- Adecco US, Inc. (Ontario, CA)
- Adecco Medical & Science is hiring a REMOTE Clinical Appeals Representative for a healthcare organization based in Ontario, CA! This is a 100% remote ... opportunity with occasional in-office visits to process mail at the Ontario location. Please read the details below and apply with a current resume for consideration. Position Details: * Type: Contract position * Schedule: Monday - Friday, 8:00 AM - 4:30 PM… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data ... coding determination made by the government or commercial payors, or their auditor representative . + Facilitate clinical chart reviews to assist with supporting… more
- Independent Health (Buffalo, NY)
- …Collaborative and Accountable. **Essential Accountabilities** + Thoroughly investigate clinical appeals and complaints/grievances utilizing appropriate internal ... support of a high performing health plan and physician network. The Clinical Reviewer will investigate quality complaints/grievances and appeals , document… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Account Representative position is responsible for resolving all outstanding third party primary and secondary insurance claims for ... billing functions, including claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity… more
- Guidehouse (Birmingham, AL)
- …Insurance Companies to resolve claim denials and account balances. + Performing Non- Clinical Appeals . + Assisting Supervisor/Manager as needed with various ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...+ 0-2 years medical billing experience working with UB04, appeals & denials. **What Would Be Nice to Have**… more
- Guidehouse (Birmingham, AL)
- …+ Works all denials taking necessary actions to obtain account resolution. + Submits appeals , as appropriate, for all non- clinical denials + Monitors all denials ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...None **What You Will Do** **:** The Patient Account Representative (PAR) is expected to perform specific billing processes,… more
- Guidehouse (Lewisville, TX)
- …+ Works all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non- clinical denials + Monitors all denials ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...None **What You Will Do** **:** The **Patient Account Representative (PAR)** is expected to perform specific billing processes,… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Business Office Representative Department: Location: Hours Per Week: Schedule: Sign-On Bonus: SUMMARY: Ensure full reimbursement is received by RRH for ... clinical services rendered including professional, long-term/home care and hospital...phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed… more
- Surgery Care Affiliates (Boise, ID)
- …do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement ... change. If you join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow up… more
- BrightSpring Health Services (Lexington, KY)
- …Advantage is becoming Abilis Health Plan!* We are seeking a Sales Account Representative /Executive for our Signature Advantage Plan who will work with senior care ... unresolved issues to the next level including grievance and appeals . + Actively market plan to new senior care...and innovative services allow us to meet each member's clinical needs and provide preventive, coordinated, and quality healthcare.… more