- TEKsystems (Houston, TX)
- …this is not the simple call - this is a follow up that's been re-routed to the appeals specialist to do in the depth review of the denial letter to determine the ... claims are denied - determine where to send appeals - determine whether a claim needs to be...revenue cycle appeal, revenue cycle specialist , denials specialist , appeals specialist , insurance follow… more
- TEKsystems (Portland, OR)
- Professional Summary: The Appeals Specialist I is responsible for managing provider billing disputes and appeals with precision and professionalism. This ... and internal policies. While not responsible for making final clinical decisions, the Appeals Specialist I works closely with licensed health professionals to… more
- TEKsystems (Austin, TX)
- Overview We are seeking a highly analytical and proactive Revenue Cycle Appeals Specialist to join our team. This role is ideal for someone with strong ... cause analysis to determine next steps. 2. Rebilling & Appeals Submission + Focus on claims ready...Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA)… more
- Cognizant (Boston, MA)
- ** Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to...to improve efficiency and patient satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims … more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist ** to join… 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
- City and County of San Francisco (San Francisco, CA)
- …may perform the following duties: QUALITY CONTROL, INVESTIGATIONS, OVERPAYMENTS, AND/OR APPEALS SPECIALIST Under general supervision, the Quality Control, ... resources, and presentation media. + Facilitates and contributes to short and long-term projects and workgroups. + Provides technical...Investigations, Overpayments or Appeals Specialist performs investigations in support of… more
- WellSpan Health (York, PA)
- …and claim denials management. Conducts reviews of claim denials and submits appeals . Performs a variety of functions including, but not limited to answering ... payer denials and institutes appropriate courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge (ALJ) hearings as necessary for… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …manages the day to day duties of the Risk Management program. Processes administrative tort claims and 1151 claims , reporting data as indicated to the Tort Claim ... Reviews Coordinates peer and administrative reviews subsequent to notification of claims alleging medical malpractice. Checks information from peer reviews and tort… more
- State of Colorado (CO)
- CDOC - Human Resources Specialist III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5052855) Apply CDOC - Human Resources Specialist III ... and are eligible for increased PERA benefits; + Medical and dental health plans; + Short and long term disability coverage; + Paid life insurance; + 11 paid holidays… more