- Community Health Systems (Fort Smith, AR)
- **Job Summary** The Remote Medical Appeals Specialist is responsible for reviewing patient accounts denied for insurance reimbursement or paid ... Functions** + Reviews denied claims and incorrect payments, initiating the appeals process to secure appropriate reimbursement from insurance carriers. +… more
- Equitable (Charlotte, NC)
- Appeals Specialist , Disability Claims ( 25000066 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES- Remote , UNITED ... your potential? Equitable is seeking an influential and dynamic Appeals Specialist to join our Disability and...Equitable provides a full range of benefits. This includes medical , dental, vision, a 401(k) plan, and paid time… more
- Intermountain Health (West Valley City, UT)
- **Job Description:** The RCO Appeals Hearing Specialist is responsible for investigating, coordinating and managing legal insurance cases and represents ... closely with Intermountain Health legal team, Physician Advisors, and Appeals RN consultants in their various capacities. Fully... RN consultants in their various capacities. Fully remote position! + **Essential Functions** + Serves as the… more
- Community Health Systems (Sarasota, FL)
- **Job Summary** The Collections Specialist I is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ... or a related field preferred + 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required +… more
- LA Care Health Plan (Los Angeles, CA)
- Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the… more
- State of Colorado (Denver, CO)
- ECMC Enforcement Advisor (Compliance Specialist IV) - Remote /Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4887965) Apply ECMC ... Enforcement Advisor (Compliance Specialist IV) - Remote /Hybrid Salary $68,100.00 -...addition to offering rewarding, meaningful work, we offer: + Medical , Vision and Dental plans + Strong, flexible retirement… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Integrity Charge Specialist - Medical ** **Associates - Remote - FT** If you ... we care for more people in more places. This position is full time remote . **Position Highlights:** + **Quality of Life:** Where career opportunities and quality of… more
- St. Luke's University Health Network (Allentown, PA)
- …, case resolution, and impact on revenue and trending. + Coordinates RAC appeals for complex case reviews for medical necessity, including determining if ... ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for... reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists… more
- Community Health Systems (Fort Smith, AR)
- **Job Summary** The Remote Medical Insurance Reimbursement Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure ... transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with internal teams to support workflow efficiency,… more
- AdventHealth (Altamonte Springs, FL)
- …**together** we are even better. **Shift** : Monday-Friday **Job Location** : Remote **The role you will contribute:** This position is responsible for investigating ... best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and...obtain further patient information to be used in the appeals process if necessary. + Provide reports, education, and… more