbers in online reports. + Prepares insurance appeals and follows up as required. + Processes technical denials. ... responsible for coordinating patient referrals and subsequent follow up, verifying insurance and providing financial counseling to assist with self-pay accounts, as… more
- Robert Half Finance & Accounting (Colorado Springs, CO)
- …identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies. + Appeals and Denials: Manage insurance ... + Communication Tracking: Document all communications with patients and insurance companies, ensuring HIPAA compliance. + Reporting and Analysis: Generate… more
- CommonSpirit Health at Home (Loveland, OH)
- …certifications. Proficiency in billing and collections processes, with a focus on insurance appeals and account resolution.. At CommonSpirit Health at Home, ... Level II is a mid-level role responsible for resolving insurance and self-pay accounts, including managing claim appeals... insurance and self-pay accounts, including managing claim appeals . This role requires a high level of attention… more
- Beth Israel Lahey Health (Cambridge, MA)
- …writing skills to prepare various reports to state and federal regulators, insurance appeals , internal correspondence, and clinical summaries for medical peer ... of care. Applies knowledge of disease and nursing processes to write effective appeals and clinical abstracts, identifies quality of care and risk management issues.… more
- Guthrie (Sayre, PA)
- …within the unit. Takes the necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as...skills and proficiency in analyzing complex billing problems, prepares appeals , challenges payer policies and pursues appeal turnover when… more
- Spectrum Billing Solutions (Skokie, IL)
- …This is a remote or home/office hybrid position. Responsibilities: + Research and resolve insurance denials + File appeals on denied or underpaid claims + Check ... We are looking to add a passionate and skilled Insurance AR Collections Specialist to our growing team. The...skills and knowledge to ensure optimal reimbursement by performing insurance collections. This role includes all aspects of revenue… more