Medicare Appeals Specialist

Job Description We are hiring Revenue Cycle Specialists who excel in Medicare Collections for our Revenue Operations Department. Specialists in this role will contact Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request adjustments or rebills on...

Job Description We are hiring Revenue Cycle Specialists who excel in Medicare Collections for our Revenue Operations Department. Specialists in this role will contact Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request adjustments or rebills on claims. ...

Job Summary The primary responsibilities of a Financial Assistant Specialist II include, but are not limited to: interviewing private pay patients to determine eligibility/affordability for commercial exchange products, benefits associated with exchange products; assessing patient financial capabilities, calculating premiums based on plan; enrolling...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Are you looking for a job that gives you the opportunity to build a great career while making a difference in peoples' lives? Join Brown & Brown Absence Services Group as a SSDI Hearing / Appeals Advocate We are looking...

Job Description The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and...

Job Description The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and...

The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit...

Job Description The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical...

Responsible for development and production of Medicare regulatory required and benefit related materials to ensure compliance with State and Federal regulations and alignment with administrative policies. Position supports Medicare Solutions portfoli Communications Specialist, Communications, Specialist, Communication, Production, Technology, Healthcare,...

Job Type Full-time Description Overview: We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for Ambulatory Surgery Centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reimbursement. What we do: Full Revenue Cycle...

Responsible for prompt and accurate submission and follow-up of all third party claims. Reviews assigned accounts perform status inquiry and appeals to 3rd party payers to ensure reimbursement. Reviews assigned accounts, determines appropriate action Claims, Specialist, Healthcare

Job Title: Accounts Specialist Overview: The Accounts Specialist reviews and approves all invoices based on client fee schedule. Once approved, invoices are submitted through appropriate platforms based on client guidelines. Essential Functions: Review and approve invoices based on client fee schedule and claim information. Submit invoices in client’s...

Job DescriptionJob DescriptionJob Title: Accounts SpecialistOverview: The Accounts Specialist reviews and approves all invoices based on client fee schedule. Once approved, invoices are submitted through appropriate platforms based on client guidelines. Essential Functions:Review and approve invoices based on client fee schedule and claim information. Submit...

Title: Insurance Sales Specialist Locations: ONSITE 5x per week in Tampa, FL - Zip code: 33647 Schedule: 10AM – 7PM EST Pay Rate: $25/hr Duration: Contract to December 7th, 2024 + possible extension based on performance/openings We are seeking experienced Insurance Sales Agents to join our team in Tampa, FL. The Insurance Sales Agent will be selling and...

Title: Insurance Sales Specialist Locations: ONSITE 5x per week in Tampa, FL - Zip code: 33647 Schedule: 10AM – 7PM EST Pay Rate: $25/hr Duration: Contract to December 7th, 2024 + possible extension based on performance/openings We are seeking experienced Insurance Sales Agents to join our team in Tampa, FL. The Insurance Sales Agent will be selling and...

Job DescriptionJob DescriptionAt Stymco Medical LLC our mission is to provide the most modern and effective durable medical devices, such as, braces, mobility items, wound care, ostomy, enteral supplies between others to patients through our provider network and to provide the highest quality and professional service to providers and patients alike. To...

Job Summary Under the guidance of the Sr. Director of Corporate Compliance & Privacy (or designee), the Sr. Provider Coding Compliance Education Specialist ("Specialist") is an independent self-directed individual who is responsible for creating, updating, revising, and implementing the Coding and Compliance Education Program for the providers (Physician and...

Job Description Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services •Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria •Review different lines of business to include Medicare, Medicaid...

Job Description Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services •Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria • Review different lines of business to include Medicare,...

Job Description Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services • Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria • Review different lines of business to include Medicare,...