- Cognizant (Lansing, MI)
- **Member Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** We ... are seeking a dedicated Member Appeals & Grievance Specialist with a minimum...and Grievance experience Minimum of 2 years of medical claims processing experience (Must be with a healthcare plan,… 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
- Fairview Health Services (St. Paul, MN)
- …critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more
- State of Colorado (Denver, CO)
- Provider Training Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5118979) Apply Provider Training Specialist Salary $58,872.00 ... for overtime compensation. Department Contact Information Jessica Bosick, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online… 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
- AssistRx (Orlando, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... Day in the Life as a Bilingual Patient Access Specialist : This role works directly with healthcare providers &...(PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move… more
- Helio Health Inc. (Syracuse, NY)
- …Maintains accurate files necessary for research and documentation. + Researches open claims and processes appeals when necessary. Follows up on patient ... support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up...or concern arises. + Communicates insurance trends and unresolved appeals to the billing manager for further action. +… more
- TEKsystems (Minneapolis, MN)
- …by the management team. Skills Prior authorization, Customer service, Support, claims processing, insurance, benefits verification, appeals Top Skills Details ... coverage for surgery. Job responsibilities for the Benefit Verification Specialist * Act as an advocate for our customers...nurse case reviewers and clinical staff to build on claims for medical necessity. * Educates customers, staff and… more
- AssistRx (Overland Park, KS)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding… more
- AssistRx (Orlando, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding… more