Appeals Specialist

Responsibilities: The Appeals Specialist will manage the organizations third party payer appeals through the ability to analyze, research and successfully appeal third party claims within timely filing timelines. This position will develop payer and cross-functional hospital relationships to effectively appeal and obtain full contractual payment on claims....

The Appeals Specialist will manage the organization’s third party payer appeals through the ability to analyze, research and successfully appeal third party claims within timely filing timelines.  This position will develop payer and cross-functional hospital relationships to effectively appeal and obtain full contractual payment on claims.  The Appeals...

A Richmond-based law firm offering a convenient downtown location, has an immediate opening for an experienced Legal Billing Specialist. Responsibilities include but are not limited to: - Coordination of monthly distribution of pre-bills - Preparation of invoices for attorneys - Research billing related issues - Create and track appeals and budgets Must...

**Title**: State Health Benefits Plan Specialist (00112) **State Role Title**: Human Resource Analyst I **Hiring Range**: $41,655.00 - $65,000.00 **Pay Band**: 4 **Agency**: Dept of Human Resource Mgt **Location**:Dept of Human Resource Mgmt **Recruitment Type**: General Public - G **Job Duties** The Office of Health Benefits at the Department of...

Find your WHY at Reid Health:   This position is responsible for the optimal payment of claims from all payers.   Focus will include follow-up/appeal of denied claims.     Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core...

Job DescriptionJob DescriptionCreative Services Specialist (Graphic Designer)About Us: Weinstein Properties is a leading real estate investment and management company dedicated to providing exceptional living experiences for our residents. With a portfolio spanning across 5 states, we pride ourselves on delivering unparalleled service and quality.Location:...

Job DescriptionJob DescriptionPosition TypeMedical Billing & CodingPosition DescriptionWe are looking to hire a highly efficient revenue cycle management specialist to oversee all tasks assigned to the revenue cycle department staff. The revenue cycle manager’s responsibilities include identifying patient reimbursement issues, ensuring that claims,...

Job DescriptionJob DescriptionPosition TypeMedical Billing & CodingPosition DescriptionWe are looking to hire a highly efficient revenue cycle management specialist to oversee all tasks assigned to the revenue cycle department staff. The revenue cycle manager’s responsibilities include identifying patient reimbursement issues, ensuring that claims,...

As Customer Advocate Complaint Management Specialist, you will lead our complex adjudication functions.You will represent claims in all areas of technical requirements from product development to claim negotiations.You will assist in the investigation, sampling, root cause identification, customer impact analysis and the formulation of responses to...

As Customer Advocate Complaint Management Specialist, you will lead our complex adjudication functions. You will represent claims in all areas of technical requirements from product development to claim negotiations. You will assist in the investigation, sampling, root cause identification, customer impact analysis and the formulation of responses to...

The Field Access & Reimbursement environment for specialty biologics has proven to be highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, Appeals, detailed Clinical Documentation, Peer to Peer reviews etc. requires dedicated and focused customer...