Reimbursement Appeals Nurse Specialist

Job Title: Reimbursement Appeals NurseGenesis Healthcare LLC is seeking a highly skilled Reimbursement Appeals Nurse to join our team. As a key member of our denial management team, you will play a critical role in conducting comprehensive analytical reviews of patient medical records and writing sound, sensible, and factual arguments to support payment of...

Job SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare, Inc. This role requires a strong analytical mind and excellent communication skills to effectively review patient medical records and write compelling appeal arguments.Key ResponsibilitiesConduct comprehensive analytical reviews of patient medical...

Job SummaryWe are seeking a highly skilled Reimbursement Appeals Nurse to join our team at Genesis HealthCare, Inc.Key ResponsibilitiesConduct comprehensive analytical reviews of patient medical records to identify potential reimbursement issues.Write clear and concise appeal arguments to support payment of services provided.Identify and report trends in...

Job SummaryThe Senior Appeals Specialist is responsible for investigating appeals and grievances in accordance with established policies and regulations. This role involves preparing case files for clinical and administrative review, as well as making outreach calls to members, providers, and representatives to acknowledge receipt of appeal requests.Key...

Job Title: Clinical Reimbursement SpecialistGenesis Healthcare LLC is seeking a skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in ensuring that our patients receive the reimbursement they deserve.Key Responsibilities:Conduct comprehensive analytical reviews of patient medical...

{"Responsibilities": "Key ResponsibilitiesInvestigate appeals and grievances in accordance with established policies and regulations.Prepare case files for clinical and/or administrative review.Make outreach calls to members, providers, and/or member representatives to acknowledge receipt of appeal requests and request medical records.Document entire...

Job SummaryThe National Reimbursement Director will be responsible for leading the development and implementation of reimbursement strategies across the organization. This role will require strong leadership and collaboration skills, as well as expertise in reimbursement coding, coverage, and payment policy.Key ResponsibilitiesCollaborate with client...

Travel Nurse ICU Specialist OpportunityWe are seeking a qualified Intensive Care Unit RN for a travel nurse assignment in a traveler-friendly facility in Philadelphia, PA. This assignment offers excellent pay, benefits, bonus opportunities, travel reimbursement, and more.Requirements:Minimum 1-2 years' experience in ICUACLS, BLS, NIH certificationsAdditional...

Precertification Clinical SpecialistServes as the primary clinical resource in the PreCertification Department for the handling of complex authorization issues. Responsible for clinically assessing all adverse determinations made by insurers through all levels of the Pre-Service Administrative appeals process.Supports the Patient Access team to ensure...

Medicare Triage Specialist Job DescriptionWe are seeking a highly skilled and detail-oriented Medicare Triage Specialist to join our team. As a key member of our organization, you will play a critical role in investigating Medicare Advantage member appeals and grievances in accordance with established policies and CMS regulations.Key Responsibilities:Review...

Medicare Triage Specialist Job DescriptionIndependence Blue Cross is seeking a skilled and detail-oriented Medicare Triage Specialist to join our team. As a key member of our organization, you will play a critical role in investigating Medicare Advantage member appeals and grievances in accordance with established policies and CMS regulations.Key...

Medicare Triage Specialist Job DescriptionIndependence Blue Cross is seeking a skilled Medicare Triage Specialist to join our team. As a key member of our organization, you will play a critical role in investigating Medicare Advantage member appeals and grievances in accordance with established policies and CMS regulations.Key Responsibilities:Review...

Billing and Registration Specialist Job DescriptionComhar Inc. is seeking a highly skilled Billing and Registration Specialist to join our team. As a key member of our healthcare team, you will be responsible for ensuring accurate and timely billing and registration processes for our patients.Key Responsibilities:Review and manage billing and claims...

Billing and Registration Specialist Job DescriptionWe are seeking a highly skilled Billing and Registration Specialist to join our team at Comhar Inc. The ideal candidate will have a strong background in medical insurance billing and registration, with excellent communication and organizational skills.Key Responsibilities:Review and manage billing and claims...

Maximize Revenue through Reimbursement ExcellenceGenesis HealthCare, a leading provider of healthcare services, seeks a skilled Clinical Reimbursement Manager to optimize revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process.Key Responsibilities:Develop and implement reimbursement priorities in nursing centers to...

Job SummaryWe are seeking a highly skilled and experienced Senior Provider Reimbursement Analyst to join our team at Independence Blue Cross. This role will be responsible for supporting the development of reimbursement and contracting strategies, performing provider reimbursement and contracting analyses, and translating complex technical analyses into...

Precertification Clinical SpecialistServes as the primary clinical resource in the PreCertification Department for the handling of complex authorization issues. Responsible for clinically assessing all adverse determinations made by insurers through all levels of the Pre-Service Administrative appeals process.Key Responsibilities:Supports the Patient Access...

Position Overview:City Fitness Management, Inc. is seeking dedicated and skilled individuals to join our team as Sanitation Specialists. This role is vital in ensuring the cleanliness and aesthetic appeal of our facilities.Key Responsibilities:- Provide thorough cleaning and maintenance services to uphold the highest standards of hygiene.- Collaborate with...

About the role: Nurse Specialist (Orthopedic Care) Elevate Your Nursing Career in Upstate New YorkAt AlediumHR, we're seeking a skilled Nurse Specialist to join our client's thriving orthopedic team. As a key member of our team, you'll deliver exceptional patient care, empower patients on their healing journeys, and collaborate with a passionate crew...

Job Title: Travel Nurse ICU SpecialistFormation, Inc. is seeking a skilled Travel Nurse ICU Specialist to join their team in Philadelphia, Pennsylvania.Job Summary:We are looking for a highly motivated and experienced Travel Nurse ICU Specialist to work in our Intensive Care Unit. The ideal candidate will have a strong background in ICU nursing and be able...