Appeals and Denials Specialist

Job Type Full-timeDescriptionPosition Title: DRG Integrity SpecialistLocation: RemoteDepartment: DRG IntegrityPOSITION SUMMARY:As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance...

Job Type Full-timeDescriptionPOSITION SUMMARY:As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding...

Job Type Full-timeDescriptionPOSITION SUMMARY:As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding...

Job Type Full-time Description The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals...

Job DescriptionJob DescriptionClinical UM & Appeals Specialist IIWe offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth. Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 35,000 patients daily.  ...

Job DescriptionJob DescriptionRevenue Cycle SpecialistHybrid role - 3 days/wk in Mt. Laurel, NJ Corporate OfficeWe offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of...

Accuity is looking for a DRG Integrity Specialist. As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific...

Job DetailsLevel Entry Job Location Mount Laurel, NJ Position Type Full Time Education Level High School Salary Range $ $25.00 Hourly Travel Percentage None Job Shift Day DescriptionCompany Overview: Persante HealthCare is a nationally recognized leading provider of sleep center management services, partnering with hospitals, physician practices, and...

Job DescriptionJob DescriptionSalary: The Accounts Receivable (“AR”) Specialist is responsible for payer follow-up on claims. An AR Specialist must comply with applicable billing standards and be able to operate in a team-oriented environment that strives to provide superior service. Essential Functions and Tasks: Follow up on all claims to ensure...

Job DescriptionJob DescriptionSalary: The Accounts Receivable (“AR”) Specialist is responsible for payer follow-up on claims. An AR Specialist must comply with applicable billing standards and be able to operate in a team-oriented environment that strives to provide superior service. Essential Functions and Tasks: Follow up on all claims to ensure...

Job Type Full-time Description Position Title: DRG Integrity SpecialistLocation: RemoteDepartment: DRG IntegrityPOSITION SUMMARY:As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client...

Job DescriptionJob DescriptionUtilization Management Specialist*Remote**working collaboratively with the treatment team and health plans to obtain authorization for treatment**Must have experience working addictions field along with clinical or UM experience*** salary for this role is typically $45-55,000 annually based on experienceWe offer competitive...

Job Type Full-time Description POSITION SUMMARY:As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and...

Job DetailsLevel Entry Job Location Mount Laurel, NJ Position Type Full Time Education Level High School Salary Range $18.00 - $25.00 Hourly Travel Percentage None Job Shift Day DescriptionCompany Overview: Persante HealthCare is a nationally recognized leading provider of sleep center management services, partnering with hospitals, physician practices, and...

**OBJECTIVE**: Assist in Revenue Cycle Management at PT Plus to ensure fiscal health and compliant pracces while upholding the values of our company. Ensure insurance coverage and authorizaon for rehab services. Improve the paent experience and ease of access to care at PT Plus clinics. **RESPONSIBILITIES**: 1. Monitor, track, and respond to claim...

Job Type Full-time Description POSITION SUMMARY:As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and...

Job DescriptionJob DescriptionThe Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is on in office position! Responsibilities • Ensures claims are processed accurately to secure timely payment. •...

The Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is on in office position! Responsibilities • Ensures claims are processed accurately to secure timely payment. • Responds to inquiries,...

Join our team as an Associate Inventory Control Specialist! At Bray & Scarff, we have been serving homeowners, builders, contractors, and designers for over 90 years with our quality products and exceptional service. With an unwavering commitment to customer satisfaction, we have built a reputation as a trusted leader in the industry. Now, we are seeking a...

Company DescriptionAir filter subscription service. We deliver your home/office air filters right to your door on the schedule you choose. FREE Shipping, cancel anytime, no fees. Check air filters off your to-do list for good at FilterTime.com.Role DescriptionThis is a full-time hybrid role located in Mount Holly, NC, with flexibility for some remote work as...

Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Responsible for collaboration with members of interdisciplinary health care team (physicians, other health care professionals, payers, etc.) to identify appropriate...

Job DescriptionJob DescriptionJob Summary:The Payroll Specialist will process weekly payroll and maintain employee time records. Duties/Responsibilities:Enters, maintains, and/or processes information in the payroll system; information may include employees’ hourly rates, salaries, commissions, bonuses or other compensation, time worked, paid leave and...

Job DescriptionJob DescriptionJob Summary:The Payroll Specialist will process weekly payroll and maintain employee time records. Duties/Responsibilities:Enters, maintains, and/or processes information in the payroll system; information may include employees’ hourly rates, salaries, commissions, bonuses or other compensation, time worked, paid leave and...