Medical Appeals Specialist

1 week ago


Vergennes, Vermont, United States OrthoMed Anesthesia Full time
Job Overview

OrthoMed Anesthesia is seeking a skilled Medical Revenue Cycle Management Appeals Specialist to play a crucial role in optimizing revenue cycle outcomes.

Key Responsibilities
  • Appeals and Denials Management: Review and analyze denied claims and payment discrepancies to identify areas for improvement.
  • Appeals and Arbitration Process Management: Initiate and manage appeals and arbitration processes to ensure timely and effective resolution.
  • Documentation and Communication: Prepare appeal letters and supporting documentation, and collaborate with internal departments and payers to resolve issues.
  • Trend Analysis and Process Improvement: Analyze appeal trends and recommend process improvements to optimize revenue cycle outcomes.
  • Revenue Cycle Meetings: Participate in revenue cycle meetings to discuss ongoing projects and initiatives.
Qualifications
  • Education: High school diploma or equivalent.
  • Experience: Proven experience in a similar role within healthcare.
  • Knowledge and Skills: In-depth knowledge of revenue cycle processes, familiarity with insurance denials and appeals, strong understanding of medical coding and terminology, excellent analytical and problem-solving skills, effective communication skills, and proficiency in MS Office applications.
  • Personal Qualities: Ability to work independently and as part of a team, strong organizational and time management skills.


  • Vergennes, Vermont, United States Merieux NutriSciences Full time

    Flavor Evaluation Specialist MERIEUX NUTRISCIENCES At Merieux NutriSciences, we are dedicated to enhancing public health by ensuring that food systems are safe, nutritious, and sustainable. With a global presence in 27 countries, we provide an extensive array of testing and innovative solutions aimed at mitigating health risks associated with food,...


  • Vergennes, Vermont, United States Five Star Staffing Full time

    Job OverviewFIVE STAR STAFFING is seeking a dedicated PORTER/GROUNDSKEEPER to contribute to our operations in the DFW AREA.We are in search of a reliable team member.If you are committed and ready to work, we encourage you to reach out.Requirements include a valid driver's license and the ability to pass a background check.This role is dynamic and requires a...


  • Vergennes, Vermont, United States Five Star Staffing Full time

    Job OverviewFive Star Staffing is seeking a dedicated Porter/Groundskeeper to enhance the upkeep of our properties in the DFW Area.Key Responsibilities:Maintain the aesthetic appeal of the community by regularly inspecting and cleaning common areas, ensuring they are free from litter and debris.Prepare vacant apartments for new residents by removing trash...


  • Vergennes, Vermont, United States FastSigns Full time

    About the RoleWe are seeking a highly skilled and creative Graphic Designer to join our team at FastSigns. As a Graphic Designer, you will play a crucial role in bringing our clients' visions to life through innovative and visually appealing designs.Key ResponsibilitiesDesign and create computer-generated full-color graphics and output vinyl for various...


  • Vergennes, Vermont, United States Insight Global Full time

    **Licensed Practical Nurse (LPN) Position**We are seeking a skilled Licensed Practical Nurse (LPN) to provide high-quality medical care to our students.**Key Responsibilities**Conduct thorough medical assessments for new students to ensure their health and well-being.Manage medication distribution and ensure students adhere to prescribed treatment...


  • Vergennes, Vermont, United States Ascension Full time

    Join Our Team at Ascension LivingWe are committed to providing exceptional services and support to our seniors, allowing them to live healthier and happier lives. Our team of dedicated professionals is passionate about delivering personalized care and creating a warm and welcoming community.About the RoleWe are seeking a skilled Patient Care Specialist to...


  • Vergennes, Vermont, United States TriCom Quest Full time

    Job OverviewA reputable manufacturer specializing in architectural hardware and industrial components is seeking a dedicated Inside Sales Specialist to enhance business operations. This position offers a competitive hourly wage along with a comprehensive benefits package and avenues for professional advancement.Complete medical, dental, and vision coverage...


  • Vergennes, Vermont, United States ASG Staffing - Illinois Full time

    Job OverviewASG Staffing - Illinois is seeking a dedicated Material Handling Specialist to become a vital part of our team. This role is essential for maintaining the efficiency and precision of our operations.Position SummaryAs a Material Handling Specialist, you will be responsible for setting up and operating machinery in accordance with job...

