Specialist, Appeals

Job Title: Appeals Specialist Location: Columbia, SC. 29229 (4-6 weeks onsite training, then possibility to transition into remote) Duration: 3 months assignment with possible extension. Shift: Mon-Fri 8 AM - 5 PM Payrate: $17/hr.Responsibilities: Performs non-medical reviews and processes redetermination letters. 50% Performs non-medical reviews and...

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

More Information about this Job: IMMEDIATE OPENING      Medical Billing-Revenue Cycle – Appeal Specialist     The Appeal Specialist supports the functions of the Revenue Cycle Appeal team by assisting in the review of denied and underpaid claims for the formal appeal and dispute process with the payor. Responsibilities include, but are not...

Medical Billing - Appeal - Medicare Follow Up Specialist Remote or On-Site Starting Pay $18.00 Job Summary The Appeal - Medicare Follow Up Specialist will follow up on the status of appeals with Medicare and Medicare Replacement (Advantage) plans. Essential Functions/ Duties * Conducts online and phone follow-up on pending appeal responses * Processes...

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....

ABOUT US A Specialty Path to Good Health Upperline Health is the nation's largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses. Triage is...

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 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...

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...

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...

*SIGN-ON BONUS: $5,000 - if Licensed Registered Nurse (RN)ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facility professional clinical staff.Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning...

* SIGN-ON BONUS: $5,000 - if Licensed Registered Nurse (RN) ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning...

We are seeking a highly creative and talented digital marketing specialist to join our growth and partnerships team. In this role, you will collaborate with other team members to create owned media growth strategies with an emphasis on content creation. Responsibilities: Develop and execute creative ideas for social media content and campaigns Design...

OverviewJOB TITLE: LEASING SPECIALIST FLSA Non-ExemptPrimary Function The Leasing Specialist responsibilities include but are not limited to support the Property Manager with the daily operations of the community, providing assistance to the functions of leasing, collections, resident services and maintenance administration, handling telephone and on-site...

Job Summary The Accounts Receivable Collection Specialist's purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer's accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment on medical supply orders Job...

Job DescriptionJob DescriptionJob Summary The Accounts Receivable Collection Specialist’s purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment...

Job DescriptionJob DescriptionJob Summary The Accounts Receivable Collection Specialist’s purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment...

Job Summary The Accounts Receivable Collection Specialist's purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer's accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment on medical supply orders Job...

Overview: JOB TITLE: LEASING SPECIALIST                                                                          FLSA Non-Exempt   Primary Function   The Leasing Specialist responsibilities include but are not limited to support the Property Manager with the daily operations of the community, providing assistance to...

Job Summary The Accounts Receivable Collection Specialist’s purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment on medical supply ordersJob...