• Spec, Quality Assurance I

    TEKsystems (Reston, VA)
    Description PURPOSE: The Appeals Specialist II will be responsible for the initial intake analysis of appeals /grievances correspondence and determination of ... collecting organizing and tracking information to facilitate and expedite processing of appeals and grievances received from a variety of sources. Responsible for… more
    TEKsystems (07/25/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Richmond, VA)
    …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with branch staff to gather required information and… more
    CenterWell (07/30/25)
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  • Inpatient Coding Denials Specialist

    HCA Healthcare (Richmond, VA)
    …local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all ... that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has...We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our… more
    HCA Healthcare (07/26/25)
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  • Medical Billing Specialist

    Robert Half Accountemps (Richmond, VA)
    Description We are looking for a highly skilled Medical Billing Specialist to join our team on a long-term contract basis. This position offers the opportunity to ... Aetna, Anthem, Sentara, United, and other insurers. * Handle denials and appeals , ensuring timely resolution to maintain billing accuracy. * Process prior… more
    Robert Half Accountemps (07/30/25)
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  • Clinical Denials Coding Review Specialist

    HCA Healthcare (Richmond, VA)
    …your application for the opportunity below: Clinical Denials Coding Review Specialist Parallon. **Benefits** Parallon, offers a total rewards package that supports ... for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with… more
    HCA Healthcare (07/19/25)
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  • Labor/Employee Relations Specialist I/ II/…

    Navy Exchange Services (NEX) (Virginia Beach, VA)
    Title: Labor/Employee Relations Specialist I/ II/ III (Non-competitive Progression) Location: United States-Virginia-Virginia Beach Job Number: 250000Q1 Note: This ... Summary: Under the guidance and supervision of a Labor/Employee Relations Specialist or Labor/Employee Relations Manager, responsible for providing technical support… more
    Navy Exchange Services (NEX) (07/26/25)
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  • Pre-Access-Authorization Specialist I

    Intermountain Health (Richmond, VA)
    **Job Description:** The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior ... pertinent patient related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requested + Contacts patient/provider when… more
    Intermountain Health (07/29/25)
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  • Senior Personnel Security Specialist

    Amentum (Springfield, VA)
    Amentum is seeking a **Senior Personnel Security Specialist ** to support the National Geospatial-Intelligence Agency (NGA) and Office of Security (SIS) in ... of the government in a timely manner. + Support the NGA Personnel Security Appeals Board process by coordinating with subjects and PSAB Board Members or their… more
    Amentum (07/18/25)
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  • Philanthropy Specialist

    JABA (Charlottesville, VA)
    The Philanthropy Specialist plays a crucial role within the Philanthropy and Communication Department, reporting to the Philanthropy Manager. This position ... donor relations. This role will contribute to communication efforts, events, appeals , and stewardship projects to foster meaningful, lifelong relationships with JABA… more
    JABA (05/29/25)
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  • CBO Insurance Resolution Specialist

    University of Virginia (Charlottesville, VA)
    The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... AR responsibility. + Performs inpatient/outpatient follow up and working insurance denials, appeals claims as defined by payer and departmental rules. + Resolves… more
    University of Virginia (05/15/25)
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