Appeals and Denials Specialist

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 and Denials team and other...

Responsible for all activities associated with appeal analysis, decision-making and closure as described below:Appeal Intake Validate intake determinations regarding timeliness, member benefits, employer group, and provider contract provisions for Appeals Specialist, Appeals, Specialist, Processing, Healthcare, Medical, Information

Job Description Job Description Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S. Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years. Conduct AR Follow-up both on front end scrubs and back end denials...

Job DescriptionJob DescriptionOverview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S.Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years.Conduct AR Follow-up both on front end scrubs and back end denials...

Summary This position serves as a Human Resources Specialist located in the Employee Management Relations Branch, Human Resources (HR) of the Joint Administrative Operations (JAO), . Fish and Wildlife Service (FWS). Serves as an Employee Relations (ER) Specialist on ER programs including policy guidance and advice to senior leadership, program...

***: Moore Medical Group is seeking a highly motivated individual with an expert knowledge of healthcare billing and coding with an emphasis on auditing and ensuring that all provider coding submissions are reviewed within 48 hours to confirm accuracy and optimization of CPT and ICD-10 codes. The individual will coordinate with central operations and finance...

Patient Support Specialist Location: Holladay, UT Do you enjoy making a positive impact on other people's lives? Would you like to work in an environment where you can build strong relationships with your patients while helping them to achieve their goals? If this sounds appealing, then this is a great opportunity to join a growing healthcare technology...

Medicaid Application Specialist BaneCare Management is currently seeking Full Time Medicaid Application Specialist to join our team! Our Medicaid Application Specialist role would be based out of our corporate office, conveniently located in Braintree, MA. If youre passionate about the healthcare industry and are interested in joining a growing organization...

Job DescriptionJob DescriptionDescriptionGood Shepherd Hospice, a leading regional provider of hospice care, is seeking a full-time, experienced Hospice Medicare Billing Specialist for our corporate office in Oklahoma City.Full-time position / Monday through Friday, 8am to 5pm Medicare Hospice Biller strongly preferredKey ResponsibilitiesFile...

Job DescriptionJob DescriptionDescriptionGood Shepherd Hospice, a leading regional provider of hospice care, is seeking a full-time, experienced Hospice Medicare Billing Specialist for our corporate office in Oklahoma City.Full-time position / Monday through Friday, 8am to 5pm Medicare Hospice Biller strongly preferredKey ResponsibilitiesFile...

Job DescriptionJob DescriptionThe purpose of the Client Service and Eligibility Specialist is to support the mission of Housing Connect in greeting and answering customer questions and working with Public Housing and Section 8 to determine the eligibility of individuals and families and maintaining the waiting list in accordance with HUD regulations and...

The purpose of the Client Service and Eligibility Specialist is to support the mission of Housing Connect in greeting and answering customer questions and working with Public Housing and Section 8 to determine the eligibility of individuals and families and maintaining the waiting list in accordance with HUD regulations and Housing Connect policies and...

Job DescriptionJob DescriptionJob Title: Accounts Receivable RepresentativeFSLA Status: Full Time, Non – ExemptReports to:Salary: $14.00 - $18 per hour* Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.Summary/ObjectiveProvide a quality...

Summary This position is a Supervisory Contract Specialist, GS- 1102-13 working for the R10-Acq and Property - Acq Goods and Service Ops. The temporary promotion may be made permanent without further competition. Duties Duty station location is at the discretion of the hiring official. Additional questions regarding placement should be...

Job DescriptionJob DescriptionInsurance A/R Specialist for our FL Regional Office in Panama City, FLNHC HomeCare Florida Regional Office is looking for an Insurance A/R Specialist to join our team. This position works under the direction of the Billing Manager to assure the accurate and timely collection of Homecare accounts receivable from Medicare, managed...

Job DescriptionJob DescriptionWe are searching for a diligent Medi-Cal Claim Follow-Up Specialist to ensure the timely and accurate collection of medical claims. The specialist will work closely with counties to rectify payment denials and receive due reimbursements. The ideal candidate will possess strong communication skills, a deep understanding of...

Job DescriptionJob DescriptionWe are searching for a diligent Medi-Cal Claim Follow-Up Specialist to ensure the timely and accurate collection of medical claims. The specialist will work closely with counties to rectify payment denials and receive due reimbursements. The ideal candidate will possess strong communication skills, a deep understanding of...

Job DescriptionThe Social Media Specialist is responsible for crafting social media programs for one of Unitek’s institutions: Unitek College, Provo College, Eagle Gate College, Brookline College, or Unitek EMT. This position will monitor social media while informing, engaging, and building relationships with stakeholders—students, alumni, staff, and the...

Job DescriptionJob DescriptionMedical Billing Auditor | Medical Insurance Denial RepresentativeOKC, OK M-F 8a-5p$17-$20/HRExperience reading EOBsWork denials and understand denial codes and modifiers2+ years current experience requiredThe Billing Office Representative is responsible for processing medical claims. Duties include for verifying all patient...

Job DescriptionJob DescriptionMedical Billing Auditor | Medical Insurance Denial RepresentativeOKC, OK M-F 8a-5p$17-$20/HRExperience reading EOBsWork denials and understand denial codes and modifiers2+ years current experience requiredThe Billing Office Representative is responsible for processing medical claims. Duties include for verifying all patient...