Appeals Specialist

2 weeks ago


Memphis, United States TEKsystems Full time

Revenue Cycle/Appeals Specialist Needed

Description:

100% Remote

Equipment Provided

The Appeals Specialist 1, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending. This position provides SSC and ancillary departments with all payer updates regarding billing and coding updates/changes, completes timely and consistently reports project status to leadership and maintains confidentiality of data and information.

-Responsible for review and resolution of prepay insurance denials, correlating with the follow-up teams.

-Works closely with Denial Coordinator, Facility Denial Liaison, and Managed Care Coordinator for education and payer accountability.

-Consults with managers and staff on developmental needs for new processes and makes recommendations to change.

-Maintains knowledge of practice management systems, basic coding and billing knowledge, customer service techniques, basic insurance/carrier knowledge, and front office operation policies.

-Gathers and makes available appropriate educational resources (e.g. books, video tapes/audio Works with associates, departments and facilities to understand denial/appeal management processes.

Skills:

medical claims processing, insurance claim, insurance collections, appeals, revenue cycle

Additional Skills & Qualifications:

-2 years of experience in revenue cycle and at least 1 year in denials or insurance medical billing

-Experience working in a revenue cycle management system (will train on internal system since hospitals all use different systems)

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.


  • Appeals Specialist

    2 weeks ago


    Memphis, United States TEKsystems Careers Full time

    Revenue Cycle/Appeals Specialist Needed!!! *Description:* *100% Remote* *Equipment Provided* The Appeals Specialist 1, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending. This position provides SSC and ancillary departments with all payer updates regarding billing and coding...

  • Appeals Specialist

    2 weeks ago


    Memphis, United States TEKsystems Full time

    Revenue Cycle/Appeals Specialist Needed!!! Description: 100% Remote Equipment Provided The Appeals Specialist 1, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending. This position provides SSC and ancillary departments with all payer updates regarding billing and coding...


  • Memphis, United States Surgery Partners Full time

    Description Lead Appeals Specialist JOB SUMMARY: Responsible for revealing and resolving denied claims including contracting insurance companies providers and patients as well as drafting or generating appeal letters when necessary period must be an effective communicator who can express himself/herself on a daily basis in a professional manner both...


  • Memphis, United States Surgery Partners Full time

    Lead Appeals SpecialistJOB SUMMARY: Responsible for revealing and resolving denied claims including contracting insurance companies providers and patients as well as drafting or generating appeal letters when necessary period must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in...

  • Appeals Specialist

    2 weeks ago


    Memphis, TN, United States TEKsystems Careers Full time

    Revenue Cycle/Appeals Specialist Needed!!! Description:*100% Remote*Equipment Provided* The Appeals Specialist 1, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending. This position provides SSC and ancillary departments with all payer updates regarding billing and coding...

  • Appeals Specialist

    2 weeks ago


    Memphis, TN, United States TEKsystems Full time

    Revenue Cycle/Appeals Specialist Needed!!!Description:100% RemoteEquipment ProvidedThe Appeals Specialist 1, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending. This position provides SSC and ancillary departments with all payer updates regarding billing and coding...


  • Memphis, Tennessee, United States CGS Administrators Full time

    Overview We are seeking a skilled Appeals Specialist to join our team at CGS Administrators, a subsidiary of BlueCross BlueShield of South Carolina. In this pivotal role, you will conduct in-depth investigations into complex appeal or retrospective review requests, including both pre-payment and post-payment review appeals. Your expertise will be essential...


  • Memphis, Tennessee, United States United States Court of Appeals for the Sixth Circuit Full time

    The United States Court of Appeals for the Sixth Circuit is soliciting applications from persons interested in appointment as Federal Public Defender for the Western District of Tennessee at Memphis. Federal Public Defenders are appointed by the United States Courts of Appeals pursuant to 18 U.S.C. § 3006A(g)(2)(A) and regulations of the Judicial Conference...

  • Culinary Specialist

    2 weeks ago


    Memphis, Tennessee, United States Hog & Hominy Full time

    Culinary Role OverviewCulinary specialists are dedicated to creating exceptional dining experiences for patrons by adhering to the high standards set by the Hog & Hominy restaurant group in the preparation and execution of various dishes. These professionals report directly to the Sous Chefs and Chef de Cuisine, contributing to the kitchen team through a...


  • Memphis, Tennessee, United States SAGE Dining Services Full time

    Are you an enthusiastic Culinary Specialist eager to be part of a vibrant kitchen team? SAGE Dining Services is on the lookout for a dependable Culinary Specialist who can assist in crafting and serving appetizing meals that resonate with the preferences of our community. Join us in delivering memorable culinary experiences for students, faculty, staff, and...

  • Custodial Specialist

    2 weeks ago


    Memphis, Tennessee, United States Trezevant Episcopal Home Full time

    Job OverviewPosition LevelEntry LevelLocationTrezevant Episcopal HomeWork TypeFull-TimeEducational RequirementsNo formal education requiredCompensation$12.00 per hourTravel RequirementsNot specifiedShift ScheduleFlexibleJob SectorAssisted Living/Health ServicesPosition Summary:The Custodial Specialist is tasked with ensuring the cleanliness and upkeep of the...


  • Memphis, Tennessee, United States Yugo Full time

    Overview:Yugo is a globally recognized leader in student accommodation, dedicated to connecting young individuals with exceptional living spaces. Our ethos revolves around people, planet, and passion, and we strive to make a difference in the lives of our residents. We are seeking a Facilities Maintenance Specialist to enhance our team.At Yugo, we take...


  • Memphis, Tennessee, United States Labor Staffing Inc. Full time

    Job OverviewAs a Glass Installation Specialist, your primary responsibilities will include the installation, maintenance, and replacement of glass components in various structures, including windows, doors, skylights, and storefronts. This role is essential in ensuring the safety and aesthetic appeal of buildings.Key Responsibilities:- Execute glazing tasks...

  • Sales Associate

    4 days ago


    Memphis, Tennessee, United States America's Best Full time

    Job DescriptionAt America's Best, we're dedicated to providing exceptional eye care and eyewear to our customers. As a Sales Associate - Eyewear Specialist, you'll play a crucial role in delivering this experience.Key ResponsibilitiesSales and Customer Service: Meet and exceed sales targets by providing excellent customer service, recommending products, and...

  • Bakery Specialist

    3 days ago


    Memphis, Tennessee, United States Wal-Mart Stores , Inc. Full time

    About the RoleWe are seeking a highly skilled Bakery Specialist to join our team at Wal-Mart Stores, Inc. As a key member of our bakery team, you will be responsible for creating visually appealing and delicious baked goods that meet the high standards of our customers.Key ResponsibilitiesBe a Team Player: Collaborate with cross-functional teams to ensure...


  • Memphis, United States Baptist Memorial Health Care Full time

    SummaryReviews clinical information and supporting documentation for acute care inpatient Part A services to determine appeal action. Reports to the manager of the Denial Mitigation Department. Performs other duties as assigned.ResponsibilitiesReviews, assesses, and evaluates all communications received in order to optimize reimbursement.Evaluates clinical...


  • Memphis, Tennessee, United States Forte Business Services Full time

    Job OverviewWe are seeking a talented Business Operations Specialist with a strong foundation in project management and operational functions to enhance our dynamic team.About Forte Business ServicesAt Forte, we provide a comprehensive range of support services designed to empower emerging entrepreneurs and assist established businesses in reaching new...


  • Memphis, Tennessee, United States Coca-Cola Consolidated Full time

    Job OverviewThe Product Presentation Specialist is responsible for creating an engaging and attractive retail environment for our customers. This role involves servicing and maintaining multiple bulk accounts by merchandising approved products and packages using safe handling techniques and adhering to all quality guidelines.Duties & ResponsibilitiesFills,...


  • Memphis, United States Brink & White Full time

    Job DescriptionJob DescriptionBenefits:401(k)Employee discountsHealth insuranceOpportunity for advancementPaid time offDental Patient Account and Call Center SpecialistMulti-location pediatric dental group is seeking an Patient Account/Call Center Specialist for their Bartlett, TN, office. This position requires a dedicated team player with the ability to...


  • Memphis, United States University Clinical Health Full time

    Job DescriptionJob DescriptionDescription:Who We Are:As the only independent and physician-led faculty practice plan of the University of Tennessee HealthScience Center, University Clinical Health (UCH) offers best-in-class clinical care through a network of175+ providers across 19 specialties to meet the healthcare needs of the Mid-South community. UCH is a...