  • Nurse Specialist

    5 days ago


    Vergennes, Vermont, United States Education & Training Resources LLC Full time

    Job SummaryWe are seeking a skilled Nurse Specialist to join our team at Education & Training Resources LLC. As a key member of our healthcare team, you will be responsible for providing high-quality medical care and support to our students.Key ResponsibilitiesAssist the Health and Wellness Services program in accordance with DOL guidelines, federal, state...

  • Wellness Specialist

    5 days ago


    Vergennes, Vermont, United States Education & Training Resources LLC Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Wellness Specialist to join our team at Education & Training Resources LLC. The successful candidate will be responsible for providing administrative support to our student health services department.Key ResponsibilitiesMaintain accurate and up-to-date student medical records, ensuring...

  • Cleaning Specialist

    5 days ago


    Vergennes, Vermont, United States Healthcare Services Group, Inc. Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Cleaning Specialist to join our team at Healthcare Services Group, Inc. As a Cleaning Specialist, you will be responsible for maintaining the cleanliness and sanitation of our facilities, ensuring a safe and healthy environment for our residents and staff.Key ResponsibilitiesPerform...


  • Vergennes, Vermont, United States Edward-Elmhurst Health Full time

    Position Overview: The Breast Imaging Specialist II plays a vital role in the Diagnostic Imaging department, focusing on the early detection and treatment of breast cancer. Key Details: Location: Elmhurst Center for Health Employment Type: Part-Time, 20 hours per week Work Schedule: Weekdays from 3 PM to 7 PM, with every fourth Saturday from 7 AM to 3:30...


  • Vergennes, Vermont, United States Workway, Inc. Full time

    Job OverviewWe are seeking an Administrative Support Specialist to join our dynamic team.Key Responsibilities:Accurate data entry and management for inventory tracking.Execution of bookkeeping responsibilities.Completion of various administrative tasks in a timely manner.Utilization of online resources for inventory management.Qualifications:1-3 years of...


  • Vergennes, Vermont, United States ECOS Full time

    **Job Summary**We are seeking a skilled Production Line Specialist to join our team at ECOS. As a key member of our production team, you will be responsible for ensuring the efficient and safe operation of our production line.**Key Responsibilities:**Verify that products are properly labeled, filled, and packaged according to production schedules.Maintain a...


  • Vergennes, Vermont, United States ECOS Full time

    **Job Summary**We are seeking a highly motivated and detail-oriented Production Line Specialist to join our team at ECOS. As a key member of our production team, you will be responsible for ensuring the efficient and safe operation of our production line.**Key Responsibilities:**Verify that products are properly labeled, filled, and packaged according to...


  • Vergennes, Vermont, United States PHP Agency Inc. Full time

    Job OverviewEvent Management SpecialistPHP Agency, LLC is in search of an Event Management Specialist to enhance our dynamic Marketing & Events department.Founded in 2009 by innovative entrepreneur Patrick Bet-David, PHP is a national life insurance field marketing organization dedicated to providing a diverse range of insurance products tailored for the...


  • Vergennes, Vermont, United States Royal Electric Full time

    Position OverviewAt Royal Electric, we specialize in delivering exceptional electrical design, construction, and service solutions to builders, contractors, and facility owners who prioritize strong relationships, trust, and expertise.Our operations are driven by core values of expertise, collaboration, integrity, passion, and loyalty, which underpin our...


  • Vergennes, Vermont, United States Royal Electric Full time

    Position OverviewAt Royal Electric, we excel in delivering expert electrical design, construction, and service to builders, contractors, and facility owners who prioritize relationships, trust, expertise, and a commitment to outstanding results.Our operations are driven by our core values of expertise, collaboration, integrity, passion, and loyalty. These...


  • Vergennes, Vermont, United States Education & Training Resources LLC Full time

    Job SummaryEducation & Training Resources LLC is seeking a highly skilled Substance Abuse Prevention Specialist to join our team. As a key member of our organization, you will be responsible for implementing and maintaining an effective trainee employee assistance program (TEAP) that promotes substance abuse awareness, prevention, and education.Key...


  • Vergennes, Vermont, United States SilverWave Inc Full time

    About SilverWave Inc.SilverWave Inc. is a leading provider of innovative healthcare solutions, dedicated to empowering individuals to live independently and with dignity. Our outpatient care services are designed to cater to the unique needs of our clients, promoting a holistic approach to care.Job SummaryWe are seeking a highly motivated and compassionate...