- Equitable (Charlotte, NC)
- Appeals Specialist , Disability Claims ( 25000066 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED ... Appeals Specialist to join our Disability and Absence Claims organization. The Appeals , Complaints, and Litigation Specialist is responsible for… more
- Robert Half Accountemps (Houston, TX)
- Description Job Description: Billing Appeals Specialist (Short-Term Contract) Position Overview: Our client, a prominent legal firm, is seeking a Billing ... Appeals Specialist to join their team on...Qualifications: + Experience: Proven experience in billing, collections, or claims appeals , preferably within the legal or… more
- CenterLight Health System (NY)
- …effectiveness of the claims department by timely and accurate processing of claims appeals and performing claims audit, ensuring payment integrity and ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play...measurable outcomes. JOB RESPONSIBILITIES: + Perform end to end claims appeals review process. Track appeals… more
- VNS Health (Manhattan, NY)
- OverviewResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage ... appeal decision. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. Assists with collecting and reporting… more
- Genesis Healthcare (PA)
- …with our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up of denied ... claims from all commercial and contracted payers. The follow...response from the payer and takes appropriate action, including appeals , based on the type of denial. Documents all… more
- Healthfirst (PA)
- …+ Bachelors degree + Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization ... Reduction, Termination, and Suspension of services. The end-to-end process requires the Specialist to independently: + Research issues + Quality of Care Experience +… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) Billings Clinic (ROCKY ... claims from government and third party payers. The Claims Specialist is responsible for preparing and...of refunds, if appropriate, and coordinating adjustments when necessary, claims appeals or resubmissions, moving balances from… more
- MetLife (Bloomfield, CT)
- …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... if additional information is needed to make a reasonable and logical claims determination based off the information available * Collaborates with both external… more
- Kelly Services (Houston, TX)
- We are Currently Seeking a **Medical Claims Recovery Specialist ** to work with a Healthcare insurance client located in **Northwest Houston, TX 77092!** **Pay: ... payers, and internal stakeholders. - Technical Proficiency: - Familiarity with healthcare claims processing systems and data analysis tools. - AAPC CPC certification… more
- HCA Healthcare (Georgetown, TX)
- …+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, ... (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health...personal responsibility. + Review and process for payment all claims , in which adequate billing information has been obtained,… more