Appeals Specialist

Job Tittle: Appeals Specialist Location: Columbia, SC Duration: 6+ Months Pay Rate: $17/hr We are looking for an Appeals Specialist(Data entry) to join one of our Fortune 500 Healthcare clients. Job Description Performs non-medical reviews and processes redetermination letters. 50% Performs non-medical reviews and processes redetermination letters...

Job Responsibilities The South Carolina Judicial Branch, Court of Appeals, Office of the Clerk invites applications for an Appeals Specialist I. With one-on-one training and supervision, an Appeals Specialist I manages a caseload according to the South Carolina Appellate Court Rules (SCACR) and established court policies and procedures. ESSENTIAL DUTIES...

Job Responsibilities The South Carolina Judicial Branch, Court of Appeals, Office of the Clerk invites applications for an Appeals Specialist I. With one-on-one training and supervision, an Appeals Specialist I manages a caseload according to the South Carolina Appellate Court Rules (SCACR) and established court policies and procedures. ESSENTIAL DUTIES...

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 Tittle: Appeals Specialist Location: Columbia, SC Duration: 6+ Months Pay Rate: $17/hr We are looking for an Appeals Specialist(Data entry) to join one of our Fortune 500 Healthcare clients. Job Description Performs non-medical reviews and processes redetermination letters. 50% Performs non-medical reviews and processes redetermination letters...

Job description **Job Summary**: Creates and manages submission, intervention and resolution of bills, appeals, and grievances. Conducts pertinent research, evaluates, responds and completes appeals and other insurance/policy guideline inquiries accurately, timely and in accordance with all established regulatory guidelines. Prepares appeal documentation,...

Performs non-medical reviews and processes redetermination letters. 50% Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy. 30% Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools. 10% Updates letters and documents within the department when necessary....

Performs non-medical reviews and processes redetermination letters. Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy. Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools. Updates letters and documents within the department when necessary. May gather...

**Position Overview**: **Key Responsibilities**: - 1. Taking Phones: - Professionally handle incoming phone calls from providers/suppliers. - Address inquiries, provide information, and escalate issues as needed. 2. Call Logs Entries: - Accurately log all phone interactions and inquiries. - Categorize and prioritize calls for effective follow-up and...

Clinical Denials Quality Auditor | Responsibilities and Metrics Are you looking for your next challenge? The Virtual Business Office Associates is the perfect balance of a diverse and growing workforce that still feels like home. If you are an A/R Specialist with experience working denied claims from beginning to end, come join our best in KLAS Extended...

Job Responsibilities Do you have a passion to provide meaningful contributions to your community? Would you like to be part of an organization whose central mission is helping to protect, stabilize and strengthen the lives of South Carolina's children, families, and vulnerable adults? If so, the SC Department of Social Services has the right job opportunity...

Akerman LLP, a top 100 U.S. law firm serving clients across the Americas, is seeking a Billing Specialist to join the firm's Financial Services Department. Akerman has adopted a hybrid workplace environment, and this position can be based in any of our U.S. offices. The Billing Specialist will coordinate and administer all facets of client account analysis...

Job Summary and Primary Responsibilities As a Patient Care Specialist with NCS, you will drive a positive, seamless post-surgery patient experience through exemplary communication and customer service. In addition to billing and collections, you will field questions and educate patients on financial assistance as needed. You will also collaborate...

Job Summary and Primary Responsibilities As a Patient Care Specialist with NCS, you will drive a positive, seamless post-surgery patient experience through exemplary communication and customer service. In addition to billing and collections, you will field questions and educate patients on financial assistance as needed. You will also collaborate...

Job Description:The University of Missouri-Columbia, College of Arts & Science, seeks a Senior Business Support Specialist. We seek a passionate and experienced individual to contribute to the success of our academic departments. This position offers a unique blend of fiscal, administrative, and reporting responsibilities, making it an appealing and...

**Job Summary and Primary Responsibilities** As a Patient Care Specialist with NCS, you will drive a positive, seamless post-surgery patient experience through exemplary communication and customer service. In addition to billing and collections, you will field questions and educate patients on financial assistance as needed_._ You will also collaborate with...

MedStar Health is actively recruiting for a Litigation Specialist to join our Legal team. While this position does have significant remote flexibility, they must be local to the Maryland / DC area for regular on-site responsibilities. Performs a variety of duties including; investigations, negotiations, and strategic decisions in a confidential nature to...

MedStar Health is actively recruiting for a Litigation Specialist to join our Legal team. While this position does have significant remote flexibility, they must be local to the Maryland / DC area for regular on-site responsibilities. Performs a variety of duties including; investigations, negotiations, and strategic decisions in a confidential nature to...

Job Summary Financial Aid Specialist Grant University of South Carolina Upstate RTFPO24 Spartanburg, SC The Financial Aid Specialist serves as the primary contact for community outreach for financial aid for Spartanburg county schools and organizations. Serves Spartanburg County enrolled and prospective students and adults returning to college....

Job Summary Financial Aid Specialist Grant University of South Carolina Upstate RTFPO24 Spartanburg, SC The Financial Aid Specialist serves as the primary contact for community outreach for financial aid for Spartanburg county schools and organizations. Serves Spartanburg County enrolled and prospective students and adults returning to college....