- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on ... the services/treatment rendered. JOB DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for diagnosis and procedure code assignment and… more
- TEKsystems (Jacksonville, FL)
- …this is not the simple call - this is a follow up that's been re-routed to the appeals specialist to do in the depth review of the denial letter to determine the ... revenue cycle appeal, revenue cycle specialist , denials specialist , appeals specialist , insurance follow...follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, … more
- Dana-Farber Cancer Institute (Brookline, MA)
- …the general supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical denial ... a comprehensive review of relevant clinical documentation. The Clinical Appeals Specialist will write compelling arguments based...determine if an appeal is warranted. + Formulate clinical appeals and letters of medical necessity to… more
- TEKsystems (Annapolis, MD)
- Description Position Summary The clinical denial appeals specialist is responsible for the identification, mitigation, and prevention of clinical denials. This ... to authorization concerns, and/or reconciling coverage-related issues. The clinical denial appeals specialist also works to prevent future clinical denials… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... benefit investigation. + Knowledge of prior authorizations and claim appeals is necessary. + Knowledge of medical ...claim appeals is necessary. + Knowledge of medical terminology is required. + Current Missouri BOP Pharmacy… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This ... with Medical Directors and other clinical support staff on appeals requiring clinical decision-making determinations. + Conducts routine data evaluation for… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function is to learn the… more
- TEKsystems (Portland, OR)
- Appeals Specialist - Provider Billing Disputes & Appeals (Remote - OR, WA, ID, UT) Employment Type: Temp-to-Hire (6 months with potential for ... Hourly Rate: based on experience and regional compensation levels Job Summary The Appeals Specialist is responsible for managing all activities related to… more
- TEKsystems (Austin, TX)
- Overview We are seeking a highly analytical and proactive Revenue Cycle Appeals Specialist to join our team. This role is ideal for someone with strong ... experience in appeals , denials, and insurance follow-up within the healthcare revenue...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
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