- HCA Healthcare (Orem, UT)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Insurance Claims Appeals Representative? At Parallon, you come ... you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Appeals Representative like you to be a part of… more
- Molina Healthcare (Midvale, UT)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... Experience in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific… more
- Humana (Salt Lake City, UT)
- … Medical Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems ... Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Salt Lake City, UT)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. +… more
- R1 RCM (Salt Lake City, UT)
- …Denials Consultant, you will represent healthcare providers in their disputes with medical insurance carriers and managed care organizations at all stages ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...contractual provisions and applicable state and federal laws, writing appeals and letters to insurance companies to… more
- University of Utah Health (Salt Lake City, UT)
- … medical advancement, and overall patient outcomes. **Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims . + ... experience, or equivalency. **Qualifications (Preferred)** **Preferred** + Understanding of Medical billing terminology or equivalent. + Demonstrated claims … more
- Humana (Salt Lake City, UT)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Humana (Salt Lake City, UT)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + **A… more
- CVS Health (Salt Lake City, UT)
- …Qualifications** + 3+ years of experience with claims and/or health insurance . + Strong familiarity with medical terminology, self-funding, and/or ERISA ( ... **Required Qualifications** + 1+ years of experience with healthcare, specifically in appeals , claims , and/or compliance, as well as benefit interpretation. +… more
- R1 RCM (Salt Lake City, UT)
- …day, you will conduct root cause analysis to craft appeal letters to resolve any insurance company medical denials. To thrive in this role, you must excel in ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...contact payers to learn the status of previously resubmitted claims , written appeals , or updates on incoming… more
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