- TEKsystems (Sarasota, FL)
- …1. Manages workflow for Humana PPI Audits, RAC Audits, or outpatient appeals and communicates daily with Sr. Director/Manager on trends identified 2. Respond ... up of accounts to effectively move through the revenue cycle 4. Completes claim appeals and assists with other projects as needed 5. Submits requests for medical… more
- Ochsner Health (New Orleans, LA)
- …in and will work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New York, ... Washington,_ _and Washington DC_ **_Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please… more
- Equitable (Charlotte, NC)
- Appeals Specialist , Disability Claims ( 25000066 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES- Remote , UNITED ... help unlock your potential? Equitable is seeking an influential and dynamic Appeals Specialist to join our Disability and Absence Claims organization. The … more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... review. Provides billing with information needed to obtain payment of claims. Remote within local geography after orientation. JOB DUTIES AND RESPONSIBILITIES: +… more
- Stryker (Flower Mound, TX)
- **What You'll Do:** As our **Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... processes-ensuring successful navigation of the billing, prior authorization, and appeals process. **Key Responsibilities:** + Respond to day-to-day reimbursement… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Integrity Charge Specialist - Medical** **Associates - Remote - FT** If you are ... people in more places. This position is full time remote . **Position Highlights:** + **Quality of Life:** Where career...(PBS) centers; including analysis of clinical documentation, assist in appeals as needed, root cause analysis and tracking as… more
- Robert Half Accountemps (Spokane, WA)
- …Receivable (A/R) Specialists to support a long-term collections project. This role is 100% remote , but candidates must be able to work standard business hours in the ... of outstanding A/R balances + Manage insurance claim follow-up, appeals , and denials resolution + Review and reconcile patient...management skills + Ability to work independently in a remote setting + Must be able to work during… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote . May include every 5th weekend rotation **POSITION PURPOSE** Responsible for ... Business Service (PBS) centers; including analysis of clinical documentation, assist in appeals as needed, root cause analysis and tracking as needed. Educates… more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a Referral/Pre-Auth Specialist - Remote (OR, WA, AK) for a Full Time, 0.80 FTE, Day position.** The salary range for ... and written. (Required) **Home Infusion:** + Follow-up work with denials and appeals for Prior Authorizations. + Efficient communication and correspondence with the… more
- Avera (Wagner, SD)
- …issues and also help with patient concerns. Will assist in denial management and appeals . Day shift hours, Monday through Friday. ** Remote work is NOT ... **Position Highlights** **Starting rate of pay is $26.50 per hour.** The Billing Specialist will be responsible for the daily billing operations for designated areas… more
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