Appeals and Denials Specialist

Job DescriptionJob DescriptionClaim/Charge Edit Specialist is responsible for reviewing clinical documentation to ensure timely, accurate, and compliant charge capture and processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Claim/Charge Edit Specialist works closely with...

Job DescriptionJob DescriptionExtramural Support SpecialistPosition SummaryCetechs, a Small Business, is seeking a Extramural Support Specialist to join our team ofprofessionals under the leadership of our Program Manager. The Extramural Support Specialist will support funding opportunity announcements and manage a portfolio of cooperative agreements and...

Job Title: Prior Authorization and Benefits Specialist Pay: $17.50 an hr | Bi-weekly Job Type: Remote Shift Options: Hours: Mon-Fri 7AM-8:30PM CST. Training hours: Mon-Fri 8AM-4:30PM CST for 4 weeks. Prior Authorization and Benefits Specialist Overview: The Commercial PA Representative I will work closely with providers to process prior...

Job Description POSITION SUMMARY The Billing Specialist (BS) position is an integral part of our organization’s accounting team. This position requires an individual who has a strong attention to detail, and excellent organizational and communication skills, written and oral. The BS will be responsible for reviewing and preparing invoices, ensuring the...

Grady Health System offers many career paths for your professional growth. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady! Location: Atlanta, GA Job Type: Full-time Shift/ Schedule: Day Shift Summary The primary responsibility of a Prior Authorization Pharmacy Technician is...

RSUI is searching for a Chief Claim Specialist to join the Excess unit of our Atlanta Claims department! Working with strong technical expertise and limited supervision, the Chief Claim Specialist effectively manages a caseload of Excess/Umbrella/Complex/Major Case claims in areas including product, transportation, premises, environmental, chemical exposure,...

RSUI is searching for a Chief Claim Specialist to join the Excess unit of our Atlanta Claims department! Working with strong technical expertise and limited supervision, the Chief Claim Specialist effectively manages a caseload of Excess/Umbrella/Complex/Major Case claims in areas including product, transportation, premises, environmental, chemical exposure,...

Under supervision, the Eligibility and Policy Analyst is responsible for reviewing and updating program policies and operational procedures for the implementation and ongoing operations of Georgia Access – State Based Exchange.  Analyzes customer issues to determine causes and develops new processes, documenting changes, and new steps as developed. ...

As the disability and access specialist, you will collaborate with various departments, assess student documentation, and determine appropriate academic adjustments/accommodations with adherence to Section 504 and ADA guidelines. In this role you will attend weekly conferences, provide student referrals, and monitor the database while maintaining a caseload...

Summary As a global leader in public health & health promotion, CDC is the agency Americans trust with their lives. In addition to our everyday work, each CDC employee has a role in supporting public health emergency management, whether through temporary assignments to emergency responses or sustaining other CDC programs and activities while colleagues...

JOB TITLE: Digital SpecialistREPORTS TO: Head of DigitalJOB PURPOSE: The candidate will implement, and manage marketing campaigns promoting the organization's products, events and partnerships. The candidate will work in both Business to Business(B2B) and Business to Customer (B2B) channels, many of which overlap, to enhance brand awareness, digital...

JOB TITLE: Digital SpecialistREPORTS TO: Head of DigitalJOB PURPOSE: The candidate will implement, and manage marketing campaigns promoting the organization's products, events and partnerships. The candidate will work in both Business to Business(B2B) and Business to Customer (B2B) channels, many of which overlap, to enhance brand awareness, digital...

As the disability and access specialist, you will collaborate with various departments, assess student documentation, and determine appropriate academic adjustments/accommodations with adherence to Section 504 and ADA guidelines. In this role you will attend weekly conferences, provide student referrals, and monitor the database while maintaining a caseload...

As the disability and access specialist, you will collaborate with various departments, assess student documentation, and determine appropriate academic adjustments/accommodations with adherence to Section 504 and ADA guidelines. In this role you will attend weekly conferences, provide student referrals, and monitor the database while maintaining a caseload...

SummaryAs our in-house Creative Specialist for The Athlete’s Foot, you will be one of the creative engines that’s responsible for producing visually stunning and cohesive materials across multiple platforms. This role requires a jack-of-all-trades who can bring fresh, innovative ideas to life through a combination of photography, graphic design, and...

SummaryAs our in-house Creative Specialist for The Athlete’s Foot, you will be one of the creative engines that’s responsible for producing visually stunning and cohesive materials across multiple platforms. This role requires a jack-of-all-trades who can bring fresh, innovative ideas to life through a combination of photography, graphic design, and...

Job DescriptionJob DescriptionResponsible for hospital and physician billing and follow-up. Must have experience with commercial and government payers. Responsibilities include follow-up for payment, work denials, appeals, and research.This position will require the selected candidate to work on-site for the first two weeks, then 100% remote for the...

Job DescriptionJob DescriptionResponsible for hospital and physician billing and follow-up. Must have experience with commercial and government payers. Responsibilities include follow-up for payment, work denials, appeals, and research.This position will require the selected candidate to work on-site for the first two weeks, then 100% remote for the...

Job DescriptionJob DescriptionResponsible for hospital and physician billing and follow-up. Must have experience with commercial and government payers. Responsibilities include follow-up for payment, work denials, appeals, and research.This position will require the selected candidate to work on-site for the first two weeks, then 100% remote for the...

Summary This position is located in the Department of Health and Human Services, Administration for Strategic Preparedness and Response, headquartered in Washington, District of Columbia. Duties WHAT YOU'LL BE DOING DAY TO DAY As a Transportation Specialist, you will use your knowledge of and experience with the Administration for Strategic...