Healthcare Appeals Specialist

The Appeals and Denials Resolution Specialist is responsible for addressing provider inquiries and appeals in a timely and professional manner. This role ensures adherence to client policy, industry standards, and CMS guidelines.Key Responsibilities:Reviews and analyzes appeals to ensure accurate and timely resolutionInterprets client policy and CMS...

We are seeking a detail-oriented and compassionate Appeals Coordinator to join our team at CornerStone Staffing in a Healthcare Appeals role. In this position, you will be responsible for reviewing and processing appeals and grievances from patients and providers, ensuring that all cases are resolved promptly and in accordance with regulatory guidelines.Key...

Job Title: Appeals Representative Team LeadAt CorVel Healthcare Corporation, we are seeking a highly skilled and experienced Appeals Representative Team Lead to join our team. As a key member of our revenue cycle appeals team, you will be responsible for addressing provider inquiries and appeals in a timely and professional manner.Key Responsibilities:Review...

Job Title: Authorization Research Specialist IIIBCforward is seeking a highly skilled Authorization Research Specialist III to join our team. As a key member of our team, you will be responsible for resolving time-sensitive authorization issues that affect claim denials, reconsiderations, or appeals.Key Responsibilities:Resolve authorization issues and...

Medical Billing SpecialistSerenity Healthcare, LLC is seeking an experienced Medical Billing Specialist to join our team in Fort Worth, TX. The ideal candidate will have a strong background in medical billing, with the skills necessary to improve our current billing procedures and reduce A/R days. The primary responsibility in this role is to provide...

Job SummaryWe are seeking a skilled Healthcare Provider Information Specialist to join our team at CorVel Healthcare Corporation. As a key member of our team, you will be responsible for verifying provider information and requests for documentation to audit claims.Key ResponsibilitiesVerify patient information, provider contact information, and client...

Job Title: Licensed Specialist in School PsychologyAbout the Role:As a Licensed Specialist in School Psychology with Invo Healthcare, you will play a vital role in providing therapeutic services to children in a school setting. Our team is dedicated to creating better outcomes for children, and we are seeking a highly skilled and compassionate professional...

Job Summary:The Member Advocate will serve as a liaison between the Members and Cook Children's Health Plan. This role requires excellent communication skills to navigate the complexities of the healthcare system and provide a highly satisfactory customer experience. The ideal candidate will have 1-2 years of experience in Community Outreach or Member...

Job Summary:The Insurance Claims Specialist will be responsible for analyzing and resolving outstanding insurance claims for Cook Children's Physician Network. This role requires strong analytical and communication skills to effectively manage claims and provide timely financial and volume data to the Manager, Insurance Follow-Up & Denials Management.Key...

About Serenity Healthcare, LLCSerenity Healthcare, LLC is a growing healthcare start-up dedicated to delivering exceptional patient care. With multiple sites across 7 states, we are committed to creating a serene environment for patients to take back control of their lives.About the RoleWe are seeking a skilled Healthcare Financial Specialist - Payment...

Job SummaryWe are seeking a highly skilled Healthcare Operations Supervisor to join our team at CorVel Healthcare Corporation. As a key member of our Provider Relations department, you will be responsible for managing daily operations, prioritizing staff work assignments, and ensuring timely and accurate processing of internal and external requests.This is a...

Job Title: Litigation Paralegal SpecialistJob Summary: We are seeking a highly skilled Litigation Paralegal Specialist to join our team at Beacon Hill Legal. As a Litigation Paralegal Specialist, you will provide administrative and paralegal support to our litigation attorneys, maintaining and organizing files, photocopying, and preparing expense reports.Key...

Job Title: Member AdvocateLocation: Calmont Operations BuildingDepartment: Member AdvocateShift: First Shift (United States of America)Standard Weekly Hours: 40Job Summary:The Member Advocate will serve as a liaison between the members and Cook Children's Health Plan. The Member Advocate will help members and their legally authorized representatives navigate...

Job OverviewJet Health is seeking a skilled Revenue Cycle Specialist to oversee critical financial tasks, including billing, collections, and claims management. This role requires a strong understanding of state and federal regulations, as well as excellent communication and problem-solving skills.Key ResponsibilitiesMonitor and maintain assigned accounts,...

About the Role:We are seeking a skilled Healthcare Support Specialist to join our team at JPS Health Network. As a key member of our psychiatric care team, you will provide high-quality support to patients and contribute to a positive and compassionate care environment.Key Responsibilities:Assist in the delivery of direct patient care as assigned by the...

Job Summary:The Member Advocate will serve as a liaison between the Members and the Medical Plan. This role requires excellent communication skills, cultural sensitivity, and the ability to navigate complex healthcare systems. The ideal candidate will be bilingual, with fluency in English and Spanish, and have 1-2 years of experience in community outreach or...

Ecommerce Marketing SpecialistAt GrowthWise Search Partners, we're seeking a talented Ecommerce Marketing Specialist to join our team. As an Ecommerce Marketing Specialist, you will be responsible for creating visually appealing graphics for our e-commerce platforms, including product listings, compelling email marketing campaigns, newsletters,...

Job SummaryWe are seeking a skilled RN Healthcare Early Child Specialist to join our team at MHMR Tarrant. As a key member of our healthcare team, you will provide comprehensive support services to families, promoting healthy behaviors and improving maternal and infant health outcomes.Key ResponsibilitiesProvide healthcare navigation and personalized care...

Job Title: RN Rehab SpecialistJob Summary: We are seeking a skilled RN Rehab Specialist to join our team at HealthCare Support. As a RN Rehab Specialist, you will be responsible for providing high-quality patient care and rehabilitation services in a fast-paced healthcare environment.Responsibilities:Provide individualized patient care and rehabilitation...

At Texas Health Physicians Group, we're seeking a dedicated and compassionate Women's Healthcare Specialist to join our team in Alliance, TX. This full-time position offers a rewarding opportunity to work with a talented group of professionals in a fast-paced, high-volume clinic.The ideal candidate will be skilled in providing top-notch care to our patients,